Conference Contribution Details
Mandatory Fields
Larkin, C., Di Blasi, Z., Arensman, E.
International Society for the Study of Self-Injury 6th Annual Meeting
Risk factors for repetition of self-harm: A systematic review of prospective hospital-based studies
Fordham University, New York City, USA
Oral Presentation
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Self-harm (regardless of suicidal intent) entails high costs to individuals and society in terms of suicide risk and healthcare expenditure. This review identified risk factors for self-harm repetition among those utilising emergency services. A systematic procedure located, quality-assessed and synthesised 111 relevant prospective studies. Strong predictors of repetition were: being aged 25-54, higher hopelessness; previous psychiatric treatment; personality disorder; alcohol misuse; previous self-harm; and self-injury involvement in the index episode. Emerging risk factors were: poorer problem-solving; history of violence/criminality; lower self-efficacy; lower sense of coherence; lower serotonergic functioning; family dysfunction; sociopathy; homelessness; epilepsy; suicidal ideation; and Manchester Self-Harm Rule score. Despite extensive study, familial suicide, education level, depression scores, and lethality of the index episode fail to reliably predict repetition.  
Health Research Board