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. 2013 Dec 2:13:328.
doi: 10.1186/1471-244X-13-328.

Self-harm in young adolescents (12-16 years): onset and short-term continuation in a community sample

Paul Stallard  1 , Melissa Spears, Alan A Montgomery, Rhiannon Phillips, Kapil Sayal
Affiliations

Self-harm in young adolescents (12-16 years): onset and short-term continuation in a community sample

Paul Stallard et al. BMC Psychiatry. .

Abstract

Background: To investigate the prevalence of self-harm in young adolescents and factors associated with onset and continuity over a one year period.

Method: Prospective longitudinal study. Participants were young adolescents (n = 3964) aged 12-16 years attending 8 secondary schools in the Midlands and South West of England.

Results: Over a one year period 27% of young adolescents reported thoughts of self-harm and 15% reported at least one act of self-harm. Of those who self-harmed, less than one in five (18%) had sought help for psychological problems of anxiety or depression. Compared with boys, girls were at increased risk of developing thoughts (OR 1.61, 95% CI 1.26-2.06) and acts (OR 1.40, 95% CI 1.06-1.84) of self-harm, particularly amongst those girls in school year 9 (aged 13/14, thoughts adjusted Odds Ratio (aOR) 1.97, 95% CI 1.27-3.04; acts aOR 2.59, 95% CI 1.52-4.41). Of those reporting thoughts of self-harm at baseline, 60% also reported these thoughts at follow-up. Similarly 55% of those who reported an act of self-harm at baseline also reported that they had self-harmed at follow-up. Insecure peer relationships increased the likelihood that boys and girls would develop self-harming behaviours, as did being bullied for boys. Low mood was associated with the development of self-harming thoughts and behaviours for boys and girls, whilst a strong sense of school membership was associated with a reduced risk of developing thoughts of self-harm for boys and increased the likelihood of self-harming thoughts and behaviours ceasing for girls.

Conclusion: Self harm in young adolescents is common with one in four reporting self-harming thoughts and one in six engaging in self-harming behaviour over a one year period. Self-harm is already established by 12/13 years of age and for over half of our sample, self-harming thoughts and behaviour persisted over the year. Secure peer and strong school relationships were associated with less self-harm. Few seek help for psychological problems, suggesting a need to increase awareness amongst all professionals who work with young adolescents about self-harm and associated risk factors.

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References

    1. Kokkevi A, Rotsika V, Arapaki A, Richardson C. Adolescent’s self-reported suicide attempts, self-harm, thoughts and their correlates across 17 European countries. J Child Psychol Psych. 2012;53(4):381–389. doi: 10.1111/j.1469-7610.2011.02457.x. - DOI - PubMed
    1. Madge N, Hawton K, McMahon EM, Corcoran P, De Leo D, Jan De Wilde E, Fekete S, Can Heeringen K, Ystgaard M, Arensman E. Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child and Adolescent Self-harm in Europe (CASE) study. Eur Child Adolesc Psych. 2011;2011(20):499–508. - PubMed
    1. Morey C, Corcoran P, Arensman E, Perry IJ. The prevalence of self-reported deliberate self-harm in Irish adolescents. BioMed Central Public Health. 2008;8:79. doi: 10.1186/1471-2458-8-79. 10.1186/1471-2458-8-79. - DOI - PMC - PubMed
    1. Moran P, Coffey C, Romaniuk H, Olsson C, Borschmann R, Carlin JB, Patton GC. The natural history of self-harm form adolescence to young adulthood: a population-based cohort study. Lancet. 2012;39:236–243. - PubMed
    1. Hawton K, Rodham K, Evans E, Weatherall R. Deliberate self-harm in adolescents: self-report survey in schools in England. Br Med J. 2002;325:1207–1211. doi: 10.1136/bmj.325.7374.1207. - DOI - PMC - PubMed

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