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Centre for Suicide Research, University Department of Psychiatry, Warneford Hospital, Oxford, UK
Correspondence: Professor Keith Hawton, Centre for Suicide Research, University Department of Psychiatry, Warneford Hospital, Oxford OX37JX,UK. E-mail: keith.hawton{at}psychiatry.ox.ac.uk
Funding detailed in Acknowledgements
1 The term self-harm has been adopted in preference to ‘deliberate self-harm’ by the Royal College of Psychiatrists in response to representations from mental health service users.
Background Self-harm is associated with a high risk of suicide. It is unclear whether suicidal intent at the time of self-harm is a risk factor for future suicidal behaviour.
Aims To investigate the relationship between suicidal intent and patient characteristics, repetition of self-harm, and suicide.
Method Clinical and demographic data on 4415 patients presenting to hospital following self-harm between 1993 and 2000 were analysed. Suicidal intent was measured using the Beck Suicide Intent Scale (SIS). Follow-up information on repetition of self-harm and suicide was investigated for 2489 patients presenting between 1993 and 1997.
Results Suicidal intent at the time of self-harm was associated with risk of subsequent suicide, especially within the first year and among female patients. Suicide was more strongly associated with scores on the circumstances section of the SIS than the self-report section. The association between repetition of self-harm and SIS scores was different for male and female patients.
Conclusions The measurement of suicidal intent in the assessment of self-harm patients is beneficial for the evaluation of future suicide risk. A shortened measuring scale might be useful in clinical practice.
This article has been cited by other articles:
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  R. Lilley, D. Owens, J. Horrocks, A. House, R. Noble, H. Bergen, K. Hawton, D. Casey, S. Simkin, E. Murphy, et al. Hospital care and repetition following self-harm: multicentre comparison of self-poisoning and self-injury The British Journal of Psychiatry, June 1, 2008; 192(6): 440 - 445. [Abstract] [Full Text] [PDF]
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 K. R. Conner, M. R. Phillips, and S. C. Meldrum Predictors of Low-Intent and High-Intent Suicide Attempts in Rural China Am J Public Health, October 1, 2007; 97(10): 1842 - 1846. [Abstract] [Full Text] [PDF]
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 G. Undrill The risks of risk assessment Advan. Psychiatr. Treat., July 1, 2007; 13(4): 291 - 297. [Abstract] [Full Text] [PDF]
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D. OWENS, C. WOOD, D. C. GREENWOOD, T. HUGHES, and M. DENNIS Mortality and suicide after non-fatal self-poisoning: 16-year outcome study The British Journal of Psychiatry, November 1, 2005; 187(5): 470 - 475. [Abstract] [Full Text] [PDF]
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C.T.S. Kumar Value of measuring suicide intent The British Journal of Psychiatry, September 1, 2005; 187(3): 289 - 289. [Full Text] [PDF]
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 Other articles noted Evid. Based Ment. Health, August 1, 2005; 8(3): 64 - 64. [Full Text] [PDF]
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 Parasuicide: Who's Serious? Journal Watch Psychiatry, April 20, 2005; 2005(420): 9 - 9. [Full Text]
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 Parasuicide: Who's Serious? Journal Watch Women's Health, February 22, 2005; 2005(222): 9 - 9. [Full Text]
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