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.authorMadge, Nicola
dc.contributor.authorHawton, Keith
dc.contributor.authorMcMahon, Elaine M.
dc.contributor.authorCorcoran, Paul
dc.contributor.authorde Leo, Diego
dc.contributor.authorde Wilde, Erik Jan
dc.contributor.authorFekete, Sandor
dc.contributor.authorvan Heeringen, Kees
dc.contributor.authorYstgaard, Mette
dc.contributor.authorArensman, Ella
dc.date.accessioned2013-01-24T15:24:26Z
dc.date.available2013-01-24T15:24:26Z
dc.date.copyright2011
dc.date.issued2011-08
dc.description.abstractThere 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.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMadge 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.doi10.1007/s00787-011-0210-4
dc.identifier.endpage508en
dc.identifier.issued10en
dc.identifier.journaltitleEuropean Child & Adolescent Psychiatryen
dc.identifier.startpage499en
dc.identifier.urihttps://hdl.handle.net/10468/926
dc.identifier.volume20en
dc.language.isoenen
dc.publisherSpringer-Verlagen
dc.relation.urihttp://link.springer.com/article/10.1007/s00787-011-0210-4
dc.rights© 2011, Springer-Verlag. The final publication is available at www.springerlink.comen
dc.subjectAdolescenceen
dc.subjectCross-culturalen
dc.subjectSelf-harmen
dc.subjectDepressionen
dc.subjectAnxietyen
dc.subjectImpulsivityen
dc.subjectSelf-esteemen
dc.subjectStressful life eventsen
dc.subjectPsychological characteristicsen
dc.subjectChild & Adolescent Self-harm in Europe (CASE) Studyen
dc.subject.lcshSelf-harm, Deliberateen
dc.subject.lcshAdolescent psychologyen
dc.titlePsychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Studyen
dc.typeArticle (peer-reviewed)en
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