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BackgroundThe suicide rate in Scotland is twice as high as that in England. However, the prevalence of self-harm is unknown.AimsTo determine the prevalence of self-harm in adolescents in Scotland and the factors associated with it.MethodA total of 2008 pupils aged 15–16 years completed an anonymous lifestyle and coping survey. Information was obtained on demographic characteristics, lifestyle, life events and problems, social influences, psychological variables and self-harm.ResultsSelf-harm was reported by 13.8% of the respondents. The majority (71%) of those who had self-harmed had done so in the past 12 months and girls were approximately 3.4 times more likely to report self-harm than boys. In multivariate analyses, smoking, bullying, worries about sexual orientation, self-harm by family and anxiety were associated with self-harm in both genders. In addition, drug use, physical abuse, serious boy …