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Implications for practice and research
Focusing on the method, antecedents and level of openness of self-harm can inform clinicians and researchers about the possible motivators and goals of the behaviour and lead to a more clear understanding of possible interventions.
The majority of self-harm does not appear to represent an attempt to manipulate others or gain their attention; rather it is more often a private act with other internal motivations.
More research is needed to determine the most effective interventions for different types of self-harm in the inpatient setting. Targeted intervention for specific types of self-harm may be …
Competing interests None.