Archives of Suicide Research最新文献

{"title":"Insomnia and Nightmare as Vulnerability Factors for Suicidal Ideation from the Perspective of Integrated Motivational-Volitional Model.","authors":"Reyhaneh Sardarzehi, Hoda Doosalivand, Saina Fatollahzade, Malek Bastami, Markus Jansson-Fröjmark","doi":"10.1080/13811118.2025.2597356","DOIUrl":"10.1080/13811118.2025.2597356","url":null,"abstract":"<p><strong>Objective: </strong>Insomnia and nightmares have been identified as significant predictors of suicidal ideation (SI), but the specific psychological processes underlying this relationship remain unclear. The current study aimed to examine the insomnia/nightmares-SI relationship, concerning the mediating role of defeat and entrapment according to the integrated motivational-volitional (IMV) model in the Iranian population.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 459) completed a self-report survey assessing insomnia/nightmare symptoms, feelings of entrapment and defeat, and SI. Path analysis was conducted to evaluate the mediating effect of defeat and entrapment on the association between insomnia/nightmares and SI.</p><p><strong>Results: </strong>Findings indicated that insomnia/nightmare symptoms were correlated with SI. Moreover, findings demonstrated that entrapment mediated the relationship between insomnia <math><mo>(</mo><mi>β</mi><mtext> = 0.03,</mtext><mi>p</mi><mtext> = 0.001</mtext><mo>)</mo></math>/nightmares <math><mo>(</mo><mi>β</mi><mtext> = 0.24, </mtext><mi>p</mi><mo> </mo><mi><</mi> <mtext>0.072</mtext><mo>)</mo></math> and SI. Additionally, insomnia <math><mo>(</mo><mi>β</mi><mtext>=</mtext><mo> </mo><mtext>0.07, </mtext><mi>p</mi><mtext> = 0.001</mtext><mo>)</mo></math> and nightmares <math><mo>(</mo><mi>β</mi><mtext> = 0.04, </mtext><mi>p</mi><mtext> = 0.022</mtext><mo>)</mo></math> had indirect effect on SI through defeat.</p><p><strong>Conclusion: </strong>The findings offer new insights into the psychological mechanisms linking insomnia/nightmare symptoms and SI by highlighting the role of defeat and entrapment. However, the complicated relationship between sleep disturbances and SI warrants further examination through longitudinal studies. Such studies are crucial for developing targeted interventions to prevent the emergence of SI in individuals who suffer from sleep disturbances.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"906-917"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145666888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moderating Effect of Perceived Stress on the Relationship Between Perseverative Coping and Suicide Ideation.","authors":"Tsukasa Kato","doi":"10.1080/13811118.2025.2597347","DOIUrl":"10.1080/13811118.2025.2597347","url":null,"abstract":"<p><strong>Background: </strong>Perseverative coping refers to the persistent use of ineffective coping strategies, including the repetition of previously abandoned approaches. No empirical studies explored the mechanisms of stress and perseverative coping influences on suicide. Drawing on the stress and coping model of suicide risk and the diathesis-stress model of suicide, this study assessed the hypothesis that perceived stress moderates the relationship between perseverative coping and suicidal thoughts/suicide attempts.</p><p><strong>Method: </strong>Participants comprised 912 college students (women = 485, men = 427) who completed self-report measures assessing perceived stress and perseverative coping. Six months later, they completed an additional questionnaire assessing suicidal thoughts/suicide attempts.</p><p><strong>Results: </strong>Higher levels of perseverative coping and perceived stress were associated with higher levels of suicidal thoughts/suicide attempts. Moderating analysis revealed a significant interaction between perceived stress and perseverative coping, including that perceived stress moderated the relationship between perseverative coping and suicidal thoughts/suicide attempts.</p><p><strong>Conclusions: </strong>This result indicated that when perceived stress was high, elevated levels of perseverative coping were associated with an increase in suicidal thoughts/suicide attempts. These findings implied that the transactional model of stress may contribute to the development of suicide research and that perseverative coping may prevent stress-induced suicidal thoughts/suicide attempts.