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Intentional self-harm – Analysis of methods and associated characteristics

Jayanth S. Hosahally, Neeraj B. Raj, K. Geetha

Russian Journal of Forensic Medicine, 2025

1 citation

Abstract

Background

Intentional Self-Harm is the term for self-injurious behaviours with or without suicidal intent that has non-fatal outcomes. It encompasses a broad range of behaviours, but is typically defined as deliberately self-initiated harm and includes behaviours such as hanging, poisoning, and cutting with and without suicide intent.

Aims

To identify different methods used for self harm

To examine the relationship between gender/ age and method chosen

Material and Methods

It is a prospective, cross-sectional study, where all cases of Intentional self-harm admitted in Dr Chandramma Dayananda Sagar Institute of Medical Education and Research during the study period was included.

Results

A total of 98 cases which fulfilled the inclusion criteria were examined. 63.27 % of them were females and 36.73 % were males. 88.78 % of them used non- violent methods. Attempted hanging was the common violent method (63.64%). Consumption of pesticide (63.31 %) was the most common non- violent method chosen followed by over dose of medication (27.59 %). Interpersonal conflict was the main reason to harm themselves in 41.83 % of the cases. Only 20 of the cases were diagnosed to have Psychiatric illness; depressive episode, emotionally unstable personality disorder and adjustment disorder were the diagnoses made.

Conclusion

Self-harm behaviour is present in both normal as well as people with psychiatric morbidity. Both set of people need support to grapple with their stress and curb impulsive…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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