Author (year) Country | Setting | Sample (Sex) | Reported method of self-harm | Study quality | |
---|---|---|---|---|---|
Self-Poisoning | Self-Injury | ||||
Cummins & Allwood (1984) [83] South Africa | General hospital | N = 81 (F = 54, M = 27) | ▪ Overdose = 64/81 (79%) F = 46/54 (85.2%) M = 18/27 (66.7%) | – | 3/5 |
Schlebusch (1985) [84] South Africa | General hospital | N = 159 (F = 115, M = 44) | ▪ Overdose, 151/159 (95%) F = 112/115 (97.4%) M = 39/44 (88.6%) | ▪ Wrist/arm cutting = 8/159 (5%) F = 5/115 (4.3%) M = 3/44 (6.8%) | 4/5 |
Pillay (1987) [85] South Africa | General hospital | N = 55 (F = 42, M = 13) | ▪ Overdose = 55/55 (100%) | – | 3/5 |
Pillay (1988) [86] South Africa | General hospital | N = 87 (F = 68, M = 19) | ▪ Self-poisoning = 81/87 (93.1%) F = 67/68 (98.5%) M = 14/19 (73.7%) ▪ Carbon monoxide = 1/87 (1.1%) F = 0/68 M = 1/19 (5.3%) | ▪ Wrist cutting = 1/87 (1.1%) F = 1/68 (1.5%) M = 0/19 ▪ Hanging = 2/87 (2.3%) F = 0/68 M = 2/19 (10.5%) ▪ Stabbing = 1/87 (1.1%) F = 0/68 M = 1/19 (5.3%) ▪ Jumping from height = 1/87 (1.1%) F = 0/68 M = 1/19 (5.3%) | 3/5 |
Pillay & Wassenaar (1991) [87] South Africa | General hospital | N = 40 (F = 26, M = 14) | Ingestion of: ▪ Medicines = 38/40 (95%) ▪ Pesticides = 2/40 (5%) | – | 3/5 |
Mhlongo & Peltzer (1999) [88] South Africa | General hospital | N = 100 (F = 63, M = 37) | ▪ Paraffin = 36/100 (36%) ▪ Methylated spirit = 12/100 (12%) ▪ Shampoo = 11/100 (11%) ▪ Pesticides = 10/100 (10%) ▪ Detergent = 9/100 (9%) ▪ Battery acid = 6/100 (6%) ▪ Medicaments = 3/100 (3%) ▪ Ingestion of glass = 4/100 (4%) | Hanging = 9/100 (9%) | 3/5 |
Madu & Matla (2003) [37] South Africa | School | N = 435 (F = 243, M = 192) | ▪ Self-poisoning = 40/435 (9.2%) F = 21/243 (8.6%) M = 19/192 (9.9%) ▪ Drug overdose = 23/435 (5.3%) F = 13/243 (5.3%) M = 10/192 (5.2) | ▪ Hanging = 20/435 (4.6%) F = 5/243 (2.1%) M = 15/192 (7.8%) ▪ Stabbing = 2/435 (0.5%) F = 0/243 M = 2/192 (1%) | 4/5 |
Sommer (2005) [39] South Africa | School | N = 299 (F = 185, M = 114) | ▪ Overdose = 141/299 (47.2%) | ▪ Wrist cutting = 133/299 (44.4%) ▪ Jumping from height = 25/299 (8.4%) | 2/5 |
Yéo-Tenena et al. (2010) [89] Ivory Coast | Hospital | N = 42 (F = 33, M = 9) | ▪ Chloroquine = 26/42 (61.9%) ▪ Psychotropic = 8/42 (19%) ▪ Paracetamol = 4/42 (9.5%) ▪ Metronidazole = 3/42 (7.1%) ▪ Muriatic acid = 3/42 (7.1%) ▪ Sodium hypochlorite = 2/42 (4.8%) ▪ Ethyl alcohol = 2/42 (4.8%) ▪ Rat poison = 2/42 (4.8%) ▪ Thinner = 1/42 (2.4%) | ▪ Hanging = 1/42 (2.4%) | 4/5 |
Beekrum et al. (2011) [24] South Africa | Hospital | N = 10 (F = 10) | ▪ All participants took overdose of prescription medication belonging to a family member: benzodiazepines, steroidal anti-inflammatories, and various blood pressure medications. |  | 5/5 |