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"842-852"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145666807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Pain in Suicidal and Non-Suicidal Populations: Findings from the Translated German Mee-Bunney Psychological Pain Assessment Scale.","authors":"Lara Marie Aschenbrenner, Stella Brogna, Tobias Teismann, Adriana Frei, Marie-Anna Sedlinská, Heide Glaesmer, Thomas Forkmann, Sebstian Walther, Anna Ehnvall, Anja Gysin-Maillart","doi":"10.1080/13811118.2025.2573059","DOIUrl":"10.1080/13811118.2025.2573059","url":null,"abstract":"<p><strong>Objective: </strong>Assessing psychological pain is crucial for evaluating suicide risk. This study examined differences in psychological pain between patients with suicide attempts, those with suicidal ideation, clinical, and non-clinical controls using a newly translated German version of the <i>Mee-Bunney Psychological Pain Assessment Scale</i> (MBPPAS).</p><p><strong>Method: </strong>A cross-sectional study was conducted with two independent samples collected a different sites (sample 1: <i>n</i> = 409; sample 2: <i>n</i> = 171), resulting in a total sample of <i>N</i> = 580 (59% female; age: <i>M</i> = 34.6, <i>SD</i> = 13.2). All analyses were conducted on the combined full sample. Participants were divided into four groups: patients with a suicide attempt (SUAT), patients with suicidal ideation but no lifetime suicide attempt (SUID), clinical control patients without suicidal ideation or attempts (CLIN), and non-clinical control participants (HLTH). MBPPAS scores were compared across groups.</p><p><strong>Results: </strong>SUAT reported significantly higher psychological pain than SUID (<i>p</i> < .001, <i>d</i> = 0.42), CLIN (<i>p</i> < .001, <i>d</i> = 1.46), and HLTH (<i>p</i> < .001, <i>d</i> = 1.04). SUID had significantly higher MBPPAS scores than both CLIN (<i>p</i> < .001, <i>d</i> = 3.01) and HLTH (<i>p</i> < .001, <i>d</i> = 2.57). Internal consistency of the German MBPPAS was excellent (α = .93, ω = .93), and the scale showed good psychometric properties regarding convergent, incremental, and criterion validity.</p><p><strong>Conclusions: </strong>The findings highlight significant differences in psychological pain across clinical and control groups, supporting the utility of the German MBPPAS in identifying psychological pain in patients at varying levels of suicide risk.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"704-720"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145285331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent Stressful Life Events and Suicidal Behaviors and NSSI in Adolescents: Examining the Role of Socio-Emotional Strengths.","authors":"Victoria Soto-Sanz, Juan C Marzo, Raquel Falcó, Beatriz Moreno-Amador, José A Piqueras, Francisco J López-Fernández","doi":"10.1080/13811118.2025.2590678","DOIUrl":"10.1080/13811118.2025.2590678","url":null,"abstract":"<p><strong>Background: </strong>Stressful Life Events (SLEs) during adolescence are linked to a higher risk of suicidal behavior and nonsuicidal self-injury (NSSI). However, the specific impact of each type of SLE has been under-researched. Socio-emotional strengths, including belief in self, belief in others, Emotional Competence, and Engaged Living, are key promotive factors for mental health and may mitigate the impact of SLEs on suicidal behavior and NSSI. This study aims to systematically explore the potential indirect effects of socio-emotional strengths in the relationship between SLEs over the past year, grouped by functional areas, and indicators of suicidal behavior and NSSI.</p><p><strong>Method: </strong>2,283 adolescents aged 10 to 19 years (<i>M</i> = 13.99; <i>SD</i> = 1.40) participated in the study, completing scales on SLEs, socio-emotional strengths, and suicidal behavior and NSSI reported over the past year.</p><p><strong>Results: </strong>From the sample, 13.4% of participants reported suicidal desire, 10.5% suicidal ideation, 6.6% NSSI, 5.5% suicide planning, and 2.2% suicide attempts. In the main analyses, Suicidal Behavior (Death Wishes, Ideation, Plans, Attempts) and NSSI were modeled separately. Belief-in-Self and Engaged Living were negatively associated with both outcomes, while Emotional Competence showed a small positive link with suicidal behavior. Peer and Health-Related SLEs had direct effects on both suicidal behavior and NSSI. Indirect effects emerged through Belief-in-Self and Engaged Living.</p><p><strong>Conclusions: </strong>Socio-emotional strengths may play a protective and mediating role in the association between SLEs and Suicidal Behaviors and NSSI in adolescents. Findings highlight the relevance of targeting these strengths in school-based prevention efforts.