The duality of self-harm and aggression: implications for research and practice

Shafti, Matina, Pratt, Daniel, Taylor, Peter and Forrester, Andrew ORCID: https://orcid.org/0000-0003-2510-1249 2025. The duality of self-harm and aggression: implications for research and practice. BJPsych Bulletin 49 (4) , pp. 219-222. 10.1192/bjb.2025.10088

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Abstract

This editorial explores dual harm – the co-occurrence of self-harm and aggression – particularly among forensic populations. Historically approached as two separate and even opposing behaviours, emerging evidence shows that those who engage in self-harm and aggression experience greater adversity and poorer outcomes. This underscores the importance of enhancing our understanding of dual harm. We review key developments within the field, including how dual harm may be best conceptualised and managed, and identify critical gaps in the literature. In order to improve the care and outcomes of those who engage in self-harm and aggression, emphasis is placed on adopting more integrated approaches that consider the duality of these behaviours, as well as the complex needs of this high-risk group, within research and practice.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Schools > Medicine
Publisher:	Royal College of Psychiatrists
ISSN:	2056-4694
Date of First Compliant Deposit:	12 August 2025
Date of Acceptance:	29 April 2025
Last Modified:	12 Aug 2025 10:47
URI:	https://orca.cardiff.ac.uk/id/eprint/180357

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