ArticleThe American journal of psychiatry2019
Adolescents Who Self-Harm and Commit Violent Crime: Testing Early-Life Predictors of Dual Harm in a Longitudinal Cohort Study.
Article in The American journal of psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 88 citations in OpenAlex.
- A systematic review of the co-occurrence of self-harm and aggression: Is dual harm a unique behavioural construct?Frontiers in psychiatry · 2023Pooled it
- A Systematic Review on the Impact of Hot and Cool Executive Functions on Pediatric Injury Risks: a Meta-Analytic Structural Equation Modeling Approach.Prevention science : the official journal of the Society for Prevention Research · 2022Pooled it
- Shared and distinct features between interpersonal and self-directed violent behaviors: a simulated intervention network study.BMC public health · 2026Article
- Parental violent offending and offspring suicidal behavior: a nationwide register-based study.Psychological medicine · 2026Article
- Network perspective on rumination and non-suicidal self-injury among adolescents with depressive disorders.World journal of psychiatry · 2026Article
- Exploring the life stories of young adult men in prison with a history of dual harm.Frontiers in psychiatry · 2026Article
- 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
- Biological rhythm and depression severity mediate the relationship between adverse childhood experiences and non-suicidal self-injury among adolescents with depressive disorder.Scientific reports · 2025Article
- Self- and other-harm in mass shooters: A dual-harm analysis.Psychiatry research · 2025Article
- The duality of self-harm and aggression: implications for research and practice.BJPsych bulletin · 2025Article
- Aggression, Suicidality, and Emotion Profiles in Youth: Links to Early Life Adversity.Aggressive behavior · 2025Article
- Parenting styles and adolescent coping methods: a comparative study of non-suicidal self-injury and distinct groups.BMC psychiatry · 2025Article
- Longitudinal Relationship between Aggressive Behavior and Non-Suicidal Self-Injury among Adolescent Boys and Girls: The Mediating Role of Peer Victimization.Journal of youth and adolescence · 2025Article
- Development and validation of a probability-assessment nomogram for non-suicidal self-injury in hospitalized adolescents and young adults with mental disorders.Scientific reports · 2025Article
- Navigating Dual-Harm: Integrating Self- and Other-Harm Into Public Health Inquiry.American journal of public health · 2025Article
- 'If one doesn't happen, the other will': forensic mental health service patients' experiences of co-occurring self-harm and aggression.BJPsych open · 2025Article
- Population-level administrative data: A resource to advance psychological science.Current directions in psychological science · 2024Article
- An early economic evaluation of Kooth, a web-based mental health platform for children and young people with emerging mental health needs.Internet interventions · 2024Article
- Dual harm among patients attending a mental health unit in Uganda: a hospital based retrospective study.BMC psychiatry · 2024Article
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Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
objectiveSelf-harm is associated with violent offending. However, little is known about young people who engage in "dual-harm" behavior. The authors investigated antecedents, clinical features, and life characteristics distinguishing dual-harming adolescents from those who self-harm only.
methodsParticipants were from the Environmental Risk (E-Risk) Longitudinal Twin Study, a nationally representative U.K. cohort of 2,232 twins born in 1994 and 1995. Self-harm in adolescence was assessed through interviews at age 18. Violent offending was assessed using a computer questionnaire at age 18 and police records through age 22. Risk factors were assessed between ages 5 and 12. Adolescent mental health, victimization, personality functioning, and use of support services were measured at age 18.
resultsSelf-harm was associated with violent crime (odds ratio=3.50, 95% CI=2.61-4.70), even after accounting for familial risk factors. Dual harmers had been victims of violence from childhood and exhibited lower childhood self-control and lower childhood IQ than self-only harmers. Dual harmers experienced higher rates of concurrent psychotic symptoms and substance dependence. They also exhibited distinct personality styles characterized by resistance to change and by emotional and interpersonal lability. However, dual harmers were not more likely than self-only harmers to have contact with mental health services.
conclusionsDual harmers have self-control difficulties and are immersed in violence from a young age. A treatment- rather than punishment-oriented approach is indicated to meet these individuals' needs. Connecting self-harming adolescents with delinquency-reduction programs and transdiagnostic approaches that target self-regulation may reduce harmful behaviors. Preventing childhood maltreatment and implementing strategies to reduce victimization exposure could mitigate risk for both internalized and externalized violence.
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