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"792-807"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambivalence and Suicidal Behavior at Railway Stations: A Scoping Review.","authors":"Jette L S Larsen, Keith Hawton, Morton Silverman, Merete Nordentoft, Annette Erlangsen","doi":"10.1080/13811118.2025.2573065","DOIUrl":"10.1080/13811118.2025.2573065","url":null,"abstract":"<p><strong>Objective: </strong>Suicide on railways cause immense emotional distress for families, bystanders, and railway staff and carries substantial economic costs. Although behaviors suggesting ambivalence have been identified in individuals dying by suicide at railway stations, relatively little is known about this phenomenon. We conducted a scoping review to examine the prevalence and characteristics of ambivalence among individuals who died by suicide at railway stations and, secondly, to identify factors, which may influence ambivalence in the suicidal process.</p><p><strong>Method: </strong>Following a 6-stage model, evidence identified in PubMed and Google Scholar was reviewed and discussed with experts. Findings were grouped into central themes.</p><p><strong>Results: </strong>Only 16 relevant publications were identified, implying that ambivalence has been addressed relatively infrequently in studies of individuals who have died by suicide at railway stations. Nevertheless, signs of ambivalence have been observed in a substantial proportion of such individuals. Behaviors indicative of ambivalence include hesitation, letting trains pass, and climbing back up on the platform after having jumped. At-risk individuals may express suicidal intentions either directly or indirectly, possibly in the hope of intervention. Based on recordings from surveillance cameras and interviews with survivors, some behaviors of at-risk individuals at railway stations may be interpreted as signs of an internal conflict.</p><p><strong>Conclusions: </strong>Some at-risk individuals at railway stations exhibit signs of ambivalence. This may increase the probability of detection of and intervention. Further, those designing interventions at railway stations, such as encouragement of help-seeking, trained gatekeepers, and means restriction, might consider addressing ambivalence of at-risk individuals.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"642-661"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145386302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental Risk Factors for Railway Suicide: A Nationwide Analysis of England's Mainline Network (2019-2021).","authors":"Lisa Marzano, Sophie Brown, Ruth Spence, Laura Joyner, Hilary Norman, Bob Fields, Arianna Barbin, Ian Kruger, Steven MacDonald Hart","doi":"10.1080/13811118.2025.2595428","DOIUrl":"10.1080/13811118.2025.2595428","url":null,"abstract":"<p><strong>Objective: </strong>Suicide is the leading cause of death on the railway networks, yet little is known about the geography and socio-environmental determinants of such deaths in England.</p><p><strong>Method: </strong>We analyzed official records of all suspected suicides recorded on England's mainline railway from April 2019 to March 2021 (N = 436), alongside area-level data (e.g., deprivation and urbanicity) and railway characteristics (e.g., station size). We used SaTScan's Poisson discrete scan statistic to detect spatial-temporal clusters and compared suicides at station and non-station locations, including stations with no recorded suicides over the study period.</p><p><strong>Results: </strong>Most railway suicides-particularly those occurring at stations-took place in urban areas, typically at locations with a very low incidence of previous suicides. A large majority (84.5%) lived within 2 miles of a station and died close to home (median 2.1 miles) or their last known location (1.5 miles). Suicides occurred most often at stations (43.3%), followed by trackside locations (37.6%), foot/level crossing (15.1%) or other rail areas (3.9%). These were often not the nearest station to the deceased (59.6%), but were generally smaller and more likely to be served by fast/non-stopping trains. Across the network, stations without suicides were far less likely to be served by such trains (66% vs. 94.3%; OR = 6.62, 95% CI 3.33-13.18).</p><p><strong>Conclusions: </strong>Urbanicity and the availability of non-stopping train services are key predictors of railway suicide. Restricting access to high-speed trains-especially at smaller urban stations and at non-station locations-could be an effective element of broader strategies and local partnership approaches to prevent suicide.