Evidence map›Paper›PMID 40143678›Full record

ArticleThe British journal of psychiatry : the journal of mental science2026

Factors associated with self-harm in patients with substance use disorders who died by suicide: national hybrid questionnaire registry study.

Martin Ø Myhre, Fredrik A Walby, Ole Klungsøyr, Jørgen G Bramness, Lars Mehlum

Abstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Martin Ø MyhreNational Centre for Suicide Research and Prevention, Institute for Clinical Medicine, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0000-0002-9349-8922
Fredrik A WalbyNational Centre for Suicide Research and Prevention, Institute for Clinical Medicine, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0000-0001-5154-7397
Ole KlungsøyrNational Centre for Suicide Research and Prevention, Institute for Clinical Medicine, University of Oslo, Oslo, Norway.
Jørgen G BramnessSection for Clinical Addiction Research (RusForsk), Oslo University Hospital, Oslo, Norway.
Lars MehlumNational Centre for Suicide Research and Prevention, Institute for Clinical Medicine, University of Oslo, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-harm, self-poisoning or self-injury, irrespective of the motivation, is a central risk factor for suicide. Still, there is limited knowledge of self-harm among patients with substance use disorders (SUDs) who die by suicide.

aimsWe aimed to describe the prevalence of a history of self-harm and identify the factors associated with self-harm, comparing individuals who died by suicide with and without SUDs.

methodWe used data from the Norwegian Surveillance System for Suicide in Mental Health and Substance Use Services, which is based on a national linkage between the Norwegian Cause of Death Registry and the Norwegian Patient Registry, to identify individuals who died by suicide within 1 year after last contact with mental health or substance use services (

resultsThe prevalence of self-harm was 55% in patients with SUDs and 52.6% in patients without SUDs. Suicidal ideation (odds ratio 2.98 (95% CI 1.74-5.10)) emerged as a factor shared with patients without SUDs, while personality disorders (odds ratio 1.96 (1.12-3.40)) and a history of violence (odds ratio 1.86 (1.20-2.87)) were unique factors for patients with SUDs.

conclusionsA history of self-harm is prevalent in patients with SUDs who die by suicide and is associated with suicidal ideation, a history of violence and personality disorders in patients with SUDs.

Indexed as

Self-Injurious BehaviorSubstance-Related DisordersSuicideAdolescentAdultAgedFemaleHumansMaleMiddle AgedNorwayPrevalenceRegistriesRisk FactorsSurveys and QuestionnairesYoung Adultmachine learning methodsregister–survey linkageself-harmsubstance use disordersSuicide

Identifiers

PMID40143678
PMCPMC12912876

What OpenQuestion holds

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LicenceCC BY
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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.