A comparison of methods of self-harm without intent to die: Cutting versus self-poisoning

Chartrand, Hayley; Kim, Huntae; Sareen, Jitender; Mahmoudi, M; Bolton, James M.

doi:10.1016/j.jad.2016.07.009

Cited by 17 publications

(14 citation statements)

References 39 publications

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“…This is also reflected in the variety of terms applied, which also do not differentiate between self-harm with or without intention to die. The distinction between NSSI and deliberate self-harm is challenging, highlighting the need for future studies to clarify differences in risk profiles [ 4 , 57 ]. A clear definition of NSSI is proposed for future studies aiming to achieve consensus regarding study variables, thus facilitating data comparisons among research groups, and leading to more accurate comprehension of both the context and the outcome of relevant behaviour.…”

Section: Discussionmentioning

confidence: 99%

“…However, the way an individual hurts her/himself does not always reflect the intention to die, evidence of which is clearly reported in the CASE study [ 5 ]. Thus, it is vital that future studies clearly address the motive(s) behind self-injurious behaviour and not only the means by which it is inflicted [ 4 , 57 ]. Additionally, clinicians need to assess the motives leading to self-injury so that the focus and prioritisation of interventions can be modified accordingly.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the above, deliberate self-harm may be viewed as a wide spectrum of behaviours, characterised by different levels of suicide intent and a variety of motives [ 2 – 4 ]. Some of the self-harming behaviours include ingestion of a substance in excess or a nondigestible object; jumping from a height; and self-cutting or self-burning [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Comprehensive knowledge of the factors mediating the association of bullying victimization with self-harming behaviour in the young is crucial to further inform current health policies, preventive screening, and educational strategies, as well as developing targeted treatment programmes [ 56 ]. Thus, it is important to further explore and better understand the correlates of self-harming behaviours and their outcomes [ 4 , 57 ]. The present review aims to present data regarding potential difference between those who engage in deliberate self-harm with and without clearly reporting intention to die, in relation to school bullying exposure and possible mediators, that is, depressive symptoms and self-stigma.…”

Section: Introductionmentioning

confidence: 99%

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The Association between Deliberate Self-Harm and School Bullying Victimization and the Mediating Effect of Depressive Symptoms and Self-Stigma: A Systematic Review

Karanikola

Lyberg

Holm

et al. 2018

BioMed Research International

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Background Identifying deliberate self-harm in the young and its relationship with bullying victimization is an important public health issue. Methods A systematic review was performed to explore evidence of the association between deliberate self-harm and school bullying victimization in young people, as well as the mediating effect of depressive symptoms and self-stigma on this association. An advanced search in the following electronic databases was conducted in January 2018: PubMed/Medline; CINAHL; PsycINFO; PsycARTICLES; Science Direct; Scopus, and Cochrane Library. Studies that fulfilled the inclusion criteria were further assessed for their methodological integrity. The Norwegian Knowledge Centre for Health Services tool was applied for cross-sectional studies and the Critical Appraisal Skills Programme instrument for the cohort studies. Only empirical quantitative studies published in the English language in peer reviewed journals during the last decade (2007-2018) aimed at exploring the association between deliberate self-harm and school bullying victimization in community-based schoolchildren with a mean age of under 20 years were included. Results The reviewed cross-sectional and cohort studies (22) revealed a positive association between school bullying victimization and deliberate self-harm, including nonsuicidal self-injury, which remained statistically significant when controlled for the main confounders. The mediating role of depressive symptoms in the association between deliberate self-harm and school bullying victimization was confirmed. A dose-response effect was shown in the association between nonsuicidal self-injury and school bullying victimization, whilst the mediating effect of depressive symptoms needs to be further explored. No studies were found directly exploring the mediating effect of self-stigma in the association between deliberate self-harm and bullying victimization. Conclusion Targeted interventions aimed at eliminating victimization behaviours within the school context are therefore proposed, as well as interventions to promote healthy parenting styles for the parents of schoolchildren. Moreover, school healthcare professionals should screen students involved in bullying for self-injury, and vice versa.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Association between Deliberate Self-Harm and School Bullying Victimization and the Mediating Effect of Depressive Symptoms and Self-Stigma: A Systematic Review

Karanikola

Lyberg

Holm

et al. 2018

BioMed Research International

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“…Although alcohol consumption is largely associated with cutting in many studies, especially in males, 13,[28][29][30] the present study could not explore this aspect since there was no information about it in 85.8% of the medical records. Further studies should take this risk factor into account.…”

