Early Adult Outcomes of Adolescents Who Deliberately Poisoned Themselves

Harrington, Richard; Pickles, Andrew; Aglan, Azza; Harrington, Val; Burroughs, Heather; Kerfoot, Michael

doi:10.1097/01.chi.0000194564.78536.f2

Cited by 48 publications

(45 citation statements)

References 31 publications

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“…Although significantly associated with DSH in our univariate analyses, depressive symptoms did not remain in the multi-variate analysis for either gender. This echoes the findings of Harrington et al (2006), who reported that the independent contribution of major depression to risk of self-harm among adolescents was not significant (Harrington et al, 2006). The fact that uni-variate analysis revealed strong associations between depressive symptoms and DSH in our sample while multi-variate analysis did not suggests that collinearity between psychological measures may be an issue.…”

Section: Discussionsupporting

confidence: 49%

Factors associated with deliberate self-harm among Irish adolescents

et al. 2010

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Section: Discussionsupporting

confidence: 49%

Factors associated with deliberate self-harm among Irish adolescents

et al. 2010

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“…In particular, we examine the dose-response hypothesis that increasing adversity, in terms of psychological characteristics and life events, is associated with increasing level and frequency of self-harm. Such a relationship between depression and self-harming behaviour has already been suggested for both frequency (Esposito et al, 2003, Harrington et al, 2006, Hawton et al, 1999 and severity (Olfson et al, 2005) of episodes.…”

mentioning

confidence: 72%

“…Gay, lesbian and bisexual young people appear at elevated risk (Bearman andMoodly, 2004, Remafedi et al, 1998), especially when facing family difficulties (Eisenberg and Resnick, 2006). Child abuse, especially sexual abuse, has repeatedly been associated with self-harming and suicidal behaviour (Bensley et al, 1999, Harrington et al, 2006, Ystgaard et al, 2004, and the link appears direct even though self-esteem (Evans et al, 2005) or continued adversity over the life-cycle (Harrington et al, 2006) may play a mediating role. Both being bullied (Coggan et al, 2003) and fear of bullying (Baldry and Winkel, 2003) have been linked to an increase in self-harm.…”

mentioning

confidence: 99%

Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Study

Madge

Hawton

McMahon

et al. 2011

Eur Child Adolesc Psychiatry

202

163

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There is evidence to suggest that both psychological characteristics and stressful life events are contributory factors in deliberate self-harm among young people. These links, and the possibility of a dose-response relationship between self-harm and both psychological health and life events, were investigated in the context of a seven-country school-based study. Over 30,000, mainly 15 and 16 year olds, completed anonymous questionnaires at secondary schools in Belgium, England, Hungary, Ireland, the Netherlands, Norway and Australia. Pupils were asked to report on thoughts and episodes of self-harm, complete scales on depression and anxiety symptoms, impulsivity and self-esteem and indicate stressful events in their lives. Level and frequency of self-harm was judged according to whether they had thought about harming themselves or reported single or multiple self-harm episodes. Multinomial logistic regression assessed the extent to which psychological characteristics and stressful life events distinguished between adolescents with different self-harm histories. Increased severity of self-harm history was associated with greater depression, anxiety and impulsivity and lower self-esteem and an increased prevalence of all ten life event categories. Female gender, higher impulsivity and experiencing the suicide or self-harm of others, physical or sexual abuse and worries about sexual orientation independently differentiated single-episode self-harmers from adolescents with self-harm thoughts only. Female gender, higher depression, lower self-esteem, experiencing the suicide or self-harm of others, and trouble with the police independently distinguished multiple- from single-episode self-harmers. The findings reinforce the importance of psychological characteristics and stressful life events in adolescent self-harm but nonetheless suggest that some factors are more likely than others to be implicated

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“…Our findings extend those of Fergusson et al (2000) and Sourander et al (2009) in relation to suicidality in early adulthood by showing that proximal psychopathology mediates a substantial part of the effects of most adolescent factors, both individual and experiential, much further into the life-course. In addition, adversity may itself persist through direct chains of adversity, such as encouraging premature school leaving (Harrington et al 2006), risking long-term effects on educational attainment. Adolescent measures could impact on adult suicidality through a variety of mechanisms.…”

Section: Discussionmentioning

confidence: 99%