Self-harm in primary school-aged children: Prospective cohort study

No prospective studies have examined the prevalence, antecedents or concurrent characteristics associated with self-harm in non-treatment-seeking primary school-aged children. In this cohort study from Melbourne, Australia we assessed 1239 children annually from age 8-9 years (wave 1) to 11-12 years...

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Veröffentlicht in:	PloS one 2020-11, Vol.15 (11), p.e0242802-e0242802
Hauptverfasser:	Borschmann, Rohan, Mundy, Lisa K, Canterford, Louise, Moreno-Betancur, Margarita, Moran, Paul A, Allen, Nicholas B, Viner, Russell M, Degenhardt, Louisa, Kosola, Silja, Fedyszyn, Izabela, Patton, George C
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Sprache:	eng
Schlagworte:	Adolescents Age Alcohol Alcohol use Anxiety Anxiety Disorders - epidemiology Anxiety Disorders - psychology Australia - epidemiology Biology and Life Sciences Bullying Bullying - psychology Child Child development Children Cohort analysis Cohort Studies Confidence intervals Crime Victims - psychology Demographic aspects Elementary school students Epidemiology Female Health aspects Health risks Humans Interpersonal Relations Male Medicine and Health Sciences Men - psychology Mental disorders Mental Health Pediatric research Pediatrics People and Places Poisoning Population Psychological aspects Puberty Questionnaires Risk Factors Schools Self destructive behavior Self injurious behavior Self-Injurious Behavior - epidemiology Self-Injurious Behavior - psychology Self-injury Social behavior Social Sciences Socioeconomics Statistical analysis Statistics Students Teenagers Theft
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creator	Borschmann, Rohan Mundy, Lisa K Canterford, Louise Moreno-Betancur, Margarita Moran, Paul A Allen, Nicholas B Viner, Russell M Degenhardt, Louisa Kosola, Silja Fedyszyn, Izabela Patton, George C
description	No prospective studies have examined the prevalence, antecedents or concurrent characteristics associated with self-harm in non-treatment-seeking primary school-aged children. In this cohort study from Melbourne, Australia we assessed 1239 children annually from age 8-9 years (wave 1) to 11-12 years (wave 4) on a range of health, social, educational and family measures. Past-year self-harm was assessed at wave 4. We estimated the prevalence of self-harm and used multivariable logistic regression to examine associations with concurrent and antecedent factors. 28 participants (3% of the 1059 with self-harm data; 18 girls [3%], 10 boys [2%]) reported self-harm at age 11-12 years. Antecedent (waves 1-3) predictors of self-harm were: persistent symptoms of depression (sex-age-socioeconomic status adjusted odds ratio [aOR]: 7.8; 95% confidence intervals [CI] 2.6 to 24) or anxiety (aOR: 5.1; 95%CI 2.1 to 12), frequent bullying victimisation (aOR: 24.6; 95%CI 3.8 to 158), and recent alcohol consumption (aOR: 2.9; 95%CI 1.2 to 7.1). Concurrent (wave 4) associations with self-harm were: having few friends (aOR: 8.7; 95%CI 3.2 to 24), poor emotional control (aOR: 4.2; 95%CI 1.9 to 9.6), antisocial behaviour (theft-aOR: 3.1; 95%CI 1.2 to 7.9; carrying a weapon-aOR: 6.9; 95%CI 3.1 to 15), and being in mid-puberty (aOR: 6.5; 95%CI 1.5 to 28) or late/post-puberty (aOR: 14.4; 95%CI 2.9 to 70). The focus of intervention efforts aimed at preventing and reducing adolescent self-harm should extend to primary school-aged children, with a focus on mental health and peer relationships during the pubertal transition.
