ArticleEuropean child & adolescent psychiatry2020
Comparison of suicide risk and other outcomes among boys and girls who self-harm.
Article in European child & adolescent psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 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
20 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
- Interventions for self-harm in children and adolescents.The Cochrane database of systematic reviews · 2021Pooled it
- Trial
- Sports-Related Concussion Among Physically Active Adolescents in the Southeastern United States: Effects on Mental Health During the Pandemic.Child psychiatry and human development · 2026Observational
- Risk of subsequent self-harm, suicide attempts and suicide following a first hospital-treated self-harm episode among young people: a population-based cohort study.BMJ mental health · 2026Article
- Suicidal Behaviour, Self-Harm and Related Factors: A Retrospective Study from the Adolescent Psychiatric Unit.Children (Basel, Switzerland) · 2026Article
- Analysis of complete blood counts and derived inflammatory indices with non-suicidal self-injury and suicide attempt in adolescents with major depressive disorder.Frontiers in psychiatry · 2026Article
- Genetic and environmental aetiologies of the transition from nonsuicidal self-injury to suicide attempt: a longitudinal twin study.Molecular psychiatry · 2025Article
- Co-Developing Content Updates for the Card Sort Task for Self-Harm-Digital (CaTS-D) With People With Lived Self-Harm Experiences: Pilot Study and Thematic Analysis.JMIR mental health · 2025Article
- Article
- Digital Phenotyping for Real-Time Monitoring of Nonsuicidal Self-Injury: Protocol for a Prospective Observational Study.JMIR research protocols · 2024Article
- Peer victimization and non-suicidal self-injury among high school students: the mediating role of social anxiety, mobile phone addiction, and sex differences.BMC psychiatry · 2024Article
- Mortality risk following self-harm in young people: a population cohort study using the Northern Ireland Registry of Self-Harm.Journal of child psychology and psychiatry, and allied disciplines · 2023Article
- Self-harm emergency department visits in Canada during the COVID-19 pandemic: evidence from a sentinel surveillance system.Injury epidemiology · 2023Article
- Autism and self-harm: A population-based and discordant sibling study of young individuals.Acta psychiatrica Scandinavica · 2022Article
- Do attachment-related differences in reflective functioning explain associations between expressed emotion and youth self-harm?Current psychology (New Brunswick, N.J.) · 2022Article
- Associations Between Adolescent Depression and Self-Harm Behaviors and Screen Media Use in a Nationally Representative Time-Diary Study.Research on child and adolescent psychopathology · 2021Article
- An internet-based emotion regulation intervention versus no intervention for nonsuicidal self-injury in adolescents: study protocol for a feasibility trial.Pilot and feasibility studies · 2021Article
- High-school students and self-injurious thoughts and behaviours: clues of emotion dysregulation.Italian journal of pediatrics · 2021Article
- What happened to the concept of adolescence crisis?European child & adolescent psychiatry · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Little is known about sex differences in outcomes of self-harm, and there are inconclusive results concerning the association between sex, self-harm, and suicide attempts. The aim of this study was to explore sex differences in outcomes of self-harm in adolescence. In this cohort study, all individuals (0-17 years) enrolled at the child- and adolescent mental health services (CAMHS) in Stockholm between 2001 and 2015 (N = 110,072) were followed in national registers from their last contact with the CAMHS, until end of 2015. Exposure was self-harm as reason for contact, outcome measures were: alcohol-/substance use disorder, psychiatric hospitalization, non-violent or violent crime, and suicide. Differences in outcomes rates between exposed versus unexposed males, and exposed versus unexposed females, were examined using Cox regressions, expressed as hazard ratios (HR) with 95% confidence intervals (CI). Median follow-up time was 5.8 years (Q1: 2.3 years; Q3: 9.7 years). Self-harm was documented in 2.2% (N = 1241) males and 8.7% (4716) females. Exposed individuals had higher HR for all outcomes as compared with unexposed individuals of their own sex. Exposed females had more pronounced risk for drug use disorder (HR 11.2; 95% CI 9.9-12.7) compared with exposed males (HR 6.5, 95% 5.2-8.0). Both males and females who had engaged in self-harm had elevated risks for future suicide. Adjusting for socio-economic status and age at start of follow-up only marginally affected the associations. Females and males with self-harm had similarly elevated risk for suicide, and self-harm was also an important risk marker for other adverse outcomes within both sexes.
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