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"808-826"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145666809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Violence, Posttraumatic Stress, and Heterosexism in Relation to Suicide and Self-Harm Risk in Bisexual + College Students.","authors":"Selime R Salim, Debra L Kaysen, G Mitchell Mazzone, Jessalynn R Ellis, Amanda K Gilmore","doi":"10.1080/13811118.2025.2608970","DOIUrl":"10.1080/13811118.2025.2608970","url":null,"abstract":"<p><strong>Objective: </strong>Bisexual + people experience higher rates of suicidality and self-harm compared to heterosexual and lesbian/gay people. We examined the association between sexual violence (SV) and suicidality, current urges to self-harm, and current suicidal intent among bisexual + college students. We tested whether posttraumatic stress disorder (PTSD) symptoms would explain these links and whether discrimination due to sexual minority identity (i.e., heterosexism) would exacerbate the association between SV severity and PTSD symptoms.</p><p><strong>Method: </strong>Students were recruited from two large, public minority-serving universities. A subsample of 454 bisexual + students (ages 18-25; 73.6% cisgender women, 15.4% gender minority, 10.8% cisgender men; 50.2% White, 22.2% Black, 15.9% Asian; 21.8% Hispanic/Latino/a/x) were selected for the current study. Two indirect effects models were tested examining: (1) suicidality in the full sample, and (2) current urges to self-harm and suicidal intent in a subsample of 244 bisexual + students who screened positive for suicide risk.</p><p><strong>Results: </strong>There was no interaction between SV severity and heterosexism. Both SV severity and heterosexism had direct associations with greater PTSD symptoms. In turn, greater PTSD symptoms explained the associations of SV severity and heterosexism with greater suicidality and likelihood to report current urges to self-harm and current suicidal intent.</p><p><strong>Conclusions: </strong>SV severity and heterosexism appear to be important risk factors for suicidality and self-harm via PTSD symptoms among bisexual + young adults. Results suggest the need for prevention and public health intervention efforts to reduce risk for SV and discrimination due to sexual identity in addition to individual-level interventions to reduce PTSD symptoms.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"977-996"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12866955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146091940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender-Specific Pathways from Dark Triad Traits to Suicidal Ideation: A Prospective Test of the Interpersonal Theory of Suicide.","authors":"Zijia Huang, Luming Liu, Yang Li, Wenchao Wang","doi":"10.1080/13811118.2025.2599416","DOIUrl":"10.1080/13811118.2025.2599416","url":null,"abstract":"<p><p>This prospective longitudinal study examined associations between Dark Triad traits and suicidal ideation through interpersonal pathways among Chinese university students (<i>N</i> = 2,018 across three waves), guided by the Interpersonal Theory of Suicide (ITS). Analyses revealed distinct patterns: Machiavellianism showed positive associations with suicidal ideation through thwarted belongingness, while psychopathy was positively linked to suicidal ideation via both thwarted belongingness and perceived burdensomeness. Narcissism demonstrated negative associations with suicidal ideation through reduced thwarted belongingness. Gender differences emerged prominently, with perceived burdensomeness serving as a more salient pathway between psychopathy and suicidal ideation for women, whereas thwarted belongingness was more strongly associated with Machiavellianism and narcissism for men. These findings, observed in a collectivistic cultural context, extend the ITS by demonstrating how personality traits may differentially relate to suicide risk through gender-specific interpersonal mechanisms. The results suggest the potential value of tailored prevention approaches with particular attention to burden-related concerns for women and belongingness-focused strategies for men-while highlighting the need for further research to examine these associations across diverse populations.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"936-953"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145766600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What It Means to Believe: Non-Suicidal Self-Injury and Emotion Beliefs Moderate the Relationship Between Emotion Experiences and Emotion Dysregulation.","authors":"Hannah Pizzey, Mark E Boyes, Penelope A Hasking, Kealagh Robinson","doi":"10.1080/13811118.2025.2597352","DOIUrl":"10.1080/13811118.2025.2597352","url":null,"abstract":"<p><strong>Objective: </strong>Although emotion dysregulation is a transdiagnostic risk factor for psychopathology, research typically focuses on dysregulation of negative emotions only. We investigated the contributions of dimensions of emotional experience, emotion beliefs, and non-suicidal self-injury (NSSI) to both negative and positive emotion dysregulation.