Deliberate self‐harm in adolescents: Comparison between those who receive help following self‐harm and those who do not
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This international comparative study addresses differences between adolescents who engage in deliberate self‐harm (DSH) and who receive help following the DSH episode versus those who do not. A standardised self‐report questionnaire was completed by pupils aged 14–17 in Australia, Belgium, England, Hungary, Ireland, The Netherlands, and Norway (n = 30 532). An act of DSH in the year prior to the study was reported by 1660 participants. Nearly half (48.4%) had not received any help following DSH, 32.8% had received help from their social network only and 18.8% from health services. Except for Hungary, cross‐national comparisons revealed remarkably similar findings. Adolescents who had been in contact with health services following DSH reported more often a wish to die, lethal methods, alcohol/drug problems and DSH in the family compared to those who had not. However, those who received no help or help from their social network only were also heavily burdened.
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Only 10% to 20% of adolescents who have self-harmed report receiving any kind of subsequent treatment.
“Only 10% to 20% of adolescents who have self-harmed report receiving any kind of subsequent treatment.4”
From Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial (2014) · cites this paper as [4]
The ‘Contact with health services and other sources of help’ passage (page unavailable) reports that 18.8% of adolescents who self-harmed received help from health services, within the claimed range. The study measured help received, not whether adolescents received treatment, so the treatment wording is not established. (LLM, conf=0.86)
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- Authors
- Ystgaard, M., Arensman, E., Hawton, K., Madge, N., van Heeringen, K., Hewitt, A., Jan de Wilde, E., De Leo, D., & Fekete, S.
- Affiliations
- Center for Child and Adolescent Mental Health, Eastern and Southern Norway (NO)
- National Suicide Research Foundation (IE)
- University of Oxford (GB)
- Brunel University of London (GB)
- Unit of Suicide Research Ghent University Belgium
- Statistics New Zealand (NZ)
- Knowledge Centre Netherlands Youth Institute the Netherlands
- Australian Institute for Suicide Research and Prevention Griffith University Australia
- Department of Psychiatry University of Pecs Hungary
- Corresponding author
- Ystgaard, Mette
- Venue
- Journal of Adolescence
- Publisher
- Wiley
- Published
- 2008-11-22
- Volume
- 32
- Issue
- 4
- Pages
- 875-891
- ISSN
- 0140-1971 (ISSN-L)
- 1095-9254
- OpenAlex
- W2069866319
- Cited by
- 127
- References
- 20
- Citations by year
- 2025: 5 · 2024: 6 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 13 · 2019: 4 · 2018: 7 · 2017: 3 · 2016: 16 · 2015: 13 · 2014: 12 · 2013: 8 · 2012: 17
- FWCI
- 4.46
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Adolescence (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Griffith Research Online (submittedVersion)
- Funders
- EkstraStiftelsen Helse og Rehabilitering
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Keywords
- self-harm, adolescents, help-seeking, health services, social networks, suicidal ideation, alcohol and drug problems, cross-national comparison, mental health burden
- MeSH terms
- Adolescent, Europe, Female, Health Services, Humans, Male, Surveys and Questionnaires, Social Support, Self-Injurious Behavior, Outcome Assessment, Health Care
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