Conference Contribution Details
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Larkin, C., Di Blasi, Z., Arensman, E.
14th European Symposium of Suicide and Suicidal Bhaviour
Risk factors for repetition of self-harm: a systematic review of prospective hospital based studies
Tel Aviv, Israel
Poster Presentation
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Introduction: Repetition of self-harm after presenting with an index act is common, and places a person at increased risk of further self-harm and suicide. There is emerging evidence of an association between prospective repetition of self-harm and trait-like psychological measures. The current study aimed to examine the stability of theoretically-derived trait-like psychological measures, and to examine their association with repetition in the three months following an index self-harm presentation.

Methods: The current study involved structured interviews conducted with [n] self-harm patients shortly after discharge and again at three months’ follow-up.  Patients were recruited through liaison psychiatry teams. Measures included the modified emotional Stroop test, future fluency task, and autobiographical memory test. Analyses included ascertaining the absolute and relative stability of the measures, and conducting a logistic regression to predict prospective repetition.

Results: The relative and absolute stability of included measures over three months will be presented, along with the association between included measures and prospective repetition of self-harm.

Conclusions: Identification of risk factors for repetition of self-harm plays a key role in reducing repetition among self-harm patients, by identifying those at high risk of repetition and by pointing to potential mechanisms for repetition. This is study is innovative in its inclusion of the modified emotional Stroop test (as a measure of sensitivity to defeat) as a potential risk factor for repetition, and is one of very few studies to examine the stability of trait-like psychological measure over time in a sample of self-harm patients.  

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