Evidence map›Paper›PMID 36970268›Full record

ArticleFrontiers in psychiatry2023

Physical and mental illness comorbidity among individuals with frequent self-harm episodes: A mixed-methods study.

Anvar Sadath, M Isabela Troya, Sarah Nicholson, Grace Cully, Dorothy Leahy, Ana Paula Ramos Costa, Ruth Benson, Paul Corcoran, Eve Griffin, Eunice Phillip and 6 more

Open access · goldFull text read
In one paragraph

Article in Frontiers in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  11. Experiences and Perceptions of Self-Harm in Rural-Dwelling Adults: A Rapid Review of Qualitative Evidence.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 3 countries.

Anvar SadathSchool of Public Health, University College Cork, Cork, Ireland.
M Isabela TroyaSchool of Public Health, University College Cork, Cork, Ireland.
Sarah NicholsonSchool of Public Health, University College Cork, Cork, Ireland.
Grace CullySchool of Public Health, University College Cork, Cork, Ireland.
Dorothy LeahyKerry Primary Care Child, Adolescent and Family Psychology Service, Cork Kerry Community Healthcare, Health Service Executive, Kerry, Ireland.
Ana Paula Ramos CostaSchool of Public Health, University College Cork, Cork, Ireland.
Ruth BensonSchool of Public Health, University College Cork, Cork, Ireland.
Paul CorcoranSchool of Public Health, University College Cork, Cork, Ireland.
Eve GriffinSchool of Public Health, University College Cork, Cork, Ireland.
Eunice PhillipSchool of Public Health, University College Cork, Cork, Ireland.
Eugene CassidyLiaison Psychiatry Services, Cork University Hospital, Cork, Ireland.
Anne JeffersPrivate Psychiatric Services, Dublin, Ireland.
Frances ShielySchool of Public Health, University College Cork, Cork, Ireland.
Íñigo Alberdi-PáramoHospital Clínico San Carlos, Madrid, Spain.
Katerina KavalidouNational Suicide Research Foundation, University College Cork, Cork, Ireland.
Ella ArensmanSchool of Public Health, University College Cork, Cork, Ireland.
University College Cork · IENational Suicide Research Foundation · IEHospital Clínico San Carlos · ESKerry Group (Ireland) · IESt. Patrick's Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Research has indicated an increased risk of self-harm repetition and suicide among individuals with frequent self-harm episodes. Co-occurring physical and mental illness further increases the risk of self-harm and suicide. However, the association between this co-occurrence and frequent self-harm episodes is not well understood. The objectives of the study were (a) to examine the sociodemographic and clinical profile of individuals with frequent self-harm (regardless of suicidal intent) episodes and, (b) the association between physical and mental illness comorbidity, self-harm repetition, highly lethal self-harm methods, and suicide intent. Methods: The study included consecutive patients with five or more self-harm presentations to Emergency Departments across three general hospitals in the Republic of Ireland. The study included file reviews ( Findings: The majority of individuals with frequent self-harm episodes were female (59.6%), single (56.1%), and unemployed (57.4%). The predominant current self-harm method was drug overdose (60%). Almost 90% of the participants had history of a mental or behavioral disorder, and 56.8% had recent physical illness. The most common psychiatric diagnoses were alcohol use disorders (51.1%), borderline personality disorder (44.0%), and major depressive disorder (37.8%). Male gender ( Conclusion: Physical and mental illness comorbidity was high among individuals with frequent self-harm episodes. Male gender and alcohol abuse were associated with highly lethal self-harm methods. The mental and physical illness comorbidity of individuals with frequent self-harm episodes should be addressed

Indexed as

comorbidityfrequent self-harmhighly lethal self-harmmental illnessphysical illnessself-harm repetitionsuicide intent

Identifiers

PMID36970268
PMCPMC10033892
OpenAlexW4323665883

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read55
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.