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Prevalence of non-suicidal self-harm and service contact in England, 2000–14: Repeated cross-sectional surveys of the general population

The Lancet Psychiatry Jun 26, 2019

McManus S, et al. - In order to determine the temporal trends in the prevalence of non-suicidal self-harm (NSSH) in England, researchers retrieved data of adults aged 16-74 years and living in England from participants in the 2000 (n=7,243), 2007 (n=6,444), and 2014 (n=6,477) Adult Psychiatric Morbidity Surveys of the general population. The analysis revealed a rise in the prevalence of self-reported lifetime NSSH from 2.4% in 2000, to 6.4% in 2014. The rise in prevalence was most notable in women and girls aged 16–24 years, in whom prevalence increased from 6.5% (4.2-10.0) in 2000 to 19.7% (15.724.5) in 2014, but in both sexes and across age groups, a rise in prevalence was seen. During the same time period, the percentage of the population reporting NSSH to relieve unpleasant feelings of anger, tension, anxiety, or depression increased from 1.4% to 4.0% and from 2.1% to 6.8% in in men and boys and women and girls. Engagement with psychological services remains low. Researchers recommend discussing self-harm needs with young people without normalizing it. Via primary care, educational, and other services, safer ways to deal with emotional stress need to be communicated to young people.

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