Deliberate self harm in adolescents: self report survey in schools in England
TLDR
In this article, the prevalence of deliberate self harm in adolescents and the factors associated with it was found to be more common in females than it was in males (11.2% v 3.2%) and only 12.6% of episodes had resulted in presentation to hospital.Abstract:
Objective: To determine the prevalence of deliberate self harm in adolescents and the factors associated with it.
Design: Cross sectional survey using anonymous self report questionnaire.
Setting: 41 schools in England.
Participants: 6020 pupils aged 15 and 16 years.
Main outcome measure: Deliberate self harm.
Results: 398 (6.9%) participants reported an act of deliberate self harm in the previous year that met study criteria. Only 12.6% of episodes had resulted in presentation to hospital. Deliberate self harm was more common in females than it was in males (11.2% v 3.2%; odds ratio 3.9, 95% confidence interval 3.1 to 4.9). In females the factors included in a multivariate logistic regression for deliberate self harm were recent self harm by friends, self harm by family members, drug misuse, depression, anxiety, impulsivity, and low self esteem. In males the factors were suicidal behaviour in friends and family members, drug use, and low self esteem.
Conclusions: Deliberate self harm is common in adolescents, especially females. School based mental health initiatives are needed. These could include approaches aimed at educating school pupils about mental health problems and screening for those at risk.
#### What is already known on this topic
What is already known on this topic Deliberate self harm is a common reason for presentation of adolescents to hospital
Community studies from outside the United Kingdom have shown much greater prevalence of self harm in adolescents than hospital based studies
#### What this study adds
What this study adds Deliberate self harm defined according to strict criteria is common in adolescents, especially females
Associated factors include recent awareness of self harm in peers, self harm by family members, drug misuse, depression, anxiety, impulsivity, and low self esteemread more
Citations
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Self-harm and suicide in adolescents.
TL;DR: Major challenges include the development of greater understanding of the factors that contribute to self-harm and suicide in young people, especially mechanisms underlying contagion and the effect of new media.
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Prevalence of Nonsuicidal Self‐Injury in Nonclinical Samples: Systematic Review, Meta‐Analysis and Meta‐Regression
TL;DR: Results showed that methodological factors contributed over half (51.6%) of the heterogeneity in prevalence estimates, and, after adjusting for these factors, NSSI prevalence did not increase over time.
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Emotional Distress Among LGBT Youth: The Influence of Perceived Discrimination Based on Sexual Orientation
TL;DR: Mediation analyses showed that perceived discrimination accounted for increased depressive symptomatology amongLGBT males and females, and accounted for an elevated risk of self-harm and suicidal ideation among LGBT males.
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Self-injurious behaviors in a college population.
TL;DR: A substantial number of college students reported self-injurious behaviors in their lifetimes, and many of the behaviors occurred among individuals who had never been in therapy for any reason and who only rarely disclosed their self- inJurious behaviors to anyone.
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Characteristics and functions of non-suicidal self-injury in a community sample of adolescents
TL;DR: Community adolescents reported high rates of non-suicidal self-injury, engaged in to influence behaviors of others and to manage internal emotions, and intervention efforts should be tailored to reducing individual issues that contribute to NSSI.
References
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Journal ArticleDOI
Psychiatric Diagnosis in Child and Adolescent Suicide
David Shaffer,Madelyn S. Gould,Prudence W. Fisher,Paul D. Trautman,Donna Moreau,Marjorie Kleinman,Michael Flory +6 more
TL;DR: A limited range of diagnoses--most commonly a mood disorder alone or in combination with conduct disorder and/or substance abuse--characterizes most suicides among teenagers.
Journal ArticleDOI
Psychiatric risk factors for adolescent suicide: A case-control study.
David A. Brent,Joshua A. Perper,Grace Moritz,Chris Allman,Amy Friend,Claudia Roth,Joy Schweers,Lisa Balach,Marianne Baugher +8 more
TL;DR: The development of effective treatments for youth who fit the above-noted risk profiles should be given high priority.
Journal ArticleDOI
SUICIDAL BEHAVIOR RUNS IN FAMILIES A Controlled Family Study of Adolescent Suicide Victims
TL;DR: Lability to suicidal behavior might be familially transmitted as a trait independent of Axis I and II disorders.
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