Factors associated with the development of self-harm amongst a socio-economically deprived cohort of adolescents in Santiago, Chile

Purpose Studies carried out in the West indicate that the incidence of self-harm (SH) is particularly high amongst adolescents, but few studies have investigated its incidence and aetiology in low-income countries. The purpose of this study was to investigate risk factors associated with new onset e...

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Vydané v:	Social Psychiatry and Psychiatric Epidemiology Ročník 49; číslo 4; s. 629 - 637
Hlavní autori:	Spears, Melissa, Montgomery, Alan A., Gunnell, David, Araya, Ricardo
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Berlin/Heidelberg Springer Berlin Heidelberg 01.04.2014 Springer Springer Nature B.V
Predmet:	Adolescent Adult and adolescent clinical studies Analysis Biological and medical sciences Cannabis Chile - epidemiology Depression Depression - epidemiology Depression - psychology Depressive Disorder - epidemiology Epidemiology Female Follow-Up Studies Humans Incidence Male Marijuana Medical research Medical sciences Medicine Medicine & Public Health Medicine, Experimental Miscellaneous Mood disorders Original Paper Prevalence Prospective Studies Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Factors Self destructive behavior Self-Injurious Behavior - epidemiology Self-Injurious Behavior - etiology Self-Injurious Behavior - psychology Sex Factors Socioeconomic Factors Suicidal Ideation Surveys and Questionnaires Teenagers Vulnerable Populations - statistics & numerical data Youth South America Chile America Chile, Rio Grande do Sul, Santiago Prospective Depression Deprived Adolescents Self-harm Human Mood disorder Self injury Socioeconomic status Mental health Sociodemographic factor Adolescent Development Self destruction Public health
ISSN:	0933-7954, 1433-9285, 1433-9285
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Shrnutí:	Purpose Studies carried out in the West indicate that the incidence of self-harm (SH) is particularly high amongst adolescents, but few studies have investigated its incidence and aetiology in low-income countries. The purpose of this study was to investigate risk factors associated with new onset episodes of SH, amongst Chilean adolescents from low socio-economic backgrounds. Methods Prospective cohort study nested within a cluster randomised controlled trial. A 6-month follow-up for 2,042 adolescents, median age 14 years, from socio-economically deprived areas of Santiago, Chile. Results The lifetime prevalence of SH was 23 %. The incidence rate of SH at 6 months was 14 % amongst those reporting no SH at baseline. In multivariable analyses, risk factors for incident SH include depressive symptoms, suicidal thoughts, poor problem-solving skills and cannabis misuse. Conclusions The prevalence and incidence of SH in this socio-economically deprived sample differed highly according to gender. Poor problem-solving skills, suicidal thoughts, and cannabis misuse were associated with onset of SH.
Bibliografia:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 14 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	0933-7954 1433-9285 1433-9285
DOI:	10.1007/s00127-013-0767-y