Correlates of self-harm and suicide attempts in justice-involved young people.

Benjamin Spivak,Kenji Hashimoto,Stuart A Kinner,Stephane Shepherd,Henning Hachtel,Rohan Borschmann

doi:10.1371/journal.pone.0193172

Abstract

The purpose of this study was to ascertain the prevalence and correlates of self-harm among young people in detention in Australia. The sample included 215 (177 male; 38 female) young people who were in youth detention in the state of Victoria, Australia. Participants were administered a series of questionnaires related to self-harm, mental health, socio-environmental experiences and behaviours. Overall, one-third (33%) of the sample reported previous self-harm and 12% reported at least one suicide attempt. In a multivariate logistic regression analysis, a history of childhood trauma, contact with mental health services, and low educational interest significantly increased the likelihood of self-harm. Young people who reported a suicide attempt scored significantly higher on the measure of childhood trauma than did youth who had engaged in non-suicidal self-harm. Findings demonstrate a strong connection between childhood traumatic experiences and suicidal behaviours for youth in detention. Trauma histories and mental health concerns must be considered when identifying youth at increased risk of self-harm.

Highlights

IntroductionSelf-harm refers to intentional self-injurious behaviour (such as self-poisoning or self-cutting) with or without suicidal intent [1]
Self-harm refers to intentional self-injurious behaviour with or without suicidal intent [1]
In Australia, the median age for death as a result of suicide is around 45 years [3], the initiation of suicidal behaviour often occurs during adolescence [4,5]

Summary

Introduction

Self-harm refers to intentional self-injurious behaviour (such as self-poisoning or self-cutting) with or without suicidal intent [1]. Self-harm is a predictor of future suicide attempts and suicide deaths [2]. In Australia, the median age for death as a result of suicide is around 45 years [3], the initiation of suicidal behaviour often occurs during adolescence [4,5]. Adolescents who self-harm often have poorer health outcomes and shorter life expectancies [4,6,7,8]. Suicide is the leading cause of death among adolescents in Australia [3] and among.

Objectives

Methods

Results

Discussion

Conclusion