Self-harm in primary school-aged children: Prospective cohort study

被引：18

作者：

Borschmann, Rohan ^{[1
,2
,3
,4
]}

Mundy, Lisa K. ^{[2
,4
,5
]}

Canterford, Louise ^{[2
]}

Moreno-Betancur, Margarita ^{[5
,6
,7
]}

Moran, Paul A. ^{[8
]}

Allen, Nicholas B. ^{[9
]}

Viner, Russell M. ^{[10
]}

Degenhardt, Louisa ^{[11
]}

Kosola, Silja ^{[12
]}

Fedyszyn, Izabela ^{[2
]}

Patton, George C. ^{[2
,5
]}

机构：

[1] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Justice Hlth Unit, Ctr Hlth Equ, Melbourne, Vic, Australia

[2] Murdoch Childrens Res Inst, Ctr Adolescent Hlth, Melbourne, Vic, Australia

[3] Kings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Serv & Populat Res Dept, London, England

[4] Univ Melbourne, Melbourne Sch Psychol Sci, Melbourne, Vic, Australia

[5] Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia

[6] Murdoch Childrens Res Inst, Clin Epidemiol & Biostatist Unit, Melbourne, Vic, Australia

[7] Univ Melbourne, Melbourne Sch Global & Populat Hlth, Ctr Epidemiol & Biostat, Melbourne, Vic, Australia

[8] Univ Bristol, Bristol Med Sch, Dept Populat Hlth Sci, Ctr Acad Mental Hlth, Bristol, Avon, England

[9] Univ Oregon, Dept Psychol, Eugene, OR 97403 USA

[10] UCL, Childrens Policy Res Unit, London, England

[11] UNSW Sydney, Natl Drug & Alcohol Res Ctr, Sydney, NSW, Australia

[12] Helsinki Univ Hosp, Helsinki Childrens Hosp, Pediat Res Ctr, Helsinki, Finland

来源：

PLOS ONE | 2020年 / 15卷 / 11期

基金：

英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;

关键词：

YOUNG-PEOPLE; SUBSTANCE USE; ADOLESCENTS; SUICIDE; DEPRESSION; BEHAVIOR; QUESTIONNAIRE; PREVALENCE; ADULTHOOD; OUTCOMES;

D O I：

10.1371/journal.pone.0242802

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Introduction No prospective studies have examined the prevalence, antecedents or concurrent characteristics associated with self-harm in non-treatment-seeking primary school-aged children. Methods In this cohort study from Melbourne, Australia we assessed 1239 children annually from age 8-9 years (wave 1) to 11-12 years (wave 4) on a range of health, social, educational and family measures. Past-year self-harm was assessed at wave 4. We estimated the prevalence of self-harm and used multivariable logistic regression to examine associations with concurrent and antecedent factors. Results 28 participants (3% of the 1059 with self-harm data; 18 girls [3%], 10 boys [2%]) reported self-harm at age 11-12 years. Antecedent (waves 1-3) predictors of self-harm were: persistent symptoms of depression (sex-age-socioeconomic status adjusted odds ratio [aOR]: 7.8; 95% confidence intervals [CI] 2.6 to 24) or anxiety (aOR: 5.1; 95%CI 2.1 to 12), frequent bullying victimisation (aOR: 24.6; 95%CI 3.8 to 158), and recent alcohol consumption (aOR: 2.9; 95%CI 1.2 to 7.1). Concurrent (wave 4) associations with self-harm were: having few friends (aOR: 8.7; 95%CI 3.2 to 24), poor emotional control (aOR: 4.2; 95%CI 1.9 to 9.6), antisocial behaviour (theft-aOR: 3.1; 95%CI 1.2 to 7.9; carrying a weapon-aOR: 6.9; 95%CI 3.1 to 15), and being in mid-puberty (aOR: 6.5; 95%CI 1.5 to 28) or late/post-puberty (aOR: 14.4; 95%CI 2.9 to 70). Conclusions The focus of intervention efforts aimed at preventing and reducing adolescent self-harm should extend to primary school-aged children, with a focus on mental health and peer relationships during the pubertal transition.

引用

页数：14

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