</p><p><strong>Method: </strong>441 participants (<i>M</i> age = 23.65, 73.5% female, 39.0% with lifetime NSSI) reported their negative and positive emotion reactivity, intensity, perseveration, and dysregulation, as well as their NSSI history and beliefs about the controllability and usefulness of emotions.</p><p><strong>Results: </strong>Emotion intensity, perseveration, uncontrollability beliefs, and NSSI were uniquely associated with emotion dysregulation. Counter to predictions, emotion reactivity was associated with less dysregulation. Greater perseveration was associated with greater dysregulation of both negative and positive emotions, but only for participants who believed emotions were uncontrollable. NSSI also moderated the associations between emotion experiences and dysregulation. Among individuals who self-injure, increased emotional intensity was associated with greater dysregulation of positive emotions. Among individuals who self-injure and believed emotions were more useful, increased reactivity was linked to less dysregulation of positive emotions. Conversely, for those without a NSSI history who believed emotions were less useful, increased reactivity was associated with less dysregulation of positive emotion.</p><p><strong>Conclusion: </strong>Emotion beliefs are an important mechanism associated with dysregulation of both negative and positive emotion. Positive emotions play a complex role in dysregulation, influenced by cognitive (controllability and usefulness beliefs) and behavioral factors (NSSI), underscoring the need for future research to explore dysregulation of both negative and positive emotions to improve emotional well-being. HighlightsEmotion experiences, beliefs, and NSSI are linked toand positive and negative emotion dysregulation.Extended emotions responses are linked to dysregulation only in the context of believing emotions areuncontrollable.Similar emotion beliefs relate differently to experiences and dysregulation depending on NSSI status.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"853-871"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145987529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect Modification of the Risk of Suicide Following Self-Harm by Age and Sex: A Population-Based Nationally Representative Study from England 2001-2019.","authors":"Danah Alothman, Sarah Lewis, Edward Tyrrell, Timothy Card, Andrew W Fogarty","doi":"10.1080/13811118.2025.2597353","DOIUrl":"10.1080/13811118.2025.2597353","url":null,"abstract":"<p><strong>Objective: </strong>To Quantify the risk of suicide following self-harm within the various healthcare settings to which patients present to help understand the risk factors involved.</p><p><strong>Method: </strong>A matched case-control study using electronic records for primary care, secondary care (hospitals) and national mortality registries in England between 2001-2019 (N = 594674). Cases with a death attributed to suicide were compared with a randomly selected control population.</p><p><strong>Results: </strong>The one-year suicide risk, adjusted for age and sex, was higher after recorded self-harm in primary care (odds ratio OR: 83, 95% confidence intervals CI: 76-91) and secondary care data (OR 124; 95% CI: 111-138) compared to those with no self-harm records. Suicide risk was highest in the first month after self-harm in primary care (OR 310; 95% CI: 244-393) and secondary care data (OR 458; 95% CI: 331-633). Suicide risk increased with the number of self-harm admissions in the final year (OR for patients with ≥3 self-harm attempts 505; 95% CI: 227-1123: p < 0.0001 for trend). While suicide risk following self-harm was increased across all age-groups and sexes, it was higher in females and older individuals compared to their counterparts with no self-harm records (p < 0.05).</p><p><strong>Conclusion: </strong>In both the primary care and secondary care datasets, the one-year relative suicide risk following self-harm was high, which is consistent with previous studies. The increased risk of suicide mortality following self-harm in older individuals and females may inform risk-stratification after a self-harm event.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"872-887"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145699425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}