Article

Early predictors of deliberate self-harm among adolescents. A prospective follow-up study from age 3 to age 15

University of Turku, Turku, Varsinais-Suomi, Finland
Journal of Affective Disorders (Impact Factor: 3.71). 08/2006; 93(1-3):87-96. DOI: 10.1016/j.jad.2006.02.015
Source: PubMed

ABSTRACT To study predictors at age 3 and at age 12 for ideations and acts of deliberate self-harm at age 15 in a representative birth cohort.
Information about ideations and acts of deliberate self-harm at age 12 and at age 15 was obtained from parents and children. Information about the child's problems was obtained at age 3 using the Child Behavior Checklist 2/3 (CBCL 2/3), and at age 12 with the CBCL and Youth Self-report (YSR). Furthermore, when the child was 12, mothers and fathers gave information about their own health, well-being and mental distress, and about family functioning measured with the Family Assessment Device (FAD).
There was a significant increase in self-reported deliberate self-harm (ideations or acts) from age 12 to age 15, especially among girls (from 3% to 13%). Parent-child agreement on acts and ideations of deliberate self-harm was very low at both time-points (proportion of agreement 0.0-0.2). Self-reports of deliberate self-harm at age 12 independently predicted both acts and ideations of deliberate self-harm at age 15. Female gender, self-reports of internalizing problems and somatic complaints, parent reports of child's externalizing problems and aggressivity, mother's reports of her health problems, and living in nonintact family at age 12 independently predicted self-reported acts of deliberate self-harm 3 years later. Parent reports of child's learning difficulties, and self-reports of being bullied independently predicted ideations of deliberate self-harm at age 15. Parent reports of child's psychopathology at age 3 assessed with the CBCL 2/3 had no predictive association with ideation or acts of deliberate self-harm at age 15.
Acts of deliberate self-harm in mid-adolescence are due to an accumulation of earlier family and parental distress, and child's externalizing and internalizing problems. Information about deliberate self-harm at age 12 is an important warning sign of deliberate self-harm in mid-adolescence.

Full-text

Available from: Matti Sillanpää, Jun 14, 2015
1 Follower
 · 
191 Views
  • Source
    7th International Congress of Clinical Psychology., Sevilla Spain; 11/2014
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Introduction. In Mexico, as in other countries, studies do not distinguish between attempted suicide and suicidal and nonsuicidal self-injury (NSSI). The aim of this study was to investigate self-injury and its prevalence using several definitions, in addition to studying the frequency of the proposed DSM-5 criteria for NSSI in adolescent girls and boys. Methodology. The study was observational, descriptive, cross-sectional, and comparative using a nonrandomized sample of adolescent girls and boys from official high schools who completed the self-injury questionnaire. Results. The participants were 533 older children and adolescents with a mean (SD) age of 13.37 (0.95) years, age range 11 to 17 years, and 54% female sex distribution. The prevalence of NSSI defined according to proposed DSM-5 criteria was 5.6% (N=30) and, according to a broad definition using only item 51 (“Do you hurt yourself without intending to end your life?”), 17.1% (N=140). Prevalence defined by the number of events in the last month (1-3 events) was 9.9% (N=53), in the last 6 months (1-3 events), 11.6% (N=62), and in the last year (5 events), 12.6% (N=67). The age at onset was 11.9 (1.39) years (range 6-15 years). Most DSM-5 criteria were more frequent in girls than boys. Conclusions. Suicidal and nonsuicidal self-injury are frequent in the community. Important points for decisionmaking in schools and medical practice are discussed.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Rates of Non Suicidal self-injury in a community Mexican sample of children and adolescents Introduction. In Mexico as in other countries most studies do not distinguish between suicide attempts (SA), self-injury with (SI+) and without (SI-) suicidal intent. The aim was to investigate the prevalence of a general self- injury (GSI) behavior (without investigating suicidal intent) using a schedule designed for this study, and the frequency of the DSM-5 proposed criteria for (SI-) in teenagers of both sexes from the community. Methodology. The study was observational, descriptive, cross-sectional, and comparative from a non-probabilistic sample of Mexican adolescents from both sexes of secondary official schools who answered the schedule. Results. Participants were 533 adolescents with an average age of 13.37, SD 0.95 ranged 11-17 years, 54% were female. The self-injury (SI-) behavior using the proposed DSM-5 criteria was 5.6 % (N=30). The prevalence through a single item #51(Do you hurt yourself without the intention to die?) was 17.1 % (N=66). The prevalence period for in: the last month was 9.9% (N=53), last 6 months (1-3 events) was 11.6% (N=52) and in the last year (5 events or more) 12.6% (N=67). The age of onset was of 11.9 ±1.39, with a range between 6 and 15 years. For all the DSM-5 criteria girls had higher frequency than boys. Conclusions. SI- is very common in adolescents from the general population. Important aspects for policy decision making in the school and medical setting are discussed.
    Actas espanolas de psiquiatria 07/2014; 42(4):159-168. · 0.76 Impact Factor