Self‐harm in young people: Prevalence, associated factors, and help‐seeking in school‐going adolescents

Doyle, Louise; Treacy, Margaret; Sheridan, Ann

doi:10.1111/inm.12144

Cited by 66 publications

(76 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, findings might not generalize to adolescents in general. Help-seeking is considerable low in adolescents engaging in self-injury and risk-taking [54, 55] and particularly low among males. While our outpatient clinic implements specific measures to increase help-seeking (i.e., open clinic) in order to lower the threshold for clinical presentation, adolescents presenting themselves at the clinic might represent a specific group.…”

Section: Discussionmentioning

confidence: 99%

Health related quality of life and psychopathological distress in risk taking and self-harming adolescents with full-syndrome, subthreshold and without borderline personality disorder: rethinking the clinical cut-off?

Kaess

Fischer-Waldschmidt

Resch

et al. 2017

bord personal disord emot dysregul

View full text Add to dashboard Cite

BackgroundDiagnostic standards do not acknowledge developmental specifics and differences in the clinical presentation of adolescents with borderline personality disorder (BPD). BPD is associated with severe impairments in health related quality of life (HRQoL) and increased psychopathological distress. Previously no study addressed differences in HRQoL and psychopathology in adolescents with subthreshold and full-syndrome BPD as well as adolescents at-risk for the development but no current BPD.MethodsDrawing on data from a consecutive sample of N = 264 adolescents (12–17 years) presenting with risk-taking and self-harming behavior at a specialized outpatient clinic, we investigated differences in HRQoL (KIDSCREEN-52) and psychopathological distress (SCL-90-R) comparing adolescents with no BPD (less than 3 criteria fulfilled), to those with subthreshold (3–4 BPD criteria) and full-syndrome BPD (5 or more BPD criteria). Group differences were analyzed using one-way analysis of variance with Sidak corrected contrasts or Chi-Square test for categorical variables.ResultsAdolescents with subthreshold and full-syndrome BPD presented one year later at our clinic and were more likely female. Adolescents with subthreshold and full-syndrome BPD showed greater Axis-I and Axis-II comorbidity compared to adolescents with no BPD, and reported greater risk-taking behaviour, self-injury and suicidality. Compared to those without BPD, adolescents with subthreshold and full-syndrome BPD reported significantly reduced HRQoL. Adolescents with sub-threshold BPD and those with full-syndrome BPD did not differ on any HRQoL dimension, with the exception of Self-Perception. Similar, groups with sub-threshold and full-syndrome BPD showed no significant differences on any dimension of self-reported psychopathological distress, with the exception of Hostility.ConclusionsFindings highlight that subthreshold BPD in adolescents is associated with impairments in HRQoL and psychopathological distress comparable to full-syndrome BPD. Findings raise awareness on the importance of early detection and question the diagnostic validity and clinical utility of existing cut-offs. Findings support a lower diagnostic cut-off for adolescent BPD, to identify those at-risk at an early stage.

show abstract

Section: Discussionmentioning

confidence: 99%

Health related quality of life and psychopathological distress in risk taking and self-harming adolescents with full-syndrome, subthreshold and without borderline personality disorder: rethinking the clinical cut-off?

Kaess

Fischer-Waldschmidt

Resch

et al. 2017

bord personal disord emot dysregul

View full text Add to dashboard Cite

show abstract

“…Community studies have identified that self‐harm is particularly high amongst young people (Doyle et al . ) and presentations to the emergency department (ED) for treatment of self‐harm peak in this cohort (Griffin et al . ).…”

Section: Introductionmentioning

confidence: 95%

‘There is no progression in prevention’ – The experiences of mental health nurses working with repeated self‐harm

Murphy

Keogh

Doyle

2019

Int J Mental Health Nurs

Self Cite

View full text Add to dashboard Cite

Caring for people who self‐harm is an everyday experience for mental health nurses and an important part of their role. How mental health nurses respond to and support those who self‐harm can have a significant impact on the outcomes for service users and their intentions to seek help in the future. Repeated self‐harm can be a particularly challenging phenomenon as it is often misunderstood and can have a negative impact on the therapeutic relationship. This qualitative descriptive study aims to explore how mental health nurses understand and work with repeated self‐harm. Nine nurses working in a range of mental health settings within one service participated in semi‐structured interviews which were analysed thematically. Findings are presented in two themes exploring participants’ perceptions and understanding of repeated self‐harm, and the process of learning to work with repeated self‐harm, and are reported in accordance with the consolidated criteria for reporting qualitative research guidelines (COREQ). Participants reported that nursing practice relating to repeated self‐harm remains largely focused on maintenance of safety and prevention of self‐harm despite the identification that this often does not work. It was accepted that there is sometimes a lack of understanding about the function of self‐harm; however, participants reported understanding increased following specific education about self‐harm. Participants also identified the potential for more empowering and recovery‐orientated responses, including the utilization of harm reduction approaches, to the care of those who repeatedly self‐harm.

show abstract

“…This definition of self-harm is the operational definition used throughout this current study. In Ireland, a more recent schoolbased study of adolescent self-harm using the same CASE methodology found that 18% of female and 6.4% of male post-primary school students reported a lifetime history of selfharm (Doyle, Treacy & Sheridan, 2015). A common finding in all of the CASE studies was that only a small minority of those who self-harmed actually presented to hospital or sought professional help meaning that most adolescent self-harm was 'hidden' from the health services (Ystgaard et al, 2009;.…”

Section: Introductionmentioning

confidence: 99%

Responding to self-harm in the school setting: the experience of guidance counsellors and teachers in Ireland

Dowling¹,

Doyle

2016

British Journal of Guidance & Counselling

Self Cite

View full text Add to dashboard Cite

School-based studies identify that while one in ten young people engages in self-harm, only a small minority seek professional help. School counsellors and teachers are potentially the only professionals who may be aware of a young person's self-harm, however little is known about how this impacts on them and how they might be best supported to respond to distressed students. This study employed a qualitative descriptive design to explore postprimary school teachers' and guidance counsellors' (n=6) experiences of and responses to self-harm in Ireland. Findings indicated that participants react to self-harm in a highly emotional way with less experienced staff expressing more anxiety. Guidance counsellors and teachers identified the need for additional time, training, and professional support to help them respond to what is a commonly occurring phenomenon. Implications for the provision of support to students who self-harm are discussed.

show abstract

Self‐harm in young people: Prevalence, associated factors, and help‐seeking in school‐going adolescents

Cited by 66 publications

References 53 publications

Health related quality of life and psychopathological distress in risk taking and self-harming adolescents with full-syndrome, subthreshold and without borderline personality disorder: rethinking the clinical cut-off?

Health related quality of life and psychopathological distress in risk taking and self-harming adolescents with full-syndrome, subthreshold and without borderline personality disorder: rethinking the clinical cut-off?

‘There is no progression in prevention’ – The experiences of mental health nurses working with repeated self‐harm

Responding to self-harm in the school setting: the experience of guidance counsellors and teachers in Ireland

Contact Info

Product

Resources

About