Contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study
نویسندگان
چکیده
BACKGROUND Studies have shown that adolescents with a history of both suicide attempts and non-suicidal self-harm report more mental health problems and other psychosocial problems than adolescents who report only one or none of these types of self-harm. The current study aimed to examine the use of child and adolescent psychiatric services by adolescents with both suicide attempts and non-suicidal self-harm, compared to other adolescents, and to assess the psychosocial variables that characterize adolescents with both suicide attempts and non-suicidal self-harm who report contact. METHODS Data on lifetime self-harm, contact with child and adolescent psychiatric services, and various psychosocial risk factors were collected in a cross-sectional sample (response rate = 92.7%) of 11,440 adolescents aged 14-17 years who participated in a school survey in Oslo, Norway. RESULTS Adolescents who reported any self-harm were more likely than other adolescents to have used child and adolescent psychiatric services, with a particularly elevated likelihood among those with both suicide attempts and non-suicidal self-harm (OR = 9.3). This finding remained significant even when controlling for psychosocial variables. In adolescents with both suicide attempts and non-suicidal self-harm, symptoms of depression, eating problems, and the use of illicit drugs were associated with a higher likelihood of contact with child and adolescent psychiatric services, whereas a non-Western immigrant background was associated with a lower likelihood. CONCLUSIONS In this study, adolescents who reported self-harm were significantly more likely than other adolescents to have used child and adolescent psychiatric services, and adolescents who reported a history of both suicide attempts and non-suicidal self-harm were more likely to have used such services, even after controlling for other psychosocial risk factors. In this high-risk subsample, various psychosocial problems increased the probability of contact with child and adolescent psychiatric services, naturally reflecting the core tasks of the services, confirming that they represents an important area for interventions that aim to reduce self-harming behaviour. Such interventions should include systematic screening for early recognition of self-harming behaviours, and treatment programmes tailored to the needs of teenagers with a positive screen. Possible barriers to receive mental health services for adolescents with immigrant backgrounds should be further explored.
منابع مشابه
Relationship between Temperament and Character Traits, Emotional Regulation Components and Perceived Parenting with Adolescent Self-harming Behavior, Structural Equation Modeling Approach
Objectives The current study investigated the structural relationship between Self-Injurious Behavior in adolescents,Temperament,Emotion Regulation, perceived parenting. Methods The study was conducted in 2017-2018 consisting of 396 students (male and female) with their age ranging from 13 to 17 years old. They were selected by using the Cluster sampling method, and were assessed on Autism Spe...
متن کاملNon-suicidal self-injury and suicidal behaviour in children and adolescents accessing residential or intensive home-based mental health services.
OBJECTIVE There is a dearth of Canadian research with clinical samples of youth who self-harm, and no studies could be located on self-harm in children and youth accessing residential or intensive home-based treatment. The purposes of this report were to explore the proportion and characteristics of children and youth identified as self-harming at admission by clinicians compared to youth not i...
متن کاملClinical characteristics of depression among adolescent females: a cross-sectional study
BACKGROUND Adolescents rarely seek psychiatric help; they even hesitate to disclose their feelings to their parents. However; the adolescents especially the females experience depressive symptoms more frequently than general population. Do they experience classic depressive symptoms? Are there symptoms specific to this subpopulation? AIM OF THE STUDY Through this study, the authors aimed to e...
متن کاملDevelop a model of Adolescent Psychological Well-Being based on Basic Needs, Parent-Child Relationship and Responsibility Mediated by Self-Efficacy
Aims: The present study was conducted with the aim of developing a model of adolescent psychological well-being based on basic needs, parent-child relationship and responsibility through self-efficacy. Instrument & methods: The research method is applied and descriptive correlation. The statistical population of the study included first grade high school girls in the second district of Hamadan...
متن کاملThe Association of Current Violence from Adult Family Members with Adolescent Bullying Involvement and Suicidal Feelings
Although several studies have reported that child physical abuse increased the risk for bullying involvement, the effect of current violence from adult family members (CVA) on bullying involvement and suicidal feelings among adolescents has not been sufficiently examined. This study investigated the association of CVA with adolescent bullying involvement and the interaction effect of CVA and bu...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 8 شماره
صفحات -
تاریخ انتشار 2014