A 6-year Longitudinal Study of Self-harm and Suicidal Behaviors among Chinese Adolescents in Hong Kong

Law, Ben M. F.; Shek, Daniel T. L.

doi:10.1016/j.jpag.2015.10.007

Cited by 44 publications

(38 citation statements)

References 59 publications

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“…Some research has suggested that stressful life events, such as a single-parent family, parental death or divorce, are important risk factors for SH in adolescents [ 13 , 44 ]. Studies have also reported that adolescents from families with conflicts, non-intact families, and families with financial hardships were more likely to engage in suicide [ 18 , 19 , 45 ]. Our results indicated that family life stress events were significantly associated with SH but not with highly lethal self-harm in Chinese adolescents.…”

Section: Discussionmentioning

confidence: 99%

A self-harm series and its relationship with childhood adversity among adolescents in mainland China: a cross-sectional study

Han

Wang

et al. 2018

BMC Psychiatry

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BackgroundSelf-harm (SH) is an emerging problem among Chinese adolescents. The present study aimed to measure the prevalence of SH behaviours and to explore the relationship between childhood adversity and different SH subtypes among Chinese adolescents.MethodsA total of 5726 middle school students were randomly selected in three cities of Anhui province, China, using a stratified cluster sampling method. SH was categorized into five subtypes (highly lethal self-harm, less lethal self-harm with visible tissue damage, self-harm without visible tissue damage, self-harmful behaviours with latency damage and psychological self-harm). Multivariate logistic regression was used to explore the relationships between childhood adversity and different subtypes of adolescent SH.ResultsThe prevalence rates of highly lethal self-harm, less lethal self-harm with visible tissue damage, self-harm without visible tissue damage, self-harmful behaviours with latency damage and psychological self-harm were 6.1, 20.4, 32.0, 20.0 and 23.0%, respectively. Childhood sexual abuse and physical peer victimization were associated with each SH subtype with adjusted odds ratios (AORs) ranging from 1.23 to 1.76. Highly lethal self-harm was associated with childhood physical peer victimization, sexual abuse, emotional abuse, and emotional neglect. The less lethal SH subtypes (i.e., less lethal self-harm with visible tissue damage, self-harm without visible tissue damage, self-harmful behaviours with latency damage and psychological self-harm) were associated with childhood peer victimization, family life stress event scores and childhood sexual abuse.ConclusionsA high prevalence of SH exists among Chinese adolescents. The association of childhood adversity with SH merits serious attention in both future research and preventive interventions.Electronic supplementary materialThe online version of this article (10.1186/s12888-018-1607-0) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

A self-harm series and its relationship with childhood adversity among adolescents in mainland China: a cross-sectional study

Han

Wang

et al. 2018

BMC Psychiatry

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“…A recent 6-year cohort study took a more comprehensive approach to exploring this issue and found that several measures of positive youth development and family functioning were prospectively associated with reduced risk of suicidal behaviours among Chinese youth 25. However, only data from waves 1 and 4 were used to predict suicidal behaviours at wave 6 and the construct of positive youth development may be different across cultures due to varying beliefs, norms and values 26 27…”

Section: Introductionmentioning

confidence: 99%

Prospective impact of individual, family and community youth assets on adolescent suicide ideation

Lensch

Clements-Nolle

Oman

et al. 2018

J Epidemiol Community Health

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BackgroundStudies have found that youth assets have a protective influence on many risk behaviours. However, the relationship between youth assets and adolescent suicide ideation is poorly understood. The purpose of this study was to determine if youth assets were prospectively associated with suicide ideation.MethodsFour waves of data were collected from 1111 youth and their parents living in randomly sampled census tracts that were stratified by income and race/ethnicity using census data. Computer-assisted, in-person data collection methods were used to measure assets at the individual (6 assets), family (4 assets) and community (6 assets) levels. Generalised linear mixed models were used to prospectively assess the relationship between the number of individual-level, family-level and community-level assets and suicide ideation, while controlling for known confounders.ResultsAbout half of the sample was female (53%). Participants were racially/ethnically diverse (white (41%), Hispanic (29%) and black (24%)). Eleven of the 16 assets were associated with reduced odds of suicide ideation. In addition, there was a graded relationship between the number of assets at each level (individual, family and community) and the odds of suicide ideation. For example, compared with youth with 0–2 family assets, those with 3 (OR 0.61; 95% CI 0.42 to 0.90) or 4 (OR 0.32; 95% CI 0.21 to 0.51) family assets had lower odds of suicide ideation.ConclusionsThis prospective analysis showed a protective relationship between youth assets and suicide ideation, with the greatest protection among youth with the most assets. Interventions designed to build youth assets may be a useful strategy for reducing adolescent suicide ideation.

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“…The increase in destructive behaviour is mainly observed in adolescent girls (Haight, Marshall, Hans, Black, & Sheridan, ; Law & Shek, ). Moreover, a literature review, which indicates that the phenomena of extreme self‐destruction and aggression among adolescents are usually discussed separately, suggests a high level of similarity of risk factors for both types of behaviours.…”

Section: Introductionmentioning

confidence: 99%

“…The search for factors which encourage the development of destructive tendencies—both self‐aggressive and aggressive—among contemporary girls, is a subject increasingly analysed and commented on in scientific research. Self‐injuries and considerations of suicide are more frequent and persist for a longer period of time in adolescent girls (Law & Shek, ). Mercado, Holland, Leemis, Stone, and Wang () indicate that rates of emergency visits for self‐inflicted injury and suicidal behaviour (SB) in American girls increased repeatedly from 2008/2009 to 2015 (18.8% per year among females aged 10–14 and 7.2% per year among females aged 15–19).…”

Section: Introductionmentioning

confidence: 99%

The psychic readiness for destruction among contemporary adolescents

Sitnik‐Warchulska

Izydorczyk

2018

Journal of Clinical Nursing

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A 6-year Longitudinal Study of Self-harm and Suicidal Behaviors among Chinese Adolescents in Hong Kong

Cited by 44 publications

References 59 publications

A self-harm series and its relationship with childhood adversity among adolescents in mainland China: a cross-sectional study

A self-harm series and its relationship with childhood adversity among adolescents in mainland China: a cross-sectional study

Prospective impact of individual, family and community youth assets on adolescent suicide ideation

The psychic readiness for destruction among contemporary adolescents

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