ArticleJournal of child psychology and psychiatry, and allied disciplines2023
Mortality risk following self-harm in young people: a population cohort study using the Northern Ireland Registry of Self-Harm.
Article in Journal of child psychology and psychiatry, and allied disciplines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Risk of mortality after emergency department presentation for self-harm among children and adolescents in Wales: a population-based cohort study.EClinicalMedicine · 2026Article
- Hospital-Presenting Intentional Self-Harm and Events of Undetermined Intent in Croatia from 2017 to 2023.Journal of prevention (2022) · 2026Article
- Global adolescent self-harm (10-19 years): 1990-2021 trends, health inequalities, frontier analysis, and 2035 projections using global burden of disease data.Frontiers in public health · 2026Article
- Age of onset of self-harm in children and adolescents: a scoping review.Child and adolescent psychiatry and mental health · 2025Review
- Childhood contact with social services, self-harm and suicidal or self-harm ideation in young adulthood: a population-wide record-linkage study.Epidemiology and psychiatric sciences · 2025Article
- The relationship between childhood maltreatment and self-harm: the mediating roles of alexithymia, dissociation, internalizing and posttraumatic symptoms.European journal of psychotraumatology · 2024Article
- Observational
- Age of first self-harm act in childhood and adolescence: A scoping review protocol.HRB open research · 2023Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundSelf-harm is a recognised predictor of suicide and is most common in those aged under 25 years. The aims of this study were to describe the characteristics of young people who present with self-harm; quantify the risk of suicide and other causes of death during follow up, and to identify factors associated with mortality risk.
methodsThe Northern Ireland Registry of Self-Harm (NIRSH) is a national registry capturing complete data on all presentations made to the 12 Emergency Departments (EDs) in Northern Ireland (NI). Data relating to self-harm presentations registered in the NIRSH between 2012 and 2015 were linked to primary care registrations and death records up until 31st December 2018. Logistic regression was employed to examine the factors associated with self-harm. Cox regression was used to estimate mortality risk following self-harm and explore the associated risk factors.
resultsThe cohort consisted of 390,740 individuals aged 10-24 years registered with a General Practitioner (GP) in NI. During follow-up, 4,450 individuals presented with self-harm. Rates of self-harm were highest in females, those aged 20-24 years (OR
conclusionsYoung people who self-harm are at a significantly greater risk of suicide. Almost a quarter of young people who died by suicide in NI had presented to EDs with self-harm, highlighting that the ED may provide a nodal point of intervention among a typically hard to identify and reach population.
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