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Contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study

BACKGROUND: Studies have shown that adolescents with a history of both suicide attempts and non-suicidal self-harm report more mental health problems and other psychosocial problems than adolescents who report only one or none of these types of self-harm. The current study aimed to examine the use o...

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Autores principales: Tørmoen, Anita J, Rossow, Ingeborg, Mork, Erlend, Mehlum, Lars
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997749/
https://www.ncbi.nlm.nih.gov/pubmed/24742154
http://dx.doi.org/10.1186/1753-2000-8-13
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author Tørmoen, Anita J
Rossow, Ingeborg
Mork, Erlend
Mehlum, Lars
author_facet Tørmoen, Anita J
Rossow, Ingeborg
Mork, Erlend
Mehlum, Lars
author_sort Tørmoen, Anita J
collection PubMed
description BACKGROUND: Studies have shown that adolescents with a history of both suicide attempts and non-suicidal self-harm report more mental health problems and other psychosocial problems than adolescents who report only one or none of these types of self-harm. The current study aimed to examine the use of child and adolescent psychiatric services by adolescents with both suicide attempts and non-suicidal self-harm, compared to other adolescents, and to assess the psychosocial variables that characterize adolescents with both suicide attempts and non-suicidal self-harm who report contact. METHODS: Data on lifetime self-harm, contact with child and adolescent psychiatric services, and various psychosocial risk factors were collected in a cross-sectional sample (response rate = 92.7%) of 11,440 adolescents aged 14–17 years who participated in a school survey in Oslo, Norway. RESULTS: Adolescents who reported any self-harm were more likely than other adolescents to have used child and adolescent psychiatric services, with a particularly elevated likelihood among those with both suicide attempts and non-suicidal self-harm (OR = 9.3). This finding remained significant even when controlling for psychosocial variables. In adolescents with both suicide attempts and non–suicidal self-harm, symptoms of depression, eating problems, and the use of illicit drugs were associated with a higher likelihood of contact with child and adolescent psychiatric services, whereas a non-Western immigrant background was associated with a lower likelihood. CONCLUSIONS: In this study, adolescents who reported self-harm were significantly more likely than other adolescents to have used child and adolescent psychiatric services, and adolescents who reported a history of both suicide attempts and non-suicidal self-harm were more likely to have used such services, even after controlling for other psychosocial risk factors. In this high-risk subsample, various psychosocial problems increased the probability of contact with child and adolescent psychiatric services, naturally reflecting the core tasks of the services, confirming that they represents an important area for interventions that aim to reduce self-harming behaviour. Such interventions should include systematic screening for early recognition of self-harming behaviours, and treatment programmes tailored to the needs of teenagers with a positive screen. Possible barriers to receive mental health services for adolescents with immigrant backgrounds should be further explored.
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spelling pubmed-39977492014-04-25 Contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study Tørmoen, Anita J Rossow, Ingeborg Mork, Erlend Mehlum, Lars Child Adolesc Psychiatry Ment Health Research BACKGROUND: Studies have shown that adolescents with a history of both suicide attempts and non-suicidal self-harm report more mental health problems and other psychosocial problems than adolescents who report only one or none of these types of self-harm. The current study aimed to examine the use of child and adolescent psychiatric services by adolescents with both suicide attempts and non-suicidal self-harm, compared to other adolescents, and to assess the psychosocial variables that characterize adolescents with both suicide attempts and non-suicidal self-harm who report contact. METHODS: Data on lifetime self-harm, contact with child and adolescent psychiatric services, and various psychosocial risk factors were collected in a cross-sectional sample (response rate = 92.7%) of 11,440 adolescents aged 14–17 years who participated in a school survey in Oslo, Norway. RESULTS: Adolescents who reported any self-harm were more likely than other adolescents to have used child and adolescent psychiatric services, with a particularly elevated likelihood among those with both suicide attempts and non-suicidal self-harm (OR = 9.3). This finding remained significant even when controlling for psychosocial variables. In adolescents with both suicide attempts and non–suicidal self-harm, symptoms of depression, eating problems, and the use of illicit drugs were associated with a higher likelihood of contact with child and adolescent psychiatric services, whereas a non-Western immigrant background was associated with a lower likelihood. CONCLUSIONS: In this study, adolescents who reported self-harm were significantly more likely than other adolescents to have used child and adolescent psychiatric services, and adolescents who reported a history of both suicide attempts and non-suicidal self-harm were more likely to have used such services, even after controlling for other psychosocial risk factors. In this high-risk subsample, various psychosocial problems increased the probability of contact with child and adolescent psychiatric services, naturally reflecting the core tasks of the services, confirming that they represents an important area for interventions that aim to reduce self-harming behaviour. Such interventions should include systematic screening for early recognition of self-harming behaviours, and treatment programmes tailored to the needs of teenagers with a positive screen. Possible barriers to receive mental health services for adolescents with immigrant backgrounds should be further explored. BioMed Central 2014-04-17 /pmc/articles/PMC3997749/ /pubmed/24742154 http://dx.doi.org/10.1186/1753-2000-8-13 Text en Copyright © 2014 Tørmoen et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Tørmoen, Anita J
Rossow, Ingeborg
Mork, Erlend
Mehlum, Lars
Contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study
title Contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study
title_full Contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study
title_fullStr Contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study
title_full_unstemmed Contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study
title_short Contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study
title_sort contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997749/
https://www.ncbi.nlm.nih.gov/pubmed/24742154
http://dx.doi.org/10.1186/1753-2000-8-13
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