Okoko et al. (2011) [90] Congo Brazzaville | Hospital | N = 62 (F = 50, M = 12) | ▪ Overdose = 53 (85.5%) ▪ Caustic soda = 6 (9.7%) ▪ Powder = 1 (1.6%) ▪ Rat poison = 1 (1.6%) | ▪ Hanging = 1 (1.6%) | 4/5 |
Pretorius (2011) [29] South Africa | Children’s homes | N = 12 (F = 10, M = 2) | – | ▪ Cutting = 11 (91.6%) ▪ Carving words into skin = 11 (91.6%) ▪ Broken own bones = 9 (75%) ▪ Punching self = 8 (66.6%) ▪ Sharp objects through skin = 8 (66.6) ▪ Burning with a lighter or match = 7 (58.3%) ▪ Carving pictures or patterns into skin = 7 (58.3%) ▪ Scratching = 4 (33.3%) ▪ Rubbing glass into skin = 4 (33.3%) ▪ Banging of head = 4 (33.3%) ▪ Preventing wounds from healing = 4 (33.3%) ▪ Burning with a cigarette = 3 (25%) ▪ Biting = 1 (8.3%) ▪ Dripping acid onto skin = 1 (8.3%) ▪ Bleach or oven cleaner onto skin = 1 (8.3%) ▪ Rubbing sandpaper = 2 (16.6%). | 3/5 |
Fine et al. (2012) [91] South Africa | Hospital | N = 50 (F = 31 M = 19) | ▪ Overdose = 17/50 (34%) ▪ Poisoning = 2/50 (4%) ▪ Drowning = 2/50 (4%) | ▪ Cutting = 36/50 (75%) ▪ Hanging = 10 (20%) ▪ Jumping from a height = 3/50 (6%) | 3/5 |
Shilubane et al. (2012) [32] South Africa | Community | N = 14 (F = 8, M = 6) | Ingestion of: ▪ Medications = 9/14 (64.3%) ▪ Paraffin = 1/14 (7.1%) ▪ Disinfectant = 1/14 (7.1) | ▪ Burning = 1/14 (7.1%) ▪ Hanging = 1/14 (7.1%) | 4/5 |
Van Rooyen (2013)a [50] Lippi (2014)a [52] South Africa | University | N = 603 (F = 483, M = 120) | – | ▪ Cutting = 132/603 (21.9%) ▪ Severe scratching = 93/603 (15.4%) ▪ Carving words into skin = 70/603 (11.6%) ▪ Burning with lighter or match = 66/603 (10.9%) ▪ Sticking objects into skin = 52/603 (8.6%) ▪ Punching self = 48/603 (8%) ▪ Carving pictures into skin = 44/603 (7.3%) ▪ Burning with cigarette = 42/603 (7%) ▪ Interfering with wound healing = 36/603 (6.5%) ▪ Banging head = 30/603 (5%) | 3/5 |
van der Walt (2016) [60] South Africa | University | N = 201 (F = 110, M = 91) | ▪ Alcohol abuse = 46/201 (22.9%) ▪ Overdose = 25/201 (12.4%) ▪ Medication abuse = 12/201 (6%) | ▪ Hitting self = 26/201 (12.9%) ▪ Head banging = 24/201 (11.9%) ▪ Cutting = 18/201 (9%) ▪ Scratching = 17/201 (8.5%) ▪ Exercised an injury on purpose = 12/201 (6%) ▪ Prevented wounds from healing = 10/201 (5%) ▪ Burning = 4/201 (2%) ▪ Reckless driving = 21/201 (10.4%) | 3/5 |
Meissner & Bantjes (2017) [27] South Africa | University | N = 4 (M = 4) | – | ▪ Hanging = 2/4 (50%) ▪ Car accident = 2/4 (50%) | 5/5 |
Kritzinger (2018) [26] South Africa | Hospital | N = 10 (F = 10) | ▪ Overdose ▪ Rat poison ▪ Furniture oil | – | 5/5 |