The preceding article by Hawton and colleagues reporting on a prospective study of adolescents presenting with self-harm to Accident and Emergency departments (A&E) is one of the largest epidemiological studies to examine the long-term outcomes of self-harm in children and adolescents. After a median of 6 years nearly 30% re-presented to A&E with…

Background: Stress and other mental health issues can negatively impact the health and academic performance of college students. Purpose: Examine relationships among stress, mental health, and academic classification in a national sample of college students. Methods: Analyses utilized secondary data from 27 387 college students responding to the…

Youth suicide is one of the most serious preventable health problems in the United States. It is the third leading cause of death among adolescents. According to a recent national survey of students in grades 9-12, nearly 15% of respondents had seriously considered suicide and 7% actually had attempted suicide in the previous 12 months. Moreover,…

Fatal and nonfatal intentional self-harm events in eight U.S. states were compared using emergency department, hospital, and vital statistics data. Nonfatal event rates increased by an estimated 24.20% over 6 years. Case fatality ratios varied widely, but two northeastern states' total event rates (fatal plus nonfatal) were very high (New…

Nonsuicidal self-injury (NSSI) and suicide attempts (SAs) are especially prevalent in borderline personality disorder. One proposed mechanism for the maintenance of NSSI and SAs is escape conditioning, whereby immediate reductions in aversive emotional states negatively reinforce the behaviors. Psychophysiological and subjective indicators of…

Background: Relatively little information is available about the characteristics and long-term outcome of children and adolescents aged under 15 years who present to general hospitals because of deliberate self-harm (DSH). Method: Information was collected on 710 consecutive under-15-year-olds presenting to a general hospital in central England…

Although a number of investigators have adopted the O'Carroll et al. (1996) nomenclature and applied it in their studies, and others have acknowledged its role in highlighting the need for clarification of terms, the nomenclature has not been widely used in the research and clinical communities. The rationale behind the rebuilding of the O'Carroll…

Repetition of deliberate self-harm (DSH) is common. Some patients repeat multiple times. We have investigated the characteristics of repeaters, and mortality in three groups of DSH patients by repetition status. Data collected by the Oxford Monitoring System for Attempted Suicide were used to examine the pattern of repetition of DSH patients…

Presents epidemiologic and forensic description of 50 witnessed suicides drawn from 15-year series of over 1,000 cases. Develops taxonomy based on role played by witnesses and relates to previous work on self-destructive behavior and its motivation. Uses vignettes to illustrate interpersonal dynamics associated with witnessed suicides. (Author/NB)

The degree of intent to commit suicide and the severity of self-injury were examined in individuals (N = 180) who had recently attempted suicide. Although a minimal association was found between the degree of suicide intent and the degree of lethality of the attempt, the accuracy of expectations about the likelihood of dying was found to moderate…

Compared 163 patients who were either first-time attempters or repeaters with a history of previous attempts. A six-month follow-up indicated four suicides in the repeaters' group and none in the first cases' group. Repeaters appeared to be much more dependent than first cases on professional care and to present a high short-term risk for suicide.…

A recent paper has demonstrated a relationship between suicide during the teen years and the age, relative to one's classmates, at which these individuals entered school. This represents the latest, and perhaps most important, of a series of studies that have focused on the effects of grouping children by age of entry into particular activities.…

Suicides in Northern Ireland are examined in the context of what is known about global and regional trends with respect to gender and age, and change over time. For Northern Ireland, suicide numbers and rates are plotted for 10-24 year olds from 1967 to 2005. Questions are raised about the validity of officially registered suicides in the light of…

In this book, group work and college counseling leaders offer step-by-step instruction in the effective use and processing of structured group activities on topics such as test anxiety; stress and anxiety management; ADHD; career development; substance abuse; eating disorders; and the unique concerns faced by GLBT students, first-generation…

This document presents data from phase one of a three-phase study examining suicide rates among farm residents in five states (Minnesota, Montana, North Dakota, South Dakota, Wisconsin) between 1980 and 1985. The first phase is described as involving identification of suicide cases and an initial analysis of their causes. The report contains a…