Adolescent health and subsequent risk of self-harm hospitalisation: a 15-year follow-up of the Young-HUNT cohort
Open accessAbstract
BACKGROUND: Self-harm is associated with increased suicide risk, and constitutes a major challenge in adolescent mental healthcare. In the current study, we examined the association between different aspects of adolescent health and risk of later self-harm requiring hospital admission. METHODS: We linked baseline information from 13 to 19 year old participants (n = 8965) in the Norwegian Young-HUNT 1 study to patient records of self-harm hospitalisation during 15 years of follow-up. We used Cox regression to estimate risk factor hazard ratios (HR). RESULTS: Eighty-nine persons (71% female) were admitted to hospital because of self-harm. Intoxication/self-poisoning was the most frequent method (81%). Both mental (anxiety/depression, loneliness, being bullied) and somatic (epilepsy, migraine) health issues were associated with up to fourfold increased risk of self-harm-related hospital admission. CONCLUSIONS: Several health issues during adolescence markedly increased the risk of later self-harm hospitalisation. Current findings should be incorporated in the strive to reduce self-harming and attempted suicides among young people.
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Junker et al. showed that loneliness, often accompanied by anxiety and depression, increased self-harm hospitalization risk among Norwegian adolescents.
“Similarly, Junker et al. [75] showed that loneliness, often accompanied by anxiety and depression, increased self-harm hospitalization risk among Norwegian adolescents.”
From The prospective association of adolescent loneliness and low resilience with anxiety and depression in young adulthood: The HUNT study (2025) · cites this paper as [75]
Four of the nine studies reporting adjusted effect sizes reported that the loneliness-SIB relationship remained significant after controlling for various demographic factors.
“Four of these studies reported that the loneliness-SIB relationship remained significant after controlling for various demographic factors”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Junker et al., 2017
Of the seven studies to measure suicidal behaviour, three identified a significant association; this included the three studies where self-harm was included as an outcome variable.
“Of the seven studies to measure suicidal behaviour, three identified a significant association; this included the three studies where self-harm was included as an outcome variable (Junker et al., 2017; Nickel et al., 2006; Wichstrøm, 2009).”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Junker et al., 2017
With the exception of Bennardi et al. (2019), who controlled for multiple demographics and health factors, and Junker et al. (2017), who controlled for age, all effect sizes were unadjusted.
“With the exception of both Bennardi et al. (2019) who controlled for multiple demographics and health factors, and Junker et al. (2017) who controlled for age, all effect sizes were unadjusted.”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Junker et al. (2017)
Junker et al. (2017) recruited significantly more participants than the other studies with follow-up outside the one-month to five-year timeframe.
“A distinguishing feature of Junker et al. (2017) was that they recruited significantly more participants than the other studies where follow-up was out-with the 1 month-5year timeframe.”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Junker et al. (2017)
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- Authors
- Junker, A., Bjørngaard, J. H., & Bjerkeset, O.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Corresponding author
- Junker, Asbjørn
- Venue
- Child and Adolescent Psychiatry and Mental Health
- Published
- 2017-05-01
- Volume
- 11
- Issue
- 1
- Pages
- 25-25
- ISSN
- 1753-2000 (ISSN-L)
- PMC
- PMC5410696
- OpenAlex
- W2609534884
- Cited by
- 25
- References
- 52
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 3 · 2023: 1 · 2022: 4 · 2020: 7 · 2019: 2 · 2018: 1
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Child and Adolescent Psychiatry and Mental Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- BIBSYS Brage (BIBSYS (Norway)) (acceptedVersion, cc-by)
- BIBSYS Brage (BIBSYS (Norway)) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Norges Teknisk-Naturvitenskapelige Universitet (2015/3436/NRS)
- 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
- adolescent self-harm, adolescent mental health, anxiety, depression, loneliness, bullying, epilepsy, migraine, suicide risk, risk factors
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