Self-Harm Among 17-Year-Old Adolescents With/Without Disabilities in the United Kingdom.

IF 1.7 4区医学 Q3 PSYCHIATRY Crisis-The Journal of Crisis Intervention and Suicide Prevention Pub Date : 2024-09-01 Epub Date: 2024-03-15 DOI:10.1027/0227-5910/a000951

Eric Emerson, Zoe Aitken, Joanne Arciuli, Tania King, Gwynnyth Llewellyn, Anne Kavanagh

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Abstract

Background: Self-harm is a critical public health issue for adolescents/young adults. Aims: To estimate the prevalence of self-harm among adolescents with/without disabilities in the United Kingdom. Method: Secondary analysis of data collected at age 17 in the UK's Millennium Cohort Study. Results: Prevalence of self-harm was significantly greater among adolescents with disabilities for suicide attempts and six forms of self-harming behaviors. The lifetime prevalence of suicide attempts was 5.3% (4.5-6.3) among adolescents without disabilities, 21.9% (18.2-26.2) among adolescents with less limiting disabilities, and 25.5% (17.2-35.9) among adolescents with more limiting disabilities. Adjusted prevalence rate ratios ranged from 5.13 (3.58-7.36) for those with mental health limitations to 1.48 (0.65-3.35) for those with mobility limitations. Similar patterns were observed for the 12-month prevalence of six self-harming behaviors. Limitations: Further studies are needed to identify potential mediators of the association between disability and self-harm that are potentially modifiable. Conclusion: Adolescents with disabilities are at markedly greater probability of suicide attempts and self-harming behaviors than their peers.

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英国 17 岁残疾/非残疾青少年的自残行为。

背景：自我伤害是青少年/年轻成年人的一个重要公共卫生问题。目的：估计英国残疾/非残疾青少年中自我伤害的发生率。方法：对英国 17 岁青少年的数据进行二次分析：对英国千年队列研究中收集的 17 岁时的数据进行二次分析。结果：在企图自杀和六种自我伤害行为中，残疾青少年的自我伤害发生率明显更高。在非残疾青少年中，自杀未遂的终生发生率为 5.3%（4.5-6.3），在残疾程度较轻的青少年中为 21.9%（18.2-26.2），在残疾程度较高的青少年中为 25.5%（17.2-35.9）。调整后的患病率比从精神健康受限青少年的 5.13（3.58-7.36）到行动不便青少年的 1.48（0.65-3.35）不等。在六种自我伤害行为的 12 个月流行率方面也观察到了类似的模式。局限性：还需要进一步研究，以确定残疾与自我伤害之间关系的潜在调节因素。结论：与同龄人相比，残疾青少年自杀未遂和自残行为的概率明显更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Crisis-The Journal of Crisis Intervention and Suicide Prevention Multiple-

CiteScore

5.10

自引率

6.70%

发文量

期刊介绍： A must for all who need to keep up on the latest findings from both basic research and practical experience in the fields of suicide prevention and crisis intervention! This well-established periodical’s reputation for publishing important articles on suicidology and crisis intervention from around the world is being further enhanced with the move to 6 issues per year (previously 4) in 2010. But over and above its scientific reputation, Crisis also publishes potentially life-saving information for all those involved in crisis intervention and suicide prevention, making it important reading for clinicians, counselors, hotlines, and crisis intervention centers.