doi_str_mv	10.1371/journal.pone.0242802
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In this cohort study from Melbourne, Australia we assessed 1239 children annually from age 8-9 years (wave 1) to 11-12 years (wave 4) on a range of health, social, educational and family measures. Past-year self-harm was assessed at wave 4. We estimated the prevalence of self-harm and used multivariable logistic regression to examine associations with concurrent and antecedent factors. 28 participants (3% of the 1059 with self-harm data; 18 girls [3%], 10 boys [2%]) reported self-harm at age 11-12 years. Antecedent (waves 1-3) predictors of self-harm were: persistent symptoms of depression (sex-age-socioeconomic status adjusted odds ratio [aOR]: 7.8; 95% confidence intervals [CI] 2.6 to 24) or anxiety (aOR: 5.1; 95%CI 2.1 to 12), frequent bullying victimisation (aOR: 24.6; 95%CI 3.8 to 158), and recent alcohol consumption (aOR: 2.9; 95%CI 1.2 to 7.1). Concurrent (wave 4) associations with self-harm were: having few friends (aOR: 8.7; 95%CI 3.2 to 24), poor emotional control (aOR: 4.2; 95%CI 1.9 to 9.6), antisocial behaviour (theft-aOR: 3.1; 95%CI 1.2 to 7.9; carrying a weapon-aOR: 6.9; 95%CI 3.1 to 15), and being in mid-puberty (aOR: 6.5; 95%CI 1.5 to 28) or late/post-puberty (aOR: 14.4; 95%CI 2.9 to 70). The focus of intervention efforts aimed at preventing and reducing adolescent self-harm should extend to primary school-aged children, with a focus on mental health and peer relationships during the pubertal transition.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0242802</identifier><identifier>PMID: 33253223</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescents ; Age ; Alcohol ; Alcohol use ; Anxiety ; Anxiety Disorders - epidemiology ; Anxiety Disorders - psychology ; Australia - epidemiology ; Biology and Life Sciences ; Bullying ; Bullying - psychology ; Child ; Child development ; Children ; Cohort analysis ; Cohort Studies ; Confidence intervals ; Crime Victims - psychology ; Demographic aspects ; Elementary school students ; Epidemiology ; Female ; Health aspects ; Health risks ; Humans ; Interpersonal Relations ; Male ; Medicine and Health Sciences ; Men - psychology ; Mental disorders ; Mental Health ; Pediatric research ; Pediatrics ; People and Places ; Poisoning ; Population ; Psychological aspects ; Puberty ; Questionnaires ; Risk Factors ; Schools ; Self destructive behavior ; Self injurious behavior ; Self-Injurious Behavior - epidemiology ; Self-Injurious Behavior - psychology ; Self-injury ; Social behavior ; Social Sciences ; Socioeconomics ; Statistical analysis ; Statistics ; Students ; Teenagers ; Theft</subject><ispartof>PloS one, 2020-11, Vol.15 (11), p.e0242802-e0242802</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Borschmann et al. 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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Borschmann et al 2020 Borschmann et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c719t-c7ac1213ac9e5867bf6b2814d0a33c58f316e9e22a68d402d7d0b5d5bf191fea3</citedby><cites>FETCH-LOGICAL-c719t-c7ac1213ac9e5867bf6b2814d0a33c58f316e9e22a68d402d7d0b5d5bf191fea3</cites><orcidid>0000-0002-0365-7775 ; 0000-0002-2881-8299</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7703962/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7703962/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,2098,2917,23853,27911,27912,53778,53780,79355,79356</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33253223$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Wasserman, Danuta</contributor><creatorcontrib>Borschmann, Rohan</creatorcontrib><creatorcontrib>Mundy, Lisa K</creatorcontrib><creatorcontrib>Canterford, Louise</creatorcontrib><creatorcontrib>Moreno-Betancur, Margarita</creatorcontrib><creatorcontrib>Moran, Paul A</creatorcontrib><creatorcontrib>Allen, Nicholas B</creatorcontrib><creatorcontrib>Viner, Russell M</creatorcontrib><creatorcontrib>Degenhardt, Louisa</creatorcontrib><creatorcontrib>Kosola, Silja</creatorcontrib><creatorcontrib>Fedyszyn, Izabela</creatorcontrib><creatorcontrib>Patton, George C</creatorcontrib><title>Self-harm in primary school-aged children: Prospective cohort study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>No prospective studies have examined the prevalence, antecedents or concurrent characteristics associated with self-harm in non-treatment-seeking primary school-aged children. 