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

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dc.contributor.author Madge, Nicola
dc.contributor.author Hawton, Keith
dc.contributor.author McMahon, Elaine M.
dc.contributor.author Corcoran, Paul
dc.contributor.author de Leo, Diego
dc.contributor.author de Wilde, Erik Jan
dc.contributor.author Fekete, Sandor
dc.contributor.author van Heeringen, Kees
dc.contributor.author Ystgaard, Mette
dc.contributor.author Arensman, Ella
dc.date.accessioned 2013-01-24T15:24:26Z
dc.date.available 2013-01-24T15:24:26Z
dc.date.copyright 2011
dc.date.issued 2011-08
dc.identifier.citation Madge N, Hawton K, McMahon EM, Corcoran P, De Leo D, de Wilde EJ, Fekete S, van Heeringen K, Ystgaard M, Arensman E. (2011) 'Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Study'. European Child & Adolescent Psychiatry, 20(10), 499-508. en
dc.identifier.volume 20 en
dc.identifier.issued 10 en
dc.identifier.startpage 499 en
dc.identifier.endpage 508 en
dc.identifier.uri http://hdl.handle.net/10468/926
dc.identifier.doi 10.1007/s00787-011-0210-4
dc.description.abstract 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. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Springer-Verlag en
dc.relation.uri http://link.springer.com/article/10.1007/s00787-011-0210-4
dc.rights © 2011, Springer-Verlag. The final publication is available at www.springerlink.com en
dc.subject Adolescence en
dc.subject Cross-cultural en
dc.subject Self-harm en
dc.subject Depression en
dc.subject Anxiety en
dc.subject Impulsivity en
dc.subject Self-esteem en
dc.subject Stressful life events en
dc.subject Psychological characteristics en
dc.subject Child & Adolescent Self-harm in Europe (CASE) Study en
dc.subject.lcsh Self-harm, Deliberate en
dc.subject.lcsh Adolescent psychology en
dc.title Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Study en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Elaine McMahon, Epidemiology and Public Health: NSRF, University Collge Cork, Ireland. Email: e.mcmahon@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Accepted Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle European Child & Adolescent Psychiatry en
dc.internal.copyrightchecked An author may self-archive an author-created version of his/her article on his/her own website and or in his/her institutional repository. The author retains the right to use his/her article for his/her further scientific career by including the final published journal article in other publications such as dissertations and postdoctoral qualifications provided acknowledgement is given to the original source of publication. (Springer) en
dc.internal.IRISemailaddress e.mcmahon@ucc.ie en


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