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Cited by 750Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseInjury Epidemiology and Prevention

Deliberate self‐harm within an international community sample of young people: comparative findings from the Child & Adolescent Self‐harm in Europe (CASE) Study

Madge, Nicola, Hewitt, Anthea, Hawton, Keith, Wilde, Erik Jan de, Corcoran, Paul, Fekete, Sandor, Heeringen, Kees van, Leo, Diego De +1 more·2008·Journal of Child Psychology and Psychiatry
DOI 10.1111/j.1469-7610.2008.01879.x
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Abstract

Background Deliberate self-harm among young people is an important focus of policy and practice internationally. Nonetheless, there is little reliable comparative international information on its extent or characteristics. We have conducted a seven-country comparative community study of deliberate self-harm among young people. Method Over 30,000 mainly 15- and 16-year-olds completed anonymous questionnaires at school in Australia, Belgium, England, Hungary, Ireland, the Netherlands and Norway. Study criteria were developed to identify episodes of self-harm; the prevalence of self-harm acts and thoughts, methods used, repetition, reasons given, premeditation, setting for the act, associations with alcohol and drugs, hospitalisation, and whether other people knew, were examined. Results Self-harm was more than twice as common among females as males and, in four of the seven countries, at least one in ten females had harmed herself in the previous year. Additional young people had thought of harming themselves without doing so. More males and females in all countries except Hungary cut themselves than used any other method, most acts took place at home, and alcohol and illegal drugs were not usually involved. The most common reasons given were 'to get relief from a terrible state of mind' followed by 'to die', although there were differences between those cutting themselves and those taking overdoses. About half the young people decided to harm themselves in the hour before doin…

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Authors
Madge, N., Hewitt, A., Hawton, K., Wilde, E. J. D., Corcoran, P., Fekete, S., Heeringen, K. V., Leo, D. D., & Ystgaard, M.
Affiliations
  • Brunel University of London (GB)
  • Statistics New Zealand (NZ)
  • University of Oxford (GB)
  • National Suicide Research Foundation (IE)
  • Ghent University (BE)
  • Griffith University (AU)
  • Center for Child and Adolescent Mental Health, Eastern and Southern Norway (NO)
Corresponding author
Madge, Nicola
ORCID
Venue
Journal of Child Psychology and Psychiatry
Publisher
Wiley
Published
2008-05-19
Volume
49
Issue
6
Pages
667-677
ISSN
  • 0021-9630 (ISSN-L)
  • 1469-7610
DOI
10.1111/j.1469-7610.2008.01879.x
OpenAlex
W2149898952
Cited by
750
References
2
Citations by year
2026: 24 · 2025: 25 · 2024: 31 · 2023: 39 · 2022: 53 · 2021: 72 · 2020: 59 · 2019: 36 · 2018: 58 · 2017: 48 · 2016: 52 · 2015: 47 · 2014: 45 · 2013: 45 · 2012: 40
FWCI
27.92
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Child Psychology and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion)
  • Griffith Research Online (submittedVersion)
Funders
  • EkstraStiftelsen Helse og Rehabilitering (Stiftelsen Dam)
  • Ireland Funds
  • An Roinn Sláinte
  • European Commission
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
Keywords
self-harm, adolescents, self-harm methods, sex differences, cross-national comparison, case studies
MeSH terms
Adolescent, Alcoholism, Cross-Sectional Studies, Cross-Cultural Comparison, Europe, Female, Health Surveys, Humans, Male, Recurrence, Sex Factors, Suicide, Attempted, Self-Injurious Behavior, Substance-Related Disorders, Drug Overdose

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