Evidence map›Paper›PMID 41257966›Full record

ReviewChild and adolescent psychiatry and mental health2025

Age of onset of self-harm in children and adolescents: a scoping review.

Daisy Wiggin, Doireann Ní Dhálaigh, Elaine McMahon, Fiona McNicholas, Eve Griffin

Abstract readReview
In one paragraph

Review in Child and adolescent psychiatry and mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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.

Daisy WigginSchool of Public Health , University College Cork , Cork , Ireland. daisy.wiggin@ucc.ie.ORCID http://orcid.org/0000-0001-7114-7999
Doireann Ní DhálaighSchool of Public Health , University College Cork , Cork , Ireland.ORCID http://orcid.org/0000-0001-7636-0043
Elaine McMahonSchool of Public Health , University College Cork , Cork , Ireland.ORCID http://orcid.org/0000-0003-4412-2854
Fiona McNicholasDepartment of Child and Adolescent Psychiatry, School of Medicine, University College Dublin, Dublin, Ireland.ORCID http://orcid.org/0000-0001-9428-6908
Eve GriffinSchool of Public Health , University College Cork , Cork , Ireland.ORCID http://orcid.org/0000-0003-0249-6428

Funding

Health Research Board ARPP-A-2018-009Health Research Board CDA-2021-008Health Research Board EIA-2019-005
6 · The paper itself

Abstract

backgroundSelf-harm is associated with significant distress in children and adolescents. The objective of this scoping review was to map the age of onset of self-harm in people aged ≤ 18 years alongside the definitions, operationalisation, and research methods used to determine onset.

methodFollowing JBI guidance, this review included studies reporting the age of onset of self-harm in people aged ≤ 18 years in any context. Medline, PsycInfo, Embase, CINAHL Plus, and Web of Science were searched last on 7th May 2025 and supplemented by a grey literature search. Data were subject to basic coding and narrative and graphical presentation.

resultsA total of 42 studies were included in the review. Age of onset ranged from 9 to 18 years, but most studies reported a mean age between 12 and 14 years. The majority of studies defined self-harm as either suicidal or non-suicidal (85%), with non-suicidal self-harm distributed in favour of a slightly younger onset age. Studies with a younger sample tended to report a younger age of onset. Most studies used cross-sectional methods (81%) and retrospective report (71%) to capture onset age.

conclusionsEarlier age of onset is associated with the use of multiple methods of self-harm, self-harm of longer duration and increased frequency. A clear understanding of age of onset of self-harm is necessary to inform clinically relevant research and the timely targeting of developmentally prevention and early intervention strategies.

Indexed as

AdolescentsAge of onsetNon-suicidal self-injurySelf-harmSuicidal behaviour

Identifiers

PMID41257966
PMCPMC12629077

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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.