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The focus of intervention efforts aimed at preventing and reducing adolescent self-harm should extend to primary school-aged children, with a focus on mental health and peer relationships during the pubertal transition.</description><subject>Adolescents</subject><subject>Age</subject><subject>Alcohol</subject><subject>Alcohol use</subject><subject>Anxiety</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Anxiety Disorders - psychology</subject><subject>Australia - epidemiology</subject><subject>Biology and Life Sciences</subject><subject>Bullying</subject><subject>Bullying - psychology</subject><subject>Child</subject><subject>Child development</subject><subject>Children</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Confidence intervals</subject><subject>Crime Victims - psychology</subject><subject>Demographic aspects</subject><subject>Elementary school students</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Men - psychology</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Pediatric research</subject><subject>Pediatrics</subject><subject>People and Places</subject><subject>Poisoning</subject><subject>Population</subject><subject>Psychological aspects</subject><subject>Puberty</subject><subject>Questionnaires</subject><subject>Risk Factors</subject><subject>Schools</subject><subject>Self destructive behavior</subject><subject>Self injurious behavior</subject><subject>Self-Injurious Behavior - epidemiology</subject><subject>Self-Injurious Behavior - psychology</subject><subject>Self-injury</subject><subject>Social behavior</subject><subject>Social Sciences</subject><subject>Socioeconomics</subject><subject>Statistical analysis</subject><subject>Statistics</subject><subject>Students</subject><subject>Teenagers</subject><subject>Theft</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNkm9r1TAUxos43Jx-A9GCIPqi1_xp09YXwriouzCYOPVtSJPTNpfc5i5Jh_v25u5241b2QgJJOPmdJzknT5K8wmiBaYk_ru3oBmEWWzvAApGcVIg8SU5wTUnGCKJPD_bHyXPv1wgVtGLsWXJMKSkoIfQkWV6BabNeuE2qh3Tr9Ea429TL3lqTiQ5UKnttlIPhU_rdWb8FGfQNpNL21oXUh1HdvkiOWmE8vJzW0-TX1y8_l-fZxeW31fLsIpMlrkOchcQEUyFrKCpWNi1rSIVzhQSlsqhaihnUQIhglcoRUaVCTaGKpsU1bkHQ0-TNXndrrOdT_Z6TnBUlyYuaRWK1J5QVaz5Vw63Q_C5gXceFC1oa4FAoIhtAFVQ0FxVuoBQ1wiQ-sJayrKLW5-m2sdmAkjAEJ8xMdH4y6J539oaXJaI1I1Hg_STg7PUIPvCN9hKMEQPY8e7dDOW7P4ro23_Qx6ubqE7EAvTQ2niv3InyM5ZTiilDZaQWj1BxKNhoGc3S6hifJXyYJUQmwJ_QidF7vrr68f_s5e85--6A7UGY0HtrxqDt4OdgvgdlNJh30D40GSO-8_p9N_jO63zyekx7ffhBD0n35qZ_ATCO-EA</recordid><startdate>20201130</startdate><enddate>20201130</enddate><creator>Borschmann, Rohan</creator><creator>Mundy, Lisa K</creator><creator>Canterford, Louise</creator><creator>Moreno-Betancur, Margarita</creator><creator>Moran, Paul A</creator><creator>Allen, Nicholas B</creator><creator>Viner, Russell M</creator><creator>Degenhardt, Louisa</creator><creator>Kosola, Silja</creator><creator>Fedyszyn, Izabela</creator><creator>Patton, George C</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0365-7775</orcidid><orcidid>https://orcid.org/0000-0002-2881-8299</orcidid></search><sort><creationdate>20201130</creationdate><title>Self-harm in primary school-aged children: Prospective cohort study</title><author>Borschmann, Rohan ; Mundy, Lisa K ; Canterford, Louise ; Moreno-Betancur, Margarita ; Moran, Paul A ; Allen, Nicholas B ; Viner, Russell M ; Degenhardt, Louisa ; Kosola, Silja ; Fedyszyn, Izabela ; Patton, George C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c719t-c7ac1213ac9e5867bf6b2814d0a33c58f316e9e22a68d402d7d0b5d5bf191fea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescents</topic><topic>Age</topic><topic>Alcohol</topic><topic>Alcohol