Self-injury from early adolescence to early adulthood: age-related course, recurrence, and services use in males and females from the community.

Adolescent self-injury is a widespread public health problem, but long-term longitudinal studies from European countries are rare. Self-injury in males and sex differences are poorly understood. This study describes the prevalence, frequency, age-related course, and recurrence of, and mental health...

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Publicado en:European Child & Adolescent Psychiatry Vol. 30; no. 6; pp. 937 - 952
Autores principales: Steinhoff, Annekatrin, Ribeaud, Denis, Kupferschmid, Stephan, Raible-Destan, Nesrin, Quednow, Boris B., Hepp, Urs, Eisner, Manuel, Shanahan, Lilly
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jun2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Self-injury from early adolescence to early adulthood: age-related course, recurrence, and services use in males and females from the community.
      aug:
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          Steinhoff, Annekatrin
          Ribeaud, Denis
          Kupferschmid, Stephan
          Raible-Destan, Nesrin
          Quednow, Boris B.
          Hepp, Urs
          Eisner, Manuel
          Shanahan, Lilly
        affil: Jacobs Center for Productive Youth Development, University of Zurich, Andreasstrasse 15, 8050, Zurich, Switzerland
      sug:
        subj:
          Injuries, Self-Inflicted In Adolescence
          Injuries, Self-Inflicted In Adulthood
          Injuries, Self-Inflicted
          Age Factors
          Recurrence
          Communities
          Mental Health Services
          Human
          Male
          Female
          Adolescence
          Adult
          Prospective Studies
          Descriptive Statistics
          Odds Ratio
          Hospitalization
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Adolescent self-injury is a widespread public health problem, but long-term longitudinal studies from European countries are rare. Self-injury in males and sex differences are poorly understood. This study describes the prevalence, frequency, age-related course, and recurrence of, and mental health services use related to adolescent self-injury. Data came from a Swiss prospective-longitudinal cohort study (N = 1482). Adolescents (52% male) reported frequency of self-injury and mental health services use (including reasons for and types of services use, hospitalizations) at ages 13, 15, 17, and 20. Between ages 13–20, 27% of adolescents reported self-injury at least once. In males, prevalence decreased from 12 to 5%; in females self-injury peaked at age 15 (16%) and then decreased (11% at age 20). In males, recurrence of self-injury increased after age 15 (from odds ratio [OR] < 3 to OR > 10); in females, recurrence was high from age 13 onwards (OR > 5). Predictors of recurrence included childhood/early adolescent internalizing symptoms and early self-injury onset. Typically, less than half of adolescents with self-injury used mental health services. Males with self-injury used services mainly for externalizing problems, learning difficulties, and attention/concentration problems; females for depression or self-injury, family problems, and victimization. Types of services used changed with age, and adolescents with self-injury had increased rates of hospitalization. There are notable sex differences in the longitudinal course of self-injury and reasons for related mental health services use. Treating early internalizing symptoms could be a promising target for preventing recurrent self-injury. Males are at particular risk of not receiving adequate treatment for self-injury.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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