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Adolescent suicidal behaviours: a population-based study of risk.
Psychol Med 1997; 27(3):715-24PM

Abstract

BACKGROUND

Reports of adolescent suicidal behaviour have generally derived from clinical settings but population-based studies are likely to provide a clearer epidemiological view.

METHODS

Non-fatal suicidal behaviours were studied in 1699 Australian 15- to 16-year-old secondary school students at 44 schools in the state of Victoria, Australia. Self-reported episodes of self-harm were characterized using items from the Beck Suicide Intent Scale.

RESULTS

The 12 month weighted prevalence estimate for deliberate self-harm was 5.1%. The commonest forms were self-laceration (1.7%), self-poisoning (1.5%) and deliberate recklessness (1.8%). Self-poisoning and self-laceration were commoner in girls. The prevalence of 'true suicide attempts' was 0.2%. Most self-harmers did not perceive death as likely, plan self-harming episodes at length or inform others of the episodes. Psychiatric morbidity had the strongest association with self-harm, an association which held for all subtypes. Antisocial behaviour and substance abuse were associated with self-harm in girls but not boys. Sexual activity was independently associated with self-harm in both genders.

CONCLUSIONS

Deliberate self-harm was common but the great majority of episodes were not 'true suicide attempts'. It is, therefore, possible that attributable mortality and morbidity may be greater in self-harmers without definite suicidal intent.

Authors+Show Affiliations

Department of Psychiatry, University of Melbourne, Victoria, Australia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9153691

Citation

Patton, G C., et al. "Adolescent Suicidal Behaviours: a Population-based Study of Risk." Psychological Medicine, vol. 27, no. 3, 1997, pp. 715-24.
Patton GC, Harris R, Carlin JB, et al. Adolescent suicidal behaviours: a population-based study of risk. Psychol Med. 1997;27(3):715-24.
Patton, G. C., Harris, R., Carlin, J. B., Hibbert, M. E., Coffey, C., Schwartz, M., & Bowes, G. (1997). Adolescent suicidal behaviours: a population-based study of risk. Psychological Medicine, 27(3), pp. 715-24.
Patton GC, et al. Adolescent Suicidal Behaviours: a Population-based Study of Risk. Psychol Med. 1997;27(3):715-24. PubMed PMID: 9153691.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adolescent suicidal behaviours: a population-based study of risk. AU - Patton,G C, AU - Harris,R, AU - Carlin,J B, AU - Hibbert,M E, AU - Coffey,C, AU - Schwartz,M, AU - Bowes,G, PY - 1997/5/1/pubmed PY - 1997/5/1/medline PY - 1997/5/1/entrez SP - 715 EP - 24 JF - Psychological medicine JO - Psychol Med VL - 27 IS - 3 N2 - BACKGROUND: Reports of adolescent suicidal behaviour have generally derived from clinical settings but population-based studies are likely to provide a clearer epidemiological view. METHODS: Non-fatal suicidal behaviours were studied in 1699 Australian 15- to 16-year-old secondary school students at 44 schools in the state of Victoria, Australia. Self-reported episodes of self-harm were characterized using items from the Beck Suicide Intent Scale. RESULTS: The 12 month weighted prevalence estimate for deliberate self-harm was 5.1%. The commonest forms were self-laceration (1.7%), self-poisoning (1.5%) and deliberate recklessness (1.8%). Self-poisoning and self-laceration were commoner in girls. The prevalence of 'true suicide attempts' was 0.2%. Most self-harmers did not perceive death as likely, plan self-harming episodes at length or inform others of the episodes. Psychiatric morbidity had the strongest association with self-harm, an association which held for all subtypes. Antisocial behaviour and substance abuse were associated with self-harm in girls but not boys. Sexual activity was independently associated with self-harm in both genders. CONCLUSIONS: Deliberate self-harm was common but the great majority of episodes were not 'true suicide attempts'. It is, therefore, possible that attributable mortality and morbidity may be greater in self-harmers without definite suicidal intent. SN - 0033-2917 UR - https://www.unboundmedicine.com/medline/citation/9153691/Adolescent_suicidal_behaviours:_a_population_based_study_of_risk_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=9153691.ui DB - PRIME DP - Unbound Medicine ER -