Factors associated with ideation and acts of deliberate self-harm among 18-year-old boys

Haavisto, Antti; Sourander, André; Multimäki, Petteri; Parkkola, Kai; Santalahti, Päivi; Helenius, Hans; Nikolakaros, Georgios; Moilanen, Irma; Kumpulainen, Kirsti; Piha, Jorma; Aronen, Eeva T.; Puura, Kaija; Linna, Sirkka‐Liisa; Almqvist, Fredrik

doi:10.1007/s00127-005-0966-2

Cited by 78 publications

(85 citation statements)

References 32 publications

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“…found higher levels of depression in those suicide attempters who had a history of self-mutilation compared with a control suicidal group. In the study of Haavisto et al [18] selfreported depressive symptoms at the age of eight predicted acts of DSH 10 years later. One of the few exceptions is the study of suicide attempters by Langbehn and Pfohl [24] where mutilators were less likely to have diagnoses of major depression than non-mutilating suicidal peers.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Clinical diagnoses, characteristics of risk behaviour, differences between suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising self-injury

Csorba

Dinya

Plener

et al. 2009

Eur Child Adolesc Psychiatry

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Objective: Self-injury (SI), self-injurious behaviour (SIB), including suicidal or non-suicidal self-injury (SSI, NSSI) represent an increasing problem among teenagers amounting to a 6–17% prevalence rate in adolescence, yet little data exists on detailed characteristics and associated factors of SI reaching clinical severity. There is also a scarcity of data distinguishing between suicidal and non-suicidal subsamples of self-injuring patients, i.e. showing which predictors contribute to develop self-injurious behaviour with a previous suicidal history (SSI). Method: Clinical diagnoses and characteristics of risk behaviour were examined in a crosssectional design in suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising self-injurious behaviour. From the total pool of 708 new patients consecutively referred with various psychiatric problems in five regional child psychiatric centres in Western-Hungary over an 18-month period, 105 adolescent outpatients suffering from self-injurious behaviour participated in the study (28 males and 77 females aged from 14 to 18 years, mean age 15.97, SD 1.05). The Ottawa/Queen’s self-injury questionnaire (OSI) was used to measure the characteristics of risk behaviour, while the comorbid clinical diagnoses were confirmed by the M.I.N.I. Plus International Neuropsychiatric Interview. Descriptive statistics presented the frequencies of the characteristics of SI, bilateral comparisons were used to reveal relevant items to differentiate between sex, duration of practice and SSI versus NSSI and logistic regression was performed to identify significant predictors of suicidal subtype of self-injuring practice. Results: A total of 60% of the clinical SI population experienced a present or past episode of major depression. The motivation of patients to resist impulses and to discontinue malpractice was low. Cutting and scratching was the most common self-injuring methods. Two-thirds of the sample practised the impulsive type of SI, while 30% practised premeditated SI having an incubation time from 30 min to days and weeks before carrying out SI. Although duration of SI did not distinguish the sample in important aspects, girls and boys differed in several aspects of SI practice. SSI adolescents differed from their NSSI peers in a number of important characteristics including the frequency of actions, injured areas, methods, specific stresses and motivations. SSI adolescents were more likely to favour cutting of the lower leg and drug overdose as modes of SI. SSI adolescents were more likely to report addictive features than their peers with no suicidal motivation. From the aspect of self-injurious practice, logistic regression analysis found only two significant predictors for the combined pathology

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Section: Discussionmentioning

confidence: 98%

“…Nonfatal deliberate SI or self-harm is not only most common in young people, especially young females [20,42], but is also the most frequent diagnosis among adolescent females in outpatient psychiatric facilities [18,20,21,25]. Ross and Heath [40] stress that 13.9% of students, especially girls, in community samples report self-mutilation.…”

Section: Introductionmentioning

confidence: 99%

Clinical diagnoses, characteristics of risk behaviour, differences between suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising self-injury

Csorba

Dinya

Plener

et al. 2009

Eur Child Adolesc Psychiatry

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“…So far, there are only a few prospective studies of emotional risk factors for selfharm. In one study [18], self-reported depressive symptoms at the age of 8 were found to predict acts of self-harm 10 years later in a community-based sample of 2,348 boys. In another study [19], predictors at the age of 12 for acts of self-harm at the age of 15 were studied; the results showed that self-reported internalizing problems and somatic complaints, as well as parent-reported externalizing problems and aggressiveness, independently predicted selfreported acts of self-harm 3 years later.…”

Section: Introductionmentioning

confidence: 98%

Perfectionism and Acceptance

Lundh

2004

Journal of Rational-Emotive & Cognitive-Behavior Therapy

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The associations between depressive symptoms and deliberate self-harm were studied by means of a 2-wave longitudinal design in a community sample of 1052 young adolescents, with longitudinal data for 83.6% of the sample. Evidence was found for a bidirectional relationship in girls, with depressive symptoms being a risk factor for increased self-harm one year later and self-harm a risk factor for increased depressive symptoms. Cluster analysis of profiles of depressive symptoms led to the identification of two clusters with clear depressive profiles (one severe, the other mild/moderate) which were both characterized by an overrepresentation of girls and elevated levels of self-harm. Clusters with more circumscribed problems were also identified; of these, significantly increased levels of self-harm were found in a cluster characterized by negative self-image and in a cluster characterized by dysphoric relations to parents. It is suggested that self-harm serves more to regulate negative self-related feelings than sadness.

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“…Prospective studies revealed that mental health problems in childhood (whether self-reported or by parents or teachers) are predictive for mood disorder later on [38,39]. Thus, detecting and offering early help to children, adolescents and young adults that suffer under mental health symptoms is recommended [40].…”

Section: Indicated Preventionmentioning

confidence: 99%

Possibilities for intervention in adolescents’ and young adults’ depression from a public health perspective

2006

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Factors associated with ideation and acts of deliberate self-harm among 18-year-old boys

Cited by 78 publications

References 32 publications

Clinical diagnoses, characteristics of risk behaviour, differences between suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising self-injury

Clinical diagnoses, characteristics of risk behaviour, differences between suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising self-injury

Perfectionism and Acceptance

Possibilities for intervention in adolescents’ and young adults’ depression from a public health perspective

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