Health behaviour in school age children (HBSC): data analysis

Public Health England, June 2017

The series of 3 reports focus on:

  • self-harm
  • cyberbullying
  • emotional wellbeing of adolescent girls

These reports examine the data and explore what protective factors may exist in a young person’s life which may be linked to their mental health outcomes, ranging from personal attributes, family, school, peer and wider community context.

Click here to access the report.


The truth about self-harm for young people and their friends & families

Mental Health Foundation, February 2016

This booklet aims to help you understand more about self-harm and what to do if you are worried about yourself or someone else. It explains what self-harm is, what to do if you or someone you know is self-harming, and how to get help.

Click here for further information and to download the booklet.

Exploring the Role of Mental Imagery in the Experience of Self-injury: An Interpretative Phenomenological Analysis.

Behavioural and Cognitive Psychotherapy, February 2015

Graheme Reid, Consultant Clinical Psychologist at LCFT, and his colleagues have published a new paper in the journal Behavioural and Cognitive Psychotherapy.

Exploring the Role of Mental Imagery in the Experience of Self-injury: An Interpretative Phenomenological Analysis. Peter Dargan, Graheme Reid and Suzanne Hodge

Background: Research has implicated causal, mediating and meaningful roles for mental imagery in the experience of psychological distress, including self-injury. Aims: The present study aimed to further the understanding of this relationship through exploring the lived experiences of mental imagery from the perspective of those who self-injure. Method: This study employed an inductive qualitative design using semi-structured interviews and Interpretative Phenomenological Analysis (IPA). Ten participants were recruited from universities in North West England. Results: Three main themes were identified from the analysis: (i) The origins and precipitants of self-injurious imagery; (ii) What it is like to experience self-injurious imagery; and (iii) The meaning and interpretation of self-injurious imagery. Conclusions: The study findings indicate that mental imagery is an important experience for those who self-injure. Clinical and research implications of the findings are discussed.

Please contact the Library if you would like to see this paper in full text.

Assessing the risk of self-harm in an adult offender population: an incidence cohort study

National Institute for Health Research, October 2014

Self-harm is common among prisoners, particularly female prisoners. In 2007, concerned about the rising incidence, the prison service introduced a care-planning system called Assessment, Care in Custody, and Teamwork (ACCT). To date, it does not incorporate a standardised diagnostic test to estimate the risk of future self-harm.  This study aims to identify potential screening instruments, or items from those instruments, to predict the risk of self-harm among prisoners.

Click here to download the study.

Clinical and social outcomes of adolescent self harm: population based birth cohort study

British Medical Journal, 24 October 2014

The objectives of the cohort study were to investigate the mental health, substance use, educational, and occupational outcomes of adolescents who self harm in a general population sample, and to examine whether these outcomes differ according to self reported suicidal intent.

The results of the study found that participants who self harmed with and without suicidal intent at age 16 years were at increased risk of developing mental health problems, future self harm, and problem substance misuse, with stronger associations for suicidal self harm than for non-suicidal self harm. For example, in models adjusted for confounders the odds ratio for depression at age 18 years was 2.21 (95% confidence interval 1.55 to 3.15) in participants who had self harmed without suicidal intent at age 16 years and 3.94 (2.67 to 5.83) in those who had self harmed with suicidal intent. Suicidal self harm, but not self harm without suicidal intent, was also associated with poorer educational and employment outcomes.

The paper concludes that adolescents who self harm seem to be vulnerable to a range of adverse outcomes in early adulthood. Risks were generally stronger in those who had self harmed with suicidal intent, but outcomes were also poor among those who had self harmed without suicidal intent. These findings emphasise the need for early identification and treatment of adolescents who self harm.

Click here to view the full text article.

RCPsych calls for young people who self-harm to be treated with compassion, dignity and respect

Royal College of Psychiatrists, October 2014

The Royal College of Psychiatrists has called for young people who self-harm to be treated with compassion, dignity and respect.

The report ‘Managing self-harm in young people’ has been written by psychiatrists to support and guide professionals working with young people, individuals and their families.

Click here for further information and to download the report.