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e., to only lower the age threshold to consider the initiation of active care, or to change the type of guideline. Deliberate self-harm (DSH) is a growing issue among Danish adolescents, and a dramatic increase in the incidence of DSH has been observed since the turn of the millennium. The importance of early childhood factors on later development has been established, but research on the trajectories of DSH is still scarce, and longitudinal studies are much needed. Participants were 3,291 children and their mothers from The Danish Long