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3038 – Characteristics of Non-suicidal Self-Injury and Suicide Attempts among Adolescents in Europe: Results from the European Research Consortium Seyle

Published online by Cambridge University Press:  15 April 2020

R. Brunner
Affiliation:
Child and Adolescent Psychiatry, University of Heidelberg, Heidelberg, Germany
M. Kaess
Affiliation:
Child and Adolescent Psychiatry, University of Heidelberg, Heidelberg, Germany
P. Parzer
Affiliation:
Child and Adolescent Psychiatry, University of Heidelberg, Heidelberg, Germany
G. Fischer
Affiliation:
Child and Adolescent Psychiatry, University of Heidelberg, Heidelberg, Germany
F. Resch
Affiliation:
Child and Adolescent Psychiatry, University of Heidelberg, Heidelberg, Germany
V. Carli
Affiliation:
National Centre for Suicide Research and Prevention, Karolinska Institute, Stockholm, Sweden
C. Hoven
Affiliation:
Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York, NY, USA
C. Wasserman
Affiliation:
Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York, NY, USA
M. Sarchiapone
Affiliation:
Health Science, University of Molise, Campobasso, Italy
D. Wasserman
Affiliation:
National Centre for Suicide Research and Prevention, Karolinska Institute, Stockholm, Sweden

Abstract

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Introduction

Non-suicidal self-injury (NSSI) is an increasing phenomenon among adolescents. So far, comparable data on prevalence and psychosocial correlates are still rare due to different definitions, study samples, and measures.

Aims

To investigate the prevalence and associated psychosocial factors of occasional and repetitive non-suicidal self-injury (NSSI) and its relationship to suicide attempts in a representative adolescent samples from eleven European countries.

Methods

Cross sectional assessment of adolescents was performed within the European Union funded project, Saving and Empowering Young Lives in Europe (SEYLE), which was conducted in eleven European countries. The representative sample comprised 12,068 adolescents (F/M: 6,717/5,351; mean age: 14.9±0.89) recruited from randomly selected schools. Frequency of NSSI was assessed by a modified version of the Deliberate Self-Harm Inventory (DSHI) and the Paykel Suicide Scale. Additionally, a broad range of demographic, social and psychological factors was assessed.

Results

Overall lifetime prevalence of NSSI was 27.6%; 19.7% reported occasional NSSI and 7.8% repetitive NSSI. Lifetime prevalence ranged from 17.1% to 38.6% across countries. Suicidality, anxiety and depression had the highest odds ratios for both occasional and repetitive NSSI.

Conclusions

Results suggest high lifetime prevalence of NSSI in European adolescents, with significant country differences. A strong association of NSSI with both psychopathology and risk-behaviours, including family-related neglect and peer-related rejection/victimization could be found. These results, combined with the observed gender and country differences, support the need for a multidimensional approach to better understand the development of NSSI and facilitate culturally adapted prevention/intervention.

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Abstract
Copyright
Copyright © European Psychiatric Association 2013
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