Section: Discussionmentioning

confidence: 89%

Prevalencia y caracterización de cutting en población pediátrica (0-14 años) en un servicio de urgencias de Bogotá D.C., Colombia

et al. 2020

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Introducción. El cutting es un comportamiento de autolesión no suicida cada vez más frecuente en menores de 15 años; sin embargo, en Colombia aún no se han realizado estudios que reporten la prevalencia de esta conducta en población pediátrica.Objetivo. Describir las características sociodemográficas y clínicas, y los factores de riesgo de la población pediátrica (0 a 14 años) con diagnóstico de cutting atendida en el servicio de urgencias de una clínica de cuarto nivel en Bogotá D.C., Colombia.Materiales y métodos. Estudio observacional descriptivo de corte transversal en el que se revisaron las historias clínicas de los pacientes menores de 15 años atendidos entre los años 2011 y 2017 con los códigos diagnósticos CIE 10 Z91.5, F32, F33, F99, F19, F41, F43, T742 y X60, con el fin de identificar aquellos casos que cumplieran con los criterios diagnósticos de cutting.Resultados. Se incluyeron 85 historias clínicas de niños entre 10 y 14 años. La prevalencia de cutting fue de 0.15% en el total de la muestra y de 26.7% en el subgrupo con antecedentes de trastorno psiquiátrico. Se encontró una relación mujer a hombre de 3:1. El 62% no tenía un núcleo familiar unificado, el 30.6% presentó un rendimiento escolar bajo y el 80% se lesionó el antebrazo. Respecto a su salud mental, el 22.3% reportó reducción de ansiedad con la lesión y el 72.9% no presentó ideas suicidas. Los factores de riesgo más frecuentes fueron presentar antecedente de enfermedad mental (52.9%), ser víctima de violencia psicológica (25.8%) y, en el caso de los varones, consumir sustancias psicoactivas (22.7%).Conclusiones. La prevalencia de cutting fue inferior en comparación con lo reportado en otros países. Este comportamiento fue tres veces más frecuente en niñas y el antecedente personal psiquiátrico podría aumentar el riesgo de presentarlo. A pesar que las características aquí descritas permitirán identificar fácilmente esta condición en población pediátrica colombiana, es necesario realizar nuevos estudios que determinen la efectividad de medidas terapéuticas dirigidas a esta población.

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Non‐suicidal self‐injury among individuals with an eating disorder: A systematic review and prevalence meta‐analysis

Kirkpatrick,

Breton,

Biorac

et al. 2023

Intl J Eating Disorders

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ObjectiveThis study aimed to quantify the prevalence of non‐suicidal self‐injury across eating disorders (EDs) and within diagnostic categories through systematic review and proportional, or so‐called prevalence, meta‐analysis.MethodIncluded studies had to contain individuals with a verified diagnosis of an ED. The last literature search was conducted on September 11, 2023, for studies published on or before September 2023 without a restriction on earliest publication year. Results were synthesized and analyzed using the “metaprop” package in R and presented using forest plots. Bias was assessed by a Peters' regression test and funnel plot.Results79 studies published between 1985 and 2023 were included encompassing 32,334 individuals with an ED. Importantly, 42 studies were not included in any other meta‐analyses on self‐injury in EDs to date. Overall prevalence of non‐suicidal self‐injury was 34.59% (95%CI = 30.49–38.81). Prevalence in anorexia nervosa restrictive type, binge/purge type, bulimia nervosa, binge eating disorder and other specified feeding/eating disorder were 23.19% (95%CI = 16.96–30.03%), 41.98% (95%CI = 32.35–51.91%), 36.97% (95%CI = 30.69–43.46%), 21.21% (95%CI = 14.93–28.12%) and 37.65% (95%CI = 28.59–47.09%), respectively. Prevalence estimations could not be estimated for other ED categories due to lack of a sufficient number of studies.DiscussionNon‐suicidal self‐injury is prevalent across both binge/purge and restrictive EDs. Considering the transdiagnostic nature of self‐injurious behaviors in ED, the results highlight the importance of assessment and monitoring of self‐injury in people with ED, irrespective of specific diagnoses. The method of determining self‐injury varied across studies and may limit this study.Public SignificanceThis study highlights the prevalence of self‐injury across eating disorders irrespective of diagnosis and within specific EDs. While diagnoses known to exhibit self‐injurious behaviors (e.g., bulimia nervosa, anorexia nervosa binge/purge subtype) demonstrated the highest prevalence of self‐injury, all diagnoses were found to have a prevalence greater than 20%. These findings suggest the importance of assessing and monitoring all individuals with an eating disorder for the presence of self‐injury.

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A comparison of methods of self-harm without intent to die: Cutting versus self-poisoning

Cited by 17 publications

References 39 publications

The Association between Deliberate Self-Harm and School Bullying Victimization and the Mediating Effect of Depressive Symptoms and Self-Stigma: A Systematic Review

The Association between Deliberate Self-Harm and School Bullying Victimization and the Mediating Effect of Depressive Symptoms and Self-Stigma: A Systematic Review

Prevalencia y caracterización de cutting en población pediátrica (0-14 años) en un servicio de urgencias de Bogotá D.C., Colombia

Non‐suicidal self‐injury among individuals with an eating disorder: A systematic review and prevalence meta‐analysis

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