use</topic><topic>Anxiety</topic><topic>Anxiety Disorders - 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Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Borschmann, Rohan</au><au>Mundy, Lisa K</au><au>Canterford, Louise</au><au>Moreno-Betancur, Margarita</au><au>Moran, Paul A</au><au>Allen, Nicholas B</au><au>Viner, Russell M</au><au>Degenhardt, Louisa</au><au>Kosola, Silja</au><au>Fedyszyn, Izabela</au><au>Patton, George C</au><au>Wasserman, Danuta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self-harm in primary school-aged children: Prospective cohort study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-11-30</date><risdate>2020</risdate><volume>15</volume><issue>11</issue><spage>e0242802</spage><epage>e0242802</epage><pages>e0242802-e0242802</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>No prospective studies have examined the prevalence, antecedents or concurrent characteristics associated with self-harm in non-treatment-seeking primary school-aged children. In this cohort study from Melbourne, Australia we assessed 1239 children annually from age 8-9 years (wave 1) to 11-12 years (wave 4) on a range of health, social, educational and family measures. Past-year self-harm was assessed at wave 4. We estimated the prevalence of self-harm and used multivariable logistic regression to examine associations with concurrent and antecedent factors. 28 participants (3% of the 1059 with self-harm data; 18 girls [3%], 10 boys [2%]) reported self-harm at age 11-12 years. Antecedent (waves 1-3) predictors of self-harm were: persistent symptoms of depression (sex-age-socioeconomic status adjusted odds ratio [aOR]: 7.8; 95% confidence intervals [CI] 2.6 to 24) or anxiety (aOR: 5.1; 95%CI 2.1 to 12), frequent bullying victimisation (aOR: 24.6; 95%CI 3.8 to 158), and recent alcohol consumption (aOR: 2.9; 95%CI 1.2 to 7.1). Concurrent (wave 4) associations with self-harm were: having few friends (aOR: 8.7; 95%CI 3.2 to 24), poor emotional control (aOR: 4.2; 95%CI 1.9 to 9.6), antisocial behaviour (theft-aOR: 3.1; 95%CI 1.2 to 7.9; carrying a weapon-aOR: 6.9; 95%CI 3.1 to 15), and being in mid-puberty (aOR: 6.5; 95%CI 1.5 to 28) or late/post-puberty (aOR: 14.4; 95%CI 2.9 to 70). The focus of intervention efforts aimed at preventing and reducing adolescent self-harm should extend to primary school-aged children, with a focus on mental health and peer relationships during the pubertal transition.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33253223</pmid><doi>10.1371/journal.pone.0242802</doi><tpages>e0242802</tpages><orcidid>https://orcid.org/0000-0002-0365-7775</orcidid><orcidid>https://orcid.org/0000-0002-2881-8299</orcidid><oa>free_for_read</oa></addata></record>
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identifier	ISSN: 1932-6203
ispartof	PloS one, 2020-11, Vol.15 (11), p.e0242802-e0242802
issn	1932-6203 1932-6203
language	eng
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subjects	Adolescents Age Alcohol Alcohol use Anxiety Anxiety Disorders - epidemiology Anxiety Disorders - psychology Australia - epidemiology Biology and Life Sciences Bullying Bullying - psychology Child Child development Children Cohort analysis Cohort Studies Confidence intervals Crime Victims - psychology Demographic aspects Elementary school students Epidemiology Female Health aspects Health risks Humans Interpersonal Relations Male Medicine and Health Sciences Men - psychology Mental disorders Mental Health Pediatric research Pediatrics People and Places Poisoning Population Psychological aspects Puberty Questionnaires Risk Factors Schools Self destructive behavior Self injurious behavior Self-Injurious Behavior - epidemiology Self-Injurious Behavior - psychology Self-injury Social behavior Social Sciences Socioeconomics Statistical analysis Statistics Students Teenagers Theft
title	Self-harm in primary school-aged children: Prospective cohort study
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