Wirrell EC, Bieber ED, Vanderwiel A, et al. - Researchers assessed the risk of self‐injurious behavior and suicidal ideation in a population‐based cohort of childhood epilepsy vs controls using data from the Rochester Epidemiology Project database. They studied 339 epilepsy cases and 678 age‐ and sex‐matched controls followed by a median age of 24.7 and 23.4 years, respectively. They found 98 individuals with self‐injurious behavior or suicidal ideation (43 with epilepsy and 55 controls). Using the Columbia Suicide Severity Rating Scale, all behaviors were categorized. A higher risk of self‐injurious behavior was seen in children, teens, and young adults with a history of childhood epilepsy. The prevalence of preceding mood and substance abuse disorders in both cases and controls with self‐injurious behavior or suicidal ideation was similarly high, but preceding attention‐deficit/hyperactivity disorder was more than double in the epilepsy cases. In cases of epilepsy, no specific epilepsy‐related variable was seen that was significantly correlated with the risk of self‐injurious behavior or suicidal ideation. Diligent mental health screening needs to be part of any routine epilepsy treatment.