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Non-suicidal self-injury v. attempted suicide: new diagnosis or false dichotomy?

  • Navneet Kapur (a1), Jayne Cooper (a2), Rory C. O'Connor (a3) and Keith Hawton (a3)
Summary

Non-suicidal self-injury (NSSI) is a term that is becoming popular especially in North America and it has been proposed as a new diagnosis in DSM-5. In this paper we consider what self-harm research can tell us about the concept of NSSI and examine the potential pitfalls of introducing NSSI into clinical practice.

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Copyright
Corresponding author
Navneet Kapur, Centre for Suicide Prevention, Centre for Mental Health and Risk, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UK. Email: nav.kapur@manchester.ac.uk
Footnotes
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See pp. 324-325, this issue.

Declaration of interest

N.K. was Chair of the National institute for Health and Clinical Excellence (NICE) guideline development group for the longer-term management of self-harm, of which R.O.C. was also a member. N.K. currently chairs the NICE Topic Expert Group that is developing quality standards for self-harm services. N.K. and K.H. are members of the National Suicide Prevention Strategy Advisory Group and R.O.C. is a member of the Scottish Government's National Suicide and Self-harm Monitoring and Implementation Group. K.H. is a National Institute for Health Research (NIHR) senior investigator.

Footnotes
References
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2 Graff, H, Mallin, R. The syndrome of the wrist cutter. Am J Psychiatry 1967; 124: 3642.
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18 Moran, P, Coffey, C, Romaniuk, H, Olsson, C, Borschmann, R, Carlin, JB, et al The natural history of self-harm from adolescence to young adulthood: a population-based cohort study. Lancet 2011; 379: 236–43.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Non-suicidal self-injury v. attempted suicide: new diagnosis or false dichotomy?

  • Navneet Kapur (a1), Jayne Cooper (a2), Rory C. O'Connor (a3) and Keith Hawton (a3)
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