Evidence map›Paper›PMID 40961495›Full record

ArticleJMIR research protocols2025

Prevalence and Associated Risk Factors of Self-Harm Among Health Care Workers: Protocol for Systematic Review and Meta-Analysis.

Nor Asiah Muhamad, Nur Hasnah Maamor, 'Izzah 'Athirah Rosli, Tengku Puteri Nadiah Tengku Baharudin Shah, Nurul Hidayah Jamalluddin, Fatin Norhasny Leman, Nik Athirah Farhana Nik Azhan, Shiao Ling Ling, Norliza Chemi, Suria Hussin and 3 more

Abstract read
In one paragraph

Article in JMIR research protocols, 2025. 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

13 authors.

Nor Asiah Muhamad *Sector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID 0000-0002-7772-2103
Nur Hasnah Maamor *Sector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID 0000-0001-6440-1725
'Izzah 'Athirah Rosli *Sector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID 0000-0002-6501-8565
Tengku Puteri Nadiah Tengku Baharudin Shah *Sector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID 0009-0007-5092-5617
Nurul Hidayah Jamalluddin *Sector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID 0009-0007-9926-0337
Fatin Norhasny Leman *Sector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID 0000-0001-7329-8571
Nik Athirah Farhana Nik Azhan *Sector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID 0009-0006-5479-0935
Shiao Ling Ling *Department of Psychiatric and Mental Health, Kajang Hospital, Ministry of Health, Selangor, Malaysia.ORCID 0009-0003-9255-9767
Norliza ChemiDepartment of Psychiatric and Mental Health, Kajang Hospital, Ministry of Health, Selangor, Malaysia.ORCID 0009-0003-1611-298X
Suria Hussin *Department of Psychiatry and Mental Health, Raja Perempuan Zainab II Hospital, Ministry of Health, Kelantan, Malaysia.ORCID 0009-0007-2563-6901
Fariza Yahya *Department of Psychiatry and Mental Health, Raja Perempuan Zainab II Hospital, Ministry of Health, Kelantan, Malaysia.ORCID 0000-0002-5428-1894
Norli Abdul Jabbar *National Centre of Excellence in Mental Health, Ministry of Health, Cyberjaya, Malaysia.ORCID 0000-0003-2717-592X
Nurashikin Ibrahim *National Centre of Excellence in Mental Health, Ministry of Health, Cyberjaya, Malaysia.ORCID 0009-0005-4605-2505

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-harm is a major public health concern, with prevalence increasing worldwide, particularly after the COVID-19 pandemic and associated lockdown restrictions. Health care workers (HCWs) face various challenges, such as pressures of social and familial responsibilities, a lack of integration within the profession, heavier workload, bullying at the workplace, and limited support in the workplace, that impact their mental health and often lead to self-harm.

objectiveWe aim to synthesize the evidence on the pooled prevalence of self-harm worldwide and identify risk factors for self-harm among HCWs.

methodsWe will conduct a systematic review of observational and experimental studies that investigated the overall prevalence of self-harm among HCWs. We will search the PubMed, PsycINFO, Embase, and CINAHL databases for eligible articles from inception until March 2025 using specific search terms developed using the population, exposure, comparison, and outcome framework. Study selection and reporting will follow the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and the Meta-Analysis of Observational Studies in Epidemiology guidelines. We will contact the corresponding author via email if the required data are not available in the article. After completing the article search, duplicate records will be removed. Titles and abstracts will then be screened according to the inclusion and exclusion criteria, followed by retrieval of the full texts for detailed screening. All the required data for the review, such as names of authors, publication year, prevalence of self-harm, type of profession, associated risk factors to self-harm, and others, will be extracted using a standardized data extraction form. The quality of the studies will be assessed using the Joanna Briggs Institute guidelines based on the study design. Random-effects meta-analysis will be used to derive the pooled prevalence using Stata (version 17.0) software. We will conduct a subgroup meta-analysis on sex, regions, and the type of profession (physicians or nurses). We will also examine the association of risk factors of self-harm with sociodemographic factors to observe their relationship. Both analyses will be performed using RevMan software. Publication bias will be examined using the funnel plot and Egger test.

resultsData analysis is expected to be completed by August 2025, and manuscript preparation is expected to be completed by October 2025. This review is expected to be completed and published by January 2026.

conclusionsWe will provide a comprehensive synthesis of the overall prevalence of self-harm among HCWs. We will also provide important information to develop effective strategies for preventing and managing self-harm among HCWs.

trial registrationPROSPERO CRD42024581791; https://www.crd.york.ac.uk/PROSPERO/view/CRD42024581791. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/67059.

Indexed as

COVID-19Health PersonnelSelf-Injurious BehaviorHumansMeta-Analysis as TopicPrevalenceResearch DesignRisk FactorsSARS-CoV-2Systematic Reviews as Topichealth care workersmeta-analysisprotocolself-harmsystematic review

Identifiers

PMID40961495
PMCPMC12489405

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.