ArticlePsychological medicine2023
The epidemiology of non-suicidal self-injury: lifetime prevalence, sociodemographic and clinical correlates, and treatment use in a nationally representative sample of adults in England.
Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- The Relationship Between Anger and Nonsuicidal Self-Injury: A Meta-Analysis.Suicide & life-threatening behavior · 2026Pooled it
- The Prevalence of Nonsuicidal Self-Injury in Military Personnel: A Systematic Review and Meta-Analysis.Trauma, violence & abuse · 2023Pooled it
- Mindful attention as a mechanism underlying non-suicidal self-injury: evidence from a longitudinal intervention trial.BMC psychiatry · 2026Trial
- Lifetime Prevalence of Nonsuicidal Self-Injury in Adolescents: Reliability of a Dichotomous Survey Item.International journal of methods in psychiatric research · 2026Article
- Elevated Negative Affectivity and Psychoticism in individuals with active Nonsuicidal Self-Injury (NSSI) compared with individuals with previous or no NSSI.Borderline personality disorder and emotion dysregulation · 2026Article
- Can a Variant of the Implicit Association Test Detect Nonsuicidal Self-Injury in a Clinical Population? A Registered Report.Clinical psychology in Europe · 2026Article
- Experiences of Care in Intensive Care Units After a Suicide Attempt From the Perspectives of Patients, Family Members and Healthcare Personnel-A Scoping Review.Nursing in critical care · 2026Article
- Performance of the Patient Health Questionnaire-4 (PHQ-4) in four latin American countries: rethinking the dimensionality of the scale from the perspective of network psychometry.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026Article
- Motivational Complexity of Nonsuicidal Self-injury Associated with its Severity in Emerging Adult University Students.Journal of youth and adolescence · 2026Article
- Dental self-injury in a child with attention deficit hyperactivity disorder and obsessive-compulsive disorder: Review of literature and a case report.Dental research journal · 2026Article
- Machine learning-based nomogram for non-suicidal self-injury among depressed adolescents: a multicentre study.Frontiers in psychiatry · 2026Article
- Recurrent non-suicidal self-injury in depressed youth with mixed features: a 6-month prospective cohort study.Child and adolescent psychiatry and mental health · 2025Article
- Incidence and determinants for non-suicidal self-injury in an Italian prison in Milan (Feb-Oct 2023): a retrospective cohort analysis.Scientific reports · 2025Article
- "My entire life has moulded the person that I am": Narrations of non-suicidal self-injury and complex trauma in individuals with complex posttraumatic stress experiences.Psychology and psychotherapy · 2025Article
- Latent profiles of coping styles and their associations with non-suicidal self-injury in adolescents with social anxiety disorder.European child & adolescent psychiatry · 2025Article
- First evaluation of the emotional picture set of self-injury images (EPSI) using psychophysiological and self-report measures.Borderline personality disorder and emotion dysregulation · 2025Article
- Interconnectivity among different nonsuicidal self-injurious methods - a network analysis.BMC psychiatry · 2025Article
- A nomogram for predicting non-suicide self-injury in youth depression patients: a longitudinal analysis.European child & adolescent psychiatry · 2025Article
- "It's like I used to share a room with self-injury, but now it lives next door": Exploring experiences of naturalistic improvement in non-suicidal self-injury.Psychology and psychotherapy · 2025Article
- Social Support and Non-Suicidal Self-Injury in Adolescents: The Differential Influences of Family, Friends, and Teachers.Journal of youth and adolescence · 2025Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
Abstract
backgroundAlthough the clinical importance of non-suicidal self-injury (NSSI) has received increasing recognition, relatively little is known about its epidemiology. The objective of this study was to estimate the lifetime prevalence of NSSI in adults and its association with sociodemographic characteristics, psychiatric disorders, and lifetime treatment for NSSI.
methodsA nationally representative face-to-face survey was conducted with 7192 adults aged ≥18 years in England. Respondents were interviewed about engagement in NSSI, psychiatric illness, suicidal thoughts and behavior, and treatment history for this behavior.
resultsThe estimated lifetime prevalence rate of NSSI was 4.86%. Younger age, growing up without biological parents in the household, being unmarried, and impoverished backgrounds were associated with NSSI. The majority of respondents with lifetime NSSI (63.82%) had at least one current psychiatric disorder. Most psychiatric conditions were associated with greater odds of lifetime NSSI in multivariate models. NSSI was strongly associated with suicidal ideation and suicide attempts, respectively, even after accounting for psychiatric disorders and sociodemographic covariates. A substantial proportion of respondents with NSSI history (30.92%) have engaged in medically severe self-harm, as indexed by requiring medical attention for this behavior. The majority of respondents with NSSI (56.20%) had not received psychiatric care for this behavior.
conclusionsNSSI is prevalent in the general population and associated with considerable psychiatric comorbidity. A high rate of unmet treatment needs is evident among those with this behavior. Those at the greatest lifetime risk for NSSI may also be particularly limited in their resources to cope with this behavior.
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