Evidence map›Paper›PMID 22726518›Full record

ReviewLancet (London, England)2012

Self-harm and suicide in adolescents.

Keith Hawton, Kate E A Saunders, Rory C O'Connor

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Lancet (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07450105 (Intensive Dialectical Behavior Therapy for Self-Harm and Suicidal Behavior in Youth), which is not on this map. Cited by 818 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
818citing papers in PubMed, 14 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07450105 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Intensive Dialectical Behavior Therapy for Self-Harm and Suicidal Behavior in Youth: A Pilot Study

TypeinterventionalSponsorHaukeland University HospitalRan2026 to 2027Enrolled12ConditionsSelf-Harm, Deliberate, Suicidal Behavior, Borderline Personality Disorder (BPD)ArmsIntensive Dialectical Behavior Therapy
3 · Its place in the literature

Who cites it

818 citing papers in PubMed, 14 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Reducing self-harm in adolescents: the RISA-IPD comprehensive synopsis.Health technology assessment (Winchester, England) · 2026
    Pooled it
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  15. Trial
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  17. Trajectories of parent criticism across treatment for youth self-harm.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Trial
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  20. Next of kin's experiences of healthcare encounters in the context of severe self-harm: "We know them best".International journal of qualitative studies on health and well-being · 2026
    Article

758 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Keith HawtonCentre for Suicide Research, University Department of Psychiatry, University of Oxford, Oxford, UK. keith.hawton@psych.ox.ac.uk
Kate E A Saunders
Rory C O'Connor

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Self-harm and suicide are major public health problems in adolescents, with rates of self-harm being high in the teenage years and suicide being the second most common cause of death in young people worldwide. Important contributors to self-harm and suicide include genetic vulnerability and psychiatric, psychological, familial, social, and cultural factors. The effects of media and contagion are also important, with the internet having an important contemporary role. Prevention of self-harm and suicide needs both universal measures aimed at young people in general and targeted initiatives focused on high-risk groups. There is little evidence of effectiveness of either psychosocial or pharmacological treatment, with particular controversy surrounding the usefulness of antidepressants. Restriction of access to means for suicide is important. Major challenges include the development of greater understanding of the factors that contribute to self-harm and suicide in young people, especially mechanisms underlying contagion and the effect of new media. The identification of successful prevention initiatives aimed at young people and those at especially high risk, and the establishment of effective treatments for those who self-harm, are paramount needs.

Indexed as

Adolescent BehaviorAdolescentHumansRisk FactorsSelf-Injurious BehaviorSuicideSuicide PreventionYoung Adult

Identifiers

PMID22726518

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.