Michael Kaess1, Lena Eppelmann2, Romuald Brunner3, Peter Parzer4, Franz Resch4, Vladimir Carli5, Camilla Wasserman5, Marco Sarchiapone6, Christina W Hoven7, Alan Apter8, Judit Balazs9, Shila Barzilay10, Julio Bobes11, Doina Cosman12, Lili O Horvath13, Jean-Pierre Kahn14, Helen Keeley15, Elaine McMahon16, Tina Podlogar17, Vita Postuvan17, Pilar A Saiz11, Alexandra Tubiana14, Airi Varnik18, Danuta Wasserman5. 1. University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland; Section of Translational Child and Adolescent Psychobiology, Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany. Electronic address: michael.kaess@upd.ch. 2. Section of Translational Child and Adolescent Psychobiology, Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany. 3. Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany; Clinic for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Regensburg, Regensburg, Germany. 4. Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany. 5. National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden. 6. Department of Health Sciences, University of Molise, Campobasso, Italy; National Institute for Health, Migration and Poverty, Rome, Italy. 7. Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University, New York; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York. 8. Feinberg Child Study Centre, Schneider Children's Medical Centre, Tel Aviv University, Tel Aviv, Israel. 9. Bjørknes University College, Oslo, Norway; Institute of Psychology Eotvos Lorand University, Budapest, Hungary. 10. Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University, New York; Child and Adolescent Psychiatry, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer Hospital, Tel Aviv University, Tel Aviv, Israel. 11. Department of Psychiatry, School of Medicine, Centro de Investigacion Biomedica en Red de Salud Mental, CIBERSAM, University of Oviedo, Oviedo, Spain. 12. Clinical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. 13. Institute of Psychology Eotvos Lorand University, Budapest, Hungary; Doctoral School of Psychology, Eotvos Lorand University, Budapest, Hungary. 14. Department of Psychiatry and Clinical Psychology, Centre Hospitalo-Universitaire (CHU) de Nancy, Universite de Lorraine, Nancy, France. 15. Health Service Executive, Cork, Ireland. 16. National Suicide Research Foundation, Cork, Ireland. 17. Slovene Center for Suicide Research, UP IAM, University of Primorska, Koper, Slovenia. 18. Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Tallinn, Estonia; School of Natural Sciences and Health, Tallinn University, Tallinn, Estonia.
Abstract
PURPOSE: Self-injurious behavior is a frequent phenomenon in adolescence. The present study prospectively examined life events as risk factors for the first onset of direct self-injurious behavior (D-SIB) in the Saving and Empowering Young Lives in Europe school-based multicenter sample. METHODS: Longitudinal assessments with an interval of 1 year were performed within a sample of 1,933 adolescents (51.47% females; mean age 14.84 ± .9 years) from 10 European countries and Israel. RESULTS: The number of life events during the past 6 months predicted the first onset of D-SIB in the following year. Gender neither predicted the onset of D-SIB nor moderated the association with life events. Moreover, analyses of individual events identified a range of mainly interpersonal events within both family and peer group as proximal risk factors for first episode D-SIB. CONCLUSIONS: The results support the critical role of interpersonal life events in the development of D-SIB for both genders and refine the conceptualization of proximal risk factors in terms of accumulated stressors and interpersonal events.
PURPOSE: Self-injurious behavior is a frequent phenomenon in adolescence. The present study prospectively examined life events as risk factors for the first onset of direct self-injurious behavior (D-SIB) in the Saving and Empowering Young Lives in Europe school-based multicenter sample. METHODS: Longitudinal assessments with an interval of 1 year were performed within a sample of 1,933 adolescents (51.47% females; mean age 14.84 ± .9 years) from 10 European countries and Israel. RESULTS: The number of life events during the past 6 months predicted the first onset of D-SIB in the following year. Gender neither predicted the onset of D-SIB nor moderated the association with life events. Moreover, analyses of individual events identified a range of mainly interpersonal events within both family and peer group as proximal risk factors for first episode D-SIB. CONCLUSIONS: The results support the critical role of interpersonal life events in the development of D-SIB for both genders and refine the conceptualization of proximal risk factors in terms of accumulated stressors and interpersonal events.
Authors: Oswald D Kothgassner; Kealagh Robinson; Andreas Goreis; Dennis Ougrin; Paul L Plener Journal: Borderline Personal Disord Emot Dysregul Date: 2020-05-11
Authors: Rohan Borschmann; Lisa K Mundy; Louise Canterford; Margarita Moreno-Betancur; Paul A Moran; Nicholas B Allen; Russell M Viner; Louisa Degenhardt; Silja Kosola; Izabela Fedyszyn; George C Patton Journal: PLoS One Date: 2020-11-30 Impact factor: 3.240
Authors: Katrina G Witt; Sarah E Hetrick; Gowri Rajaram; Philip Hazell; Tatiana L Taylor Salisbury; Ellen Townsend; Keith Hawton Journal: Cochrane Database Syst Rev Date: 2021-03-07