Annekatrin Steinhoff|Denis Ribeaud|Stephan Kupferschmid|Nesrin Raible-Destan|Boris B. Quednow|Urs Hepp|Manuel Eisner|Lilly Shanahan
Self-injury from early adolescence to early adulthood: age-related course, recurrence, and services use in males and females from the community
University of Zurich|University of Zurich|Integrierte Psychiatrie Winterthur|Integrierte Psychiatrie Winterthur|University of Zurich|Integrierte Psychiatrie Winterthur|University of Zurich|University of Zurich
abstract adolescent selfinjury widespread public health problem longterm longitudinal studies european countries rare selfinjury males sex differences poorly understood study describes prevalence frequency agerelated course recurrence mental health services use related adolescent selfinjury data came swiss prospectivelongitudinal cohort study n 1482 adolescents 52 male reported frequency selfinjury mental health services use including reasons types services use hospitalizations ages 13 15 17 20 ages 1320 27 adolescents reported selfinjury least males prevalence decreased 12 5 females selfinjury peaked age 15 16 decreased 11 age 20 males recurrence selfinjury increased age 15 odds ratio lt 3 gt 10 females recurrence high age 13 onwards gt 5 predictors recurrence included childhoodearly adolescent internalizing symptoms early selfinjury onset typically less half adolescents selfinjury used mental health services males selfinjury used services mainly externalizing problems learning difficulties attentionconcentration problems females depression selfinjury family problems victimization types services used changed age adolescents selfinjury increased rates hospitalization notable sex differences longitudinal course selfinjury reasons related mental health services use treating early internalizing symptoms could promising target preventing recurrent selfinjury males particular risk receiving adequate treatment selfinjury