Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
AUTOR(ES)
Simioni, André R., Pan, Pedro M., Gadelha, Ary, Manfro, Gisele G., Mari, Jair J., Miguel, Eurípedes C., Rohde, Luis A., Salum, Giovanni A.
FONTE
Rev. Bras. Psiquiatr.
DATA DE PUBLICAÇÃO
21/08/2017
RESUMO
Objectives: Little is known about the prevalence and correlates of deliberate self-harm (DSH) in children from low- and middle-income countries. We investigated the prevalence of DSH and its clinical and maternal psychopathological associations in Brazilian children (n=2,508, ages 6-14y) in a community-based study. Methods: Participants of the High Risk Cohort Study for the Development of Childhood Psychiatric Disorders (HRC) and their mothers were assessed in structured interviews. Current (last month) and lifetime DSH were estimated, including analysis stratified by age groups. Logistic regressions were performed to investigate the role of the children’s clinical diagnoses and maternal psychopathology on DSH prevalence estimates, adjusting for potential confounding factors. Results: The prevalence of current DSH was 0.8% (children 0.6%, adolescents 1%) and lifetime DSH was 1.6% (1.8% and 1.5%, respectively). Current and lifetime DSH were more frequent in children with depression, attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), even in multiple models accounting for demographic variables and co-occurring psychiatric disorders. Maternal anxiety disorder was strongly associated with current and lifetime DSH in offspring; whereas current DSH, specifically in young children, was associated with maternal mood disorder. Conclusion: Diagnoses of depression, ADHD and ODD were consistently associated with DSH, as was having a mother with anxiety disorder.
Documentos Relacionados
- Social Representations about the Functions of Deliberate Self-Harm from Adults and Adolescents: A Qualitative Study
- Biting myself so I don’t bite the dust: prevalence and predictors of deliberate self-harm and suicide ideation in Azorean youths
- Deliberate self harm in adolescents: self report survey in schools in England
- A comparison between clinicians' assessment and the Manchester Self‐Harm Rule: a cohort study
- The area‐level association between hospital‐treated deliberate self‐harm, deprivation and social fragmentation in Ireland