ArticleJAMA psychiatry2017
Association Between Deliberate Self-harm and Violent Criminality.
Article in JAMA psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of interventions for self-harm in children and adolescents: a systematic review and meta-analysis.European child & adolescent psychiatry · 2026Pooled it
- A systematic review of the co-occurrence of self-harm and aggression: Is dual harm a unique behavioural construct?Frontiers in psychiatry · 2023Pooled it
- Penetrating neck trauma and the rising rates of deliberate self-harm: a single trauma centre experience.Annals of the Royal College of Surgeons of England · 2026Article
- Parental violent offending and offspring suicidal behavior: a nationwide register-based study.Psychological medicine · 2026Article
- Exploring the life stories of young adult men in prison with a history of dual harm.Frontiers in psychiatry · 2026Article
- Thalamo-hippocampal pathway determines aggression and self-harm.Science advances · 2025Article
- Developmental cascades among self-harm, other-harm, and emotion dysregulation in adolescents: a longitudinal within-person analysis of gender differences.European child & adolescent psychiatry · 2025Article
- Self- and other-harm in mass shooters: A dual-harm analysis.Psychiatry research · 2025Article
- Evaluating Machine Learning for Predicting Youth Suicidal Behavior Up to 1 Year After Contact With Mental-Health Specialty Care.Clinical psychological science : a journal of the Association for Psychological Science · 2025Article
- Article
- Navigating Dual-Harm: Integrating Self- and Other-Harm Into Public Health Inquiry.American journal of public health · 2025Article
- Population-level administrative data: A resource to advance psychological science.Current directions in psychological science · 2024Article
- Article
- Non-suicidal self-injury and its risk factors among Iranian high school and university students.Frontiers in psychiatry · 2024Article
- Childhood predictors of self-harm, externalised violence and transitioning to dual harm in a cohort of adolescents and young adults.Psychological medicine · 2023Article
- A genetically informed prediction model for suicidal and aggressive behaviour in teens.Translational psychiatry · 2022Article
- Association of State-Level Firearm-Related Deaths With Firearm Laws in Neighboring States.JAMA network open · 2022Observational
- Reseach progress in dual harm.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022Review
- Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study.BMC psychiatry · 2022Article
- The association of childhood adversities and mental health problems with dual-harm in individuals with serious aggressive behaviors.BMC psychiatry · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Importance: Individuals who self-harm may have an increased risk of aggression toward others, but this association has been insufficiently investigated. More conclusive evidence may affect assessment, treatment interventions, and clinical guidelines. Objective: To investigate the association between nonfatal self-harm and violent crime. Design, Setting, and Participants: This population-based longitudinal cohort study, conducted from January 1, 1997, through December 31, 2013, studied all Swedish citizens born between 1982 and 1998 who were 15 years and older (N = 1 850 252). Individuals who emigrated from Sweden before the age of 15 years (n = 104 051) or immigrated to Sweden after the age of 13 years (ie, <2 years before the beginning of the follow-up; n = 22 009) were excluded. Data analysis was performed from April 21, 2016, to June 4, 2016. Exposures: Receipt of self-harm-associated clinical care. Main Outcomes and Measures: Conviction of a violent crime according to the Swedish penal code. Results: The study cohort consisted of 1 850 525 individuals (950 382 males and 900 143 females), and the mean (SD) follow-up time was 8.1 (4.7) years (range, 0-17.0 years; minimum age, 15 years; maximum age, 32 years). During a mean follow-up period of 8.1 years, 55 185 individuals (3.0%) received clinical care for self-harm. The crude hazard ratio was 4.9 (95% CI, 4.8-5.0) for violent crime conviction in exposed individuals compared with the unexposed group. Women who self-harm were at particularly high risk for expressing violent behaviors. After adjustment for relevant psychiatric comorbidities and socioeconomic status, an almost doubled hazard of violent offense remained (hazard ratio, 1.8; 95% CI, 1.8-1.9). Conclusions and Relevance: Self-harm is associated with an increased risk of conviction for a violent offense in both sexes. The risk of violence, as well as the risk of suicide and self-harm, should be assessed among offending and self-harming individuals.
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