Self-harm in young adolescents (12–16 years): onset and short-term continuation in a community sample

Background To investigate the prevalence of self-harm in young adolescents and factors associated with onset and continuity over a one year period. Method Prospective longitudinal study. Participants were young adolescents (n = 3964) aged 12–16 years attending 8 secondary schools in the Midlands and...

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Vydáno v:BMC psychiatry Ročník 13; číslo 1; s. 328
Hlavní autoři: Stallard, Paul, Spears, Melissa, Montgomery, Alan A, Phillips, Rhiannon, Sayal, Kapil
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 02.12.2013
BioMed Central Ltd
Springer Nature B.V
Témata:
Adolescent
adolescent and developmental psychiatry
Bullying
Child
Child psychopathology
Children & youth
England
Female
Health aspects
Humans
Interpersonal Relations
Male
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Peer Group
Prevalence
Psychiatry
Psychological aspects
Psychotherapy
Research Article
Risk Factors
Schools
Self destructive behavior
Self-Injurious Behavior - epidemiology
Self-Injurious Behavior - psychology
Studies
Suicide, Attempted - psychology
Suicide, Attempted - statistics & numerical data
Surveys and Questionnaires
Teenagers
Youth
England
United Kingdom
Continuity
Young adolescents
Self-harm
Onset
ISSN:1471-244X, 1471-244X
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Shrnutí:Background To investigate the prevalence of self-harm in young adolescents and factors associated with onset and continuity over a one year period. Method Prospective longitudinal study. Participants were young adolescents (n = 3964) aged 12–16 years attending 8 secondary schools in the Midlands and South West of England. Results Over a one year period 27% of young adolescents reported thoughts of self-harm and 15% reported at least one act of self-harm. Of those who self-harmed, less than one in five (18%) had sought help for psychological problems of anxiety or depression. Compared with boys, girls were at increased risk of developing thoughts (OR 1.61, 95% CI 1.26-2.06) and acts (OR 1.40, 95% CI 1.06-1.84) of self-harm, particularly amongst those girls in school year 9 (aged 13/14, thoughts adjusted Odds Ratio (aOR) 1.97, 95% CI 1.27-3.04; acts aOR 2.59, 95% CI 1.52-4.41). Of those reporting thoughts of self-harm at baseline, 60% also reported these thoughts at follow-up. Similarly 55% of those who reported an act of self-harm at baseline also reported that they had self-harmed at follow-up. Insecure peer relationships increased the likelihood that boys and girls would develop self-harming behaviours, as did being bullied for boys. Low mood was associated with the development of self-harming thoughts and behaviours for boys and girls, whilst a strong sense of school membership was associated with a reduced risk of developing thoughts of self-harm for boys and increased the likelihood of self-harming thoughts and behaviours ceasing for girls. Conclusion Self harm in young adolescents is common with one in four reporting self-harming thoughts and one in six engaging in self-harming behaviour over a one year period. Self-harm is already established by 12/13 years of age and for over half of our sample, self-harming thoughts and behaviour persisted over the year. Secure peer and strong school relationships were associated with less self-harm. Few seek help for psychological problems, suggesting a need to increase awareness amongst all professionals who work with young adolescents about self-harm and associated risk factors.
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ISSN:1471-244X
1471-244X
DOI:10.1186/1471-244X-13-328