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Non-suicidal self-injury among psychiatric outpatient adolescent offspring of Croatian posttraumatic stress disorder male war veterans: Prevalence and psychosocial correlates.
Int J Soc Psychiatry 2015; 61(3):265-74IJ

Abstract

BACKGROUND

The children of male veterans with combat-related posttraumatic stress disorder (PTSD) are at particularly high risk of emotional and behavioral problems. However, no studies have examined non-suicidal self-injury (NSSI) in this population of youth.

AIMS

To determine the prevalence and psychosocial correlates of lifetime NSSI in a sample of psychiatric outpatient adolescent offspring of Croatian PTSD male veterans.

METHOD

Consecutive outpatient adolescent offspring of Croatian male PTSD veterans, aged 12 to 18 years, were assessed on the Deliberate Self Harm Inventory, the Youth Self-Report, the Family Assessment Device, the Parental Bonding Instrument and the Demographics Questionnaire.

RESULTS

Of the whole sample, 52.7% of adolescents reported NSSI at least once during their lifetime. Lifetime NSSI was significantly associated with internalizing symptoms (adjusted odds ratio (OR) = 2.14; 95% confidence interval (CI): 1.04-4.42, p = .040), poor family functioning (adjusted OR = 6.54; 95% CI: 2.02-21.22, p = .002), lower maternal and paternal care (adjusted OR = 0.47; 95% CI: 0.40-0.56, p = .000 and adjusted OR = 0.82; 95% CI: 0.73-0.91, p = .000, respectively) and higher paternal control (adjusted OR = 1.84; 95% CI: 1.59-2.14, p = .000) in multivariate analysis. No association was found between lifetime NSSI and any of the socio-demographic variables.

CONCLUSION

NSSI is a significant clinical problem in outpatient adolescent offspring of PTSD male veterans, which may be influenced by clinical and family factors. Interventions aimed at reducing internalizing symptoms and improving family functioning and parental behaviors are needed in the treatment of adolescent offspring of male PTSD veterans engaging in NSSI.

Authors+Show Affiliations

Psychiatric Hospital for Children and Adolescents, Zagreb, Croatia vlatka.boricevic@zg.t-com.hr.Department of Psychiatry, University Hospital Center Zagreb, Zagreb, Croatia.Department of Dermatology, University Hospital Center Sestre Milosrdnice, Zagreb, Croatia.Psychiatric Hospital for Children and Adolescents, Zagreb, Croatia.Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia.Neuropsychiatric Hospital Dr. I. Barbot, Popovača, Croatia.Psychiatric Hospital for Children and Adolescents, Zagreb, Croatia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25008331

Citation

Boričević Maršanić, Vlatka, et al. "Non-suicidal Self-injury Among Psychiatric Outpatient Adolescent Offspring of Croatian Posttraumatic Stress Disorder Male War Veterans: Prevalence and Psychosocial Correlates." The International Journal of Social Psychiatry, vol. 61, no. 3, 2015, pp. 265-74.
Boričević Maršanić V, Aukst Margetić B, Ožanić Bulić S, et al. Non-suicidal self-injury among psychiatric outpatient adolescent offspring of Croatian posttraumatic stress disorder male war veterans: Prevalence and psychosocial correlates. Int J Soc Psychiatry. 2015;61(3):265-74.
Boričević Maršanić, V., Aukst Margetić, B., Ožanić Bulić, S., Đuretić, I., Kniewald, H., Jukić, T., & Paradžik, L. (2015). Non-suicidal self-injury among psychiatric outpatient adolescent offspring of Croatian posttraumatic stress disorder male war veterans: Prevalence and psychosocial correlates. The International Journal of Social Psychiatry, 61(3), pp. 265-74. doi:10.1177/0020764014541248.
Boričević Maršanić V, et al. Non-suicidal Self-injury Among Psychiatric Outpatient Adolescent Offspring of Croatian Posttraumatic Stress Disorder Male War Veterans: Prevalence and Psychosocial Correlates. Int J Soc Psychiatry. 2015;61(3):265-74. PubMed PMID: 25008331.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-suicidal self-injury among psychiatric outpatient adolescent offspring of Croatian posttraumatic stress disorder male war veterans: Prevalence and psychosocial correlates. AU - Boričević Maršanić,Vlatka, AU - Aukst Margetić,Branka, AU - Ožanić Bulić,Suzana, AU - Đuretić,Irena, AU - Kniewald,Hrvoje, AU - Jukić,Tatjana, AU - Paradžik,Ljubica, Y1 - 2014/07/09/ PY - 2014/7/11/entrez PY - 2014/7/11/pubmed PY - 2016/1/15/medline KW - Non-suicidal self-injury KW - adolescent offspring KW - combat-related posttraumatic stress disorder KW - male veterans SP - 265 EP - 74 JF - The International journal of social psychiatry JO - Int J Soc Psychiatry VL - 61 IS - 3 N2 - BACKGROUND: The children of male veterans with combat-related posttraumatic stress disorder (PTSD) are at particularly high risk of emotional and behavioral problems. However, no studies have examined non-suicidal self-injury (NSSI) in this population of youth. AIMS: To determine the prevalence and psychosocial correlates of lifetime NSSI in a sample of psychiatric outpatient adolescent offspring of Croatian PTSD male veterans. METHOD: Consecutive outpatient adolescent offspring of Croatian male PTSD veterans, aged 12 to 18 years, were assessed on the Deliberate Self Harm Inventory, the Youth Self-Report, the Family Assessment Device, the Parental Bonding Instrument and the Demographics Questionnaire. RESULTS: Of the whole sample, 52.7% of adolescents reported NSSI at least once during their lifetime. Lifetime NSSI was significantly associated with internalizing symptoms (adjusted odds ratio (OR) = 2.14; 95% confidence interval (CI): 1.04-4.42, p = .040), poor family functioning (adjusted OR = 6.54; 95% CI: 2.02-21.22, p = .002), lower maternal and paternal care (adjusted OR = 0.47; 95% CI: 0.40-0.56, p = .000 and adjusted OR = 0.82; 95% CI: 0.73-0.91, p = .000, respectively) and higher paternal control (adjusted OR = 1.84; 95% CI: 1.59-2.14, p = .000) in multivariate analysis. No association was found between lifetime NSSI and any of the socio-demographic variables. CONCLUSION: NSSI is a significant clinical problem in outpatient adolescent offspring of PTSD male veterans, which may be influenced by clinical and family factors. Interventions aimed at reducing internalizing symptoms and improving family functioning and parental behaviors are needed in the treatment of adolescent offspring of male PTSD veterans engaging in NSSI. SN - 1741-2854 UR - https://www.unboundmedicine.com/medline/citation/25008331/Non_suicidal_self_injury_among_psychiatric_outpatient_adolescent_offspring_of_Croatian_posttraumatic_stress_disorder_male_war_veterans:_Prevalence_and_psychosocial_correlates_ L2 - http://journals.sagepub.com/doi/full/10.1177/0020764014541248?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -