Socioeconomic position and self-harm among adolescents: a population-based cohort study in Stockholm, Sweden

Lodebo, Bereket Tessema; Möller, Jette; Larsson, Jan‐Olov; Engström, Karin

doi:10.1186/s13034-017-0184-1

Cited by 37 publications

(26 citation statements)

References 60 publications

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“…For individuals experiencing unemployment and loss of social status, emotions associated with suicidal behaviour, such as shame, defeat and entrapment can be exacerbated [28]. Higher rates of self-harm and suicide have been found for adolescents growing up in families of lower socioeconomic position [6,13,29,30], even following psychiatric treatment [30]. Whilst we also observed higher rates of self-harm among lower household income groups, rates decreased from 2008 in all three parental income tertiles.…”

Section: Interpretation and Comparison With Existing Evidencementioning

confidence: 50%

Temporal trends in incidence of hospital-treated self-harm among adolescents in Denmark: national register-based study

Steeg

Carr

Mok

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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Background Studies conducted in the UK and in Ireland have reported increased rates of self-harm in adolescent females from around the time of the 2008 economic recession and through periods of subsequent national austerity programme implementation. It is not known if incidence rates have increased similarly in other Western European countries during this period. Methods Data from interlinked national administrative registers were extracted for individuals born in Denmark during 1981-2006. We estimated gender-and age-specific incidence rates (IRs) per 10,000 person-years at risk for hospital-treated non-fatal self-harm during 2000-2016 at ages 10-19 years. Results Incidence of self-harm peaked in 2007 (IR 25.1) and then decreased consistently year on year to 13.8 in 2016. This pattern was found in all age groups, in both males and females and in each parental income tertile. During the last 6 years of the observation period, 2011-2016, girls aged 13-16 had the highest incidence rates whereas, among boys, incidence was highest among 17-19 year olds throughout. Conclusions The temporal increases in incidence rates of self-harm among adolescents observed in some Western European countries experiencing major economic recession were not observed in Denmark. Restrictions to sales of analgesics, access to dedicated suicide prevention clinics, higher levels of social spending and a stronger welfare system may have protected potentially vulnerable adolescents from the increases seen in other countries. A better understanding of the specific mechanisms behind the temporal patterns in self-harm incidence in Denmark is needed to help inform suicide prevention in other nations.

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Section: Interpretation and Comparison With Existing Evidencementioning

confidence: 50%

Temporal trends in incidence of hospital-treated self-harm among adolescents in Denmark: national register-based study

Steeg

Carr

Mok

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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“…A population-based cohort study in Stockholm (N=165,923) by Lodebo et al (2017) showed an association between parental socioeconomic position (defined by parental education and household income) and self-harm: adolescents from the lower income categories were 1.08 to 1.19 times more likely to selfharm. In our observed group we did not found any strong correlates between parental unemployment and poor financial situation with prevalence of NSSI.…”

Section: Socioeconomic Statusmentioning

confidence: 99%

Self-Injury in Adolescents: A Five-Year Study of Characteristics and Trends

2019

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Background: Adolescent non-suicidal self-injurious behavior (NSSI) is a major public health concern. Although widespread, it is yet often a hidden problem. The purpose of this study was to explore the characteristics of self-injurious behavior in youth treated in an in-patient psychiatric unit. Subjects and methods: The study included 105 adolescents with a history of NSSI (mean age 15 years, 80% females) that underwent inpatient psychiatric treatment at a specialized facility. The factors assessed were sociodemographic data, frequency and type of NSSI, history of psychiatric disorder in family, existence of past traumatic event, alcohol, cigarettes and drug dependance and clinical psychiatric diagnosis. Retrospective-chart review study. Results: Of all assessed, patients with NSSI were predominantly female adolescents. Mean age onset of NSSI in the sample was 15 years. Equal number of patients showed occasional and repetitive NSSI, using self-cutting as a most common mean of self-injury. Approximately ¼ of adolescents met criteria for an adjustment disorder and ¼ for a mixed disorder of conduct and emotions. A low 7.8% met the criterion for borderline personality disorder. We found a statistically significant correlation between alcohol consumption and frequency of self-injurious behavior. Conclusions: Our study points to the fact that there has been an increase in prevalence of NSSI. Also, NSSI showed to be associated with female gender, alcohol consumption and a broad spectrum of comorbidities. Future research should focus not only on adolescents being hospitalized and treated, but should be representative of the whole young population because there are no national statistics on NSSI among young people in Croatia. Furthermore, future studies should focus on the origin of NSSI as opposed to its characteristics, in order for professionals to be able to prevent the issue.

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“…Low SES, for example, is associated with an increased number of stressful life events (e.g., parental divorce) that might act as risk factors, mediating the relationship between SES and certain psychological problems known to be comorbid with D-SIB, such as childhood depression [ 17 ]. Most published results suggest a reverse relationship between D-SIB and SES (e.g., [ 18 , 19 , 20 , 21 ]), and a number of studies have also found associations between stressful life events and D-SIB itself [ 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Direct Self-Injurious Behavior (D-SIB) and Life Events among Vocational School and High School Students

Horváth

Balint²,

Ferenczi-Dallos

et al. 2018

IJERPH

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Although several studies have recently assessed direct self-injurious behavior (D-SIB) among adolescents, it is still understudied in adolescents attending vocational schools: an educational setting generally associated with lower socioeconomic status. After extending the “Saving and Empowering Young Lives in Europe” (SEYLE) project to a vocational school population, we examined their D-SIB and life event characteristics compared to the high school population. SEYLE’s Hungarian randomly selected high school sample (N = 995) was completed with a randomly selected vocational school sample (N = 140) in Budapest, Hungary. Participants aged 14–17 years completed the SEYLE project’s self-administered questionnaires. D-SIB lifetime prevalence was significantly higher (29.4%) in the vocational school group compared to the high school group (17.2%) (Χ2(1) = 12.231, p< 0.001). D-SIB was associated with suicidal ideation in the vocational school group. Different life events were more frequent in the high school than in the vocational school group, and associations between D-SIB and life events differed in the vocational school group compared to the high school group. In conclusion, vocational school students are a vulnerable population with a higher prevalence of D-SIB compared to high school students. Life events and their association with D-SIB also differ in vocational school students compared to high school students. Taking all these into account might contribute to prevention/intervention designed for this population.

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Socioeconomic position and self-harm among adolescents: a population-based cohort study in Stockholm, Sweden

Cited by 37 publications

References 60 publications

Temporal trends in incidence of hospital-treated self-harm among adolescents in Denmark: national register-based study

Temporal trends in incidence of hospital-treated self-harm among adolescents in Denmark: national register-based study

Self-Injury in Adolescents: A Five-Year Study of Characteristics and Trends

Direct Self-Injurious Behavior (D-SIB) and Life Events among Vocational School and High School Students

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