Shafti Matina, Pratt Daniel, Taylor Peter, Forrester Andrew
School of Human Sciences and Institute for Lifecourse Development, University of Greenwich, London, UK.
Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
BJPsych Bull. 2025 Aug;49(4):219-222. doi: 10.1192/bjb.2025.10088. Epub 2025 Jul 31.
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.
这篇社论探讨了双重伤害——自我伤害与攻击行为的同时出现——尤其是在法医群体中。从历史角度来看，这两种行为被视为两种独立甚至相反的行为，但新出现的证据表明，那些既进行自我伤害又有攻击行为的人会经历更大的逆境，且结果更差。这凸显了加强我们对双重伤害理解的重要性。我们回顾了该领域的关键进展，包括如何最好地对双重伤害进行概念化和管理，并找出文献中的关键空白。为了改善那些有自我伤害和攻击行为者的护理和治疗结果，重点是在研究和实践中采用更综合的方法，这些方法要考虑到这些行为的双重性以及这个高风险群体的复杂需求。
