Stephen R Zubrick1, Jennifer Hafekost2, Sarah E Johnson3, Michael G Sawyer4, George Patton5, David Lawrence6. 1. University of Western Australia, Graduate School of Education, Nedlands 6009, Western Australia, Australia; Telethon Kids Institute, University of Western Australia, Subiaco 6008, Western Australia, Australia. Electronic address: Stephen.Zubrick@uwa.edu.au. 2. Telethon Kids Institute, University of Western Australia, Subiaco 6008, Western Australia, Australia. Electronic address: Jennifer.Hafekost@telethonkids.org.au. 3. Telethon Kids Institute, University of Western Australia, Subiaco 6008, Western Australia, Australia. Electronic address: Sarah.Johnson@telethonkids.org.au. 4. School of Medicine, University of Adelaide, Adelaide, Australia; Research and Evaluation Unit, Women's and Children's Health Network, Adelaide, Australia. Electronic address: michael.sawyer@adelaide.ed.au. 5. Department of Paediatrics, University of Melbourne, Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, Victoria, Australia. Electronic address: george.patton@rch.org.au. 6. University of Western Australia, Graduate School of Education, Nedlands 6009, Western Australia, Australia; Telethon Kids Institute, University of Western Australia, Subiaco 6008, Western Australia, Australia. Electronic address: David.Lawrence@uwa.edu.au.
Abstract
BACKGROUND: There is a significant overlap between non-suicidal self-harm and suicidal ideation and behavior in young people with both symptom continuity and symptom duration implicated in this association. METHODS: A population sample of Australian 12-17 year olds. Interviewers collected measures for DSM disorders, symptom duration and continuity, and background information from their parents, while young people self-reported symptoms of depression, non-suicidal self-harm and suicidal ideation and behaviors. This report focusses on the 265 young people who met the DSM criteria for Major Depressive Disorder based on their own self-reports. RESULTS: Relative to young people who had at least one period 2 months or longer without symptoms since first onset, young people who had the continuous presence of depressive symptoms since their first onset had significantly higher odds for life-time self-harm, 12-month self-harm, multiple self-harm, suicidal ideation and suicide attempt within the past 12 months. The duration of depressive symptoms and the continuity of these symptoms each independently contribute to elevating the risks of non-suicidal self-harming and suicidal ideation and behaviors. LIMITATIONS: Reliance on self-report from the young people and time constraints prohibiting administering diagnostic modules other than the Major Depressive Disorder and estimating self-reported co-morbidity. CONCLUSIONS: Among young people with a Major Depressive Disorder, self-reports about duration of depressive symptoms as well as the continuity of symptoms, each independently contributes to elevated risks of non-suicidal self-harming and suicidal ideation and behaviors. As well, un-remitting as opposed to episodic symptoms in this group of young people are common and are a powerful indicator of suffering associated with both self-harm and suicidal behavior.
BACKGROUND: There is a significant overlap between non-suicidal self-harm and suicidal ideation and behavior in young people with both symptom continuity and symptom duration implicated in this association. METHODS: A population sample of Australian 12-17 year olds. Interviewers collected measures for DSM disorders, symptom duration and continuity, and background information from their parents, while young people self-reported symptoms of depression, non-suicidal self-harm and suicidal ideation and behaviors. This report focusses on the 265 young people who met the DSM criteria for Major Depressive Disorder based on their own self-reports. RESULTS: Relative to young people who had at least one period 2 months or longer without symptoms since first onset, young people who had the continuous presence of depressive symptoms since their first onset had significantly higher odds for life-time self-harm, 12-month self-harm, multiple self-harm, suicidal ideation and suicide attempt within the past 12 months. The duration of depressive symptoms and the continuity of these symptoms each independently contribute to elevating the risks of non-suicidal self-harming and suicidal ideation and behaviors. LIMITATIONS: Reliance on self-report from the young people and time constraints prohibiting administering diagnostic modules other than the Major Depressive Disorder and estimating self-reported co-morbidity. CONCLUSIONS: Among young people with a Major Depressive Disorder, self-reports about duration of depressive symptoms as well as the continuity of symptoms, each independently contributes to elevated risks of non-suicidal self-harming and suicidal ideation and behaviors. As well, un-remitting as opposed to episodic symptoms in this group of young people are common and are a powerful indicator of suffering associated with both self-harm and suicidal behavior.
Authors: Maya Schwartz-Lifshitz; David H Ben-Dor; Yael Bustan; Gil Zalsman; Doron Gothelf; Abraham Weizman; Ran Barzilay Journal: Arch Suicide Res Date: 2021-01-06
Authors: Udita Iyengar; Natasha Snowden; Joan R Asarnow; Paul Moran; Troy Tranah; Dennis Ougrin Journal: Front Psychiatry Date: 2018-11-23 Impact factor: 4.157
Authors: Huiqiong Xu; Xianbing Song; Shanshan Wang; Shichen Zhang; Shaojun Xu; Yuhui Wan Journal: Int J Environ Res Public Health Date: 2019-10-21 Impact factor: 3.390