BMC Psychiatry | |
Adolescent self-harm and suicidal thoughts in the ALSPAC cohort: a self-report survey in England | |
Research Article | |
David Gunnell1  Judi Kidger1  Glyn Lewis1  Jonathan Evans1  Jon Heron1  | |
[1] School of Social and Community Medicine, University of Bristol, Canynge Hall, 39, Whatley Road, BS8 2PS, Bristol, UK; | |
关键词: Self-harm; Suicidal thoughts; Suicidal plans; Adolescence; | |
DOI : 10.1186/1471-244X-12-69 | |
received in 2012-01-05, accepted in 2012-06-12, 发布年份 2012 | |
来源: Springer | |
【 摘 要 】
BackgroundSubstantial numbers of adolescents self-harm, but the majority of cases do not reach the attention of medical services, making community studies essential. The prevalence of suicidal thoughts and plans at this age, and the inter-relationships between suicidal thoughts, plans and self-harm remain largely unexplored.MethodCross-sectional analysis of self-reported questionnaire data collected from members of the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort, England. Respondents (n = 4810) were aged 16–17 years old and have been followed up since birth.ResultsAltogether 905 (18.8%) respondents had ever self-harmed. The prevalence of lifetime self-harm was higher in females (25.6%) than males (9.1%). The most commonly used method was self-cutting: this was used alone or in combination in 73.5% of episodes, compared to 10.0% who took overdoses alone or in combination with other methods. Of those who reported self-harm, 25.3% wanted to die during the most recent episode. Concurrent depression was associated with a greatly increased risk of self-harm (OR 5.43). Only 12.4% of participants sought medical help following their most recent episode of self-harm, although this figure was higher (30.1%) where self-harm was carried out with desire to die. Of the whole sample, 15.8% had ever thought of killing themselves, and 4.3% had ever made plans to kill themselves. Compared to those who had never self-harmed, those who had self-harmed but not wanted to die during the most recent episode were at increased risk of ever having had suicidal thoughts (37.6% compared to 7.8% χ2 =102.3, p < 0.001) and ever making suicidal plans (8.7% compared to 0.7%, χ2 =166.9, p < 0.001). As the frequency of self-harm increased, so did the risk of suicidal thoughts and plans.ConclusionsSelf-harm and suicidal thoughts are common among 16/17 year olds. Although the majority of self-harm behaviour is not accompanied by a desire to die, all self-harm regardless of motivation is associated with increased risk of suicidal thoughts and plans, particularly when it is carried out repeatedly.
【 授权许可】
CC BY
© Kidger et al.; licensee BioMed Central Ltd. 2012
【 预 览 】
Files | Size | Format | View |
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RO202311092311303ZK.pdf | 556KB | download |
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