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Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities
Background: The aims of this study were to determine the prevalence of deliberate self-harm (DSH) and to compare the risk of self-harm in Chinese children with different types and severity of disabilities. Methods: Participants were 1300 children aged 6–17 years in Beijing, China; 650 children with...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747428/ https://www.ncbi.nlm.nih.gov/pubmed/31470512 http://dx.doi.org/10.3390/ijerph16173149 |
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author | Zhu, Huiping Abudusaimaiti, Xiayidanmu Xiang, Joe Gao, Qi |
author_facet | Zhu, Huiping Abudusaimaiti, Xiayidanmu Xiang, Joe Gao, Qi |
author_sort | Zhu, Huiping |
collection | PubMed |
description | Background: The aims of this study were to determine the prevalence of deliberate self-harm (DSH) and to compare the risk of self-harm in Chinese children with different types and severity of disabilities. Methods: Participants were 1300 children aged 6–17 years in Beijing, China; 650 children with disabilities and 650 healthy peers matched on age, gender and residence district. Questionnaires were completed anonymously by parents or children if the age or disability made it necessary. The associations between the disability type, severity and DSH were examined using the Chi-square testing and logistic regression models. Results: Children with a single disability or multiple disabilities had statistically higher rates of DSH than children without disabilities (15.6% and 39.7% compared to 10.9%). The prevalence of DSH was associated with the severity of disability, being 36.2% among children with level 1 (the most severe) disability, 19.8% among children with level 2 disability, and 9.2% among children with level 3 + 4 disability. The multivariable odds ratio (OR) of DSH among children with any disability was statistically higher than that among children without a disability (OR = 2.40; 95% CI = 1.71, 3.36; p < 0.05). Children with multiple disabilities (OR = 6.89; 95% CI: 4.24–11.20) and level 1 severity of disability (OR = 6.11; 95% CI: 3.91–9.56) had the highest risk of DSH. Conclusions: This study clearly demonstrated associations between the severity and type of disability and DSH. This finding highlights the importance of DSH in children with disabilities, and underlines the importance of the prevention of DSH among a vulnerable pediatric population in China. |
format | Online Article Text |
id | pubmed-6747428 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-67474282019-09-27 Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities Zhu, Huiping Abudusaimaiti, Xiayidanmu Xiang, Joe Gao, Qi Int J Environ Res Public Health Article Background: The aims of this study were to determine the prevalence of deliberate self-harm (DSH) and to compare the risk of self-harm in Chinese children with different types and severity of disabilities. Methods: Participants were 1300 children aged 6–17 years in Beijing, China; 650 children with disabilities and 650 healthy peers matched on age, gender and residence district. Questionnaires were completed anonymously by parents or children if the age or disability made it necessary. The associations between the disability type, severity and DSH were examined using the Chi-square testing and logistic regression models. Results: Children with a single disability or multiple disabilities had statistically higher rates of DSH than children without disabilities (15.6% and 39.7% compared to 10.9%). The prevalence of DSH was associated with the severity of disability, being 36.2% among children with level 1 (the most severe) disability, 19.8% among children with level 2 disability, and 9.2% among children with level 3 + 4 disability. The multivariable odds ratio (OR) of DSH among children with any disability was statistically higher than that among children without a disability (OR = 2.40; 95% CI = 1.71, 3.36; p < 0.05). Children with multiple disabilities (OR = 6.89; 95% CI: 4.24–11.20) and level 1 severity of disability (OR = 6.11; 95% CI: 3.91–9.56) had the highest risk of DSH. Conclusions: This study clearly demonstrated associations between the severity and type of disability and DSH. This finding highlights the importance of DSH in children with disabilities, and underlines the importance of the prevention of DSH among a vulnerable pediatric population in China. MDPI 2019-08-29 2019-09 /pmc/articles/PMC6747428/ /pubmed/31470512 http://dx.doi.org/10.3390/ijerph16173149 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Zhu, Huiping Abudusaimaiti, Xiayidanmu Xiang, Joe Gao, Qi Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities |
title | Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities |
title_full | Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities |
title_fullStr | Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities |
title_full_unstemmed | Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities |
title_short | Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities |
title_sort | deliberate self-harm among chinese children with different types and severity of disabilities |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747428/ https://www.ncbi.nlm.nih.gov/pubmed/31470512 http://dx.doi.org/10.3390/ijerph16173149 |
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