Predictors of repeated adolescent self-harm: The display of multiple variables and mediators in a 2-year study
Background: Data on self-harm (SH) repetition in non-Western adolescents are limited; this study is to survey the predictors. Methods: A total of 5879 adolescents (mean age 16.02 years) in Northern Taiwan were recruited. The participants filled in online questionnaires about their sociodemographic d...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664622003291 |
| _version_ | 1828094384447422464 |
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| author | Yu-Hsin Huang Hui-Ching Liu Fang-Ju Sun Shen-Ing Liu |
| author_facet | Yu-Hsin Huang Hui-Ching Liu Fang-Ju Sun Shen-Ing Liu |
| author_sort | Yu-Hsin Huang |
| collection | DOAJ |
| description | Background: Data on self-harm (SH) repetition in non-Western adolescents are limited; this study is to survey the predictors. Methods: A total of 5879 adolescents (mean age 16.02 years) in Northern Taiwan were recruited. The participants filled in online questionnaires about their sociodemographic data, suicidality, depressive symptoms, self-esteem, social support, family discord, impulsivity, and alcohol and tobacco use at baseline (T1) and at the 1 year follow-up (T2). We used logistic regression analysis to examine the predictors of SH continuation. Generalized structural equation modeling (GSEM) was then estimated to analyze the treatable variables for both years and to investigate their relationships and mediating effects. Results: A total of 125 students were identified as being in the SH continuation group; while 470 students were identified as being in the SH stop group. The SH continuation rate was 21%; no significant gender difference was found. Logistic regression analysis showed that the predictors of SH continuation were low school ranking, poor quality of listening from relatives, use of the cutting method for SH, and a suicide plan in the past year at T1, and more depressed mood, use of the cutting method for SH, more suicide ideation and plans at T2. Similar predictors were found by GSEM; self-esteem at T1 and depressed mood at T2 were found to be mediators in the pathways. Conclusion: The continuation rate of SH was similar to that reported in Western countries. These predictors should be included in the treatment plan to prevent SH continuation. |
| first_indexed | 2024-04-11T06:58:00Z |
| format | Article |
| id | doaj.art-95e8b8f2addb420ea74751722eccba85 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-04-11T06:58:00Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-95e8b8f2addb420ea74751722eccba852022-12-22T04:38:56ZengElsevierJournal of the Formosan Medical Association0929-66462022-12-011211225842592Predictors of repeated adolescent self-harm: The display of multiple variables and mediators in a 2-year studyYu-Hsin Huang0Hui-Ching Liu1Fang-Ju Sun2Shen-Ing Liu3Department of Medicine, MacKay Medical College, No. 46, Sec. 3, Zhongzheng Rd., Sanzhi Dist., New Taipei City 252, Taiwan; Department of Psychiatry, MacKay Memorial Hospital, No. 92, Section 2, Chung-Shan North Rd., Taipei, Taiwan; Suicide Prevention Center, MacKay Memorial Hospital, No. 92, Section 2, Chung-Shan North Rd., Taipei, TaiwanDepartment of Psychiatry, MacKay Memorial Hospital, No. 92, Section 2, Chung-Shan North Rd., Taipei, Taiwan; Suicide Prevention Center, MacKay Memorial Hospital, No. 92, Section 2, Chung-Shan North Rd., Taipei, TaiwanMacKay Junior College of Medicine, Nursing, and Management, No. 92, Shengjing Road, Beitou District, Taipei 11272, Taiwan; Department of Medical Research, MacKay Memorial Hospital, No. 45, Minsheng Rd., Tamshui District, New Taipei City 25160, TaiwanDepartment of Medicine, MacKay Medical College, No. 46, Sec. 3, Zhongzheng Rd., Sanzhi Dist., New Taipei City 252, Taiwan; Department of Psychiatry, MacKay Memorial Hospital, No. 92, Section 2, Chung-Shan North Rd., Taipei, Taiwan; Suicide Prevention Center, MacKay Memorial Hospital, No. 92, Section 2, Chung-Shan North Rd., Taipei, Taiwan; MacKay Junior College of Medicine, Nursing, and Management, No. 92, Shengjing Road, Beitou District, Taipei 11272, Taiwan; Department of Medical Research, MacKay Memorial Hospital, No. 45, Minsheng Rd., Tamshui District, New Taipei City 25160, Taiwan; Corresponding author. Department of Psychiatry, MacKay Memorial Hospital, No. 92, Section 2, Chung-Shan North Rd., Taipei, Taiwan. Fax: +886 2 25232448.Background: Data on self-harm (SH) repetition in non-Western adolescents are limited; this study is to survey the predictors. Methods: A total of 5879 adolescents (mean age 16.02 years) in Northern Taiwan were recruited. The participants filled in online questionnaires about their sociodemographic data, suicidality, depressive symptoms, self-esteem, social support, family discord, impulsivity, and alcohol and tobacco use at baseline (T1) and at the 1 year follow-up (T2). We used logistic regression analysis to examine the predictors of SH continuation. Generalized structural equation modeling (GSEM) was then estimated to analyze the treatable variables for both years and to investigate their relationships and mediating effects. Results: A total of 125 students were identified as being in the SH continuation group; while 470 students were identified as being in the SH stop group. The SH continuation rate was 21%; no significant gender difference was found. Logistic regression analysis showed that the predictors of SH continuation were low school ranking, poor quality of listening from relatives, use of the cutting method for SH, and a suicide plan in the past year at T1, and more depressed mood, use of the cutting method for SH, more suicide ideation and plans at T2. Similar predictors were found by GSEM; self-esteem at T1 and depressed mood at T2 were found to be mediators in the pathways. Conclusion: The continuation rate of SH was similar to that reported in Western countries. These predictors should be included in the treatment plan to prevent SH continuation.http://www.sciencedirect.com/science/article/pii/S0929664622003291AdolescentLongitudinal studyMediating variablesRisk factorsSelf harm |
| spellingShingle | Yu-Hsin Huang Hui-Ching Liu Fang-Ju Sun Shen-Ing Liu Predictors of repeated adolescent self-harm: The display of multiple variables and mediators in a 2-year study Journal of the Formosan Medical Association Adolescent Longitudinal study Mediating variables Risk factors Self harm |
| title | Predictors of repeated adolescent self-harm: The display of multiple variables and mediators in a 2-year study |
| title_full | Predictors of repeated adolescent self-harm: The display of multiple variables and mediators in a 2-year study |
| title_fullStr | Predictors of repeated adolescent self-harm: The display of multiple variables and mediators in a 2-year study |
| title_full_unstemmed | Predictors of repeated adolescent self-harm: The display of multiple variables and mediators in a 2-year study |
| title_short | Predictors of repeated adolescent self-harm: The display of multiple variables and mediators in a 2-year study |
| title_sort | predictors of repeated adolescent self harm the display of multiple variables and mediators in a 2 year study |
| topic | Adolescent Longitudinal study Mediating variables Risk factors Self harm |
| url | http://www.sciencedirect.com/science/article/pii/S0929664622003291 |
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