Risk factors for self-harm

Risk factors for self-harm can include alcohol and certain family, personal and clinical incidents.

Self-harm and alcohol

Alcohol is involved in nearly 60% of episodes of self-harm that present to the emergency department.

And over a third of people who self-harm misuse alcohol or are alcohol dependant (Ness et al, 2015).

Other risk factors for self-harm

Background and family history:

  • family history of suicide
  • bereavement
  • childhood abuse
  • childhood neglect.

Physical and clinical history:

  • history of self-harm
  • substance misuse
  • physical ill health
  • mental ill health.

Factors that protect against self-harm include:

  • hopefulness
  • confidence in problem solving
  • family connectedness
  • social and community support.