Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
Simioni, Andre R.
Pan, Pedro M. [UNIFESP]
Gadelha, Ary [UNIFESP]
Manfro, Gisele G.
Mari, Jair J. [UNIFESP]
Miguel, Euripedes C.
Rohde, Luis A.
Salum, Giovanni A.
Is part ofRevista Brasileira De Psiquiatria
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Objectives: Little is known about the prevalence and correlates of deliberate self-harm (DSH) in children from low- and middle-income countries. We investigated the prevalence of DSH and its clinical and maternal psychopathological associations in Brazilian children (n=2,508, ages 6-14y) in a community-based study. Methods: Participants of the High Risk Cohort Study for the Development of Childhood Psychiatric Disorders (HRC) and their mothers were assessed in structured interviews. Current (last month) and lifetime DSH were estimated, including analysis stratified by age groups. Logistic regressions were performed to investigate the role of the children's clinical diagnoses and maternal psychopathology on DSH prevalence estimates, adjusting for potential confounding factors. Results: The prevalence of current DSH was 0.8% (children 0.6%, adolescents 1%) and lifetime DSH was 1.6% (1.8% and 1.5%, respectively). Current and lifetime DSH were more frequent in children with depression, attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), even in multiple models accounting for demographic variables and co-occurring psychiatric disorders. Maternal anxiety disorder was strongly associated with current and lifetime DSH in offspringwhereas current DSH, specifically in young children, was associated with maternal mood disorder. Conclusion: Diagnoses of depression, ADHD and ODD were consistently associated with DSH, as was having a mother with anxiety disorder.
CitationRevista Brasileira De Psiquiatria. Sao Paulo, v. 40, n. 1, p. 48-55, 2018.
SponsorshipInstituto Nacional de Psiquiatria do Desenvolvimento (INPD)
Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq) [573974/2008-0]
Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2008/57896-8]
Brazilian government agency: CNPq
Brazilian government agency: FAPESP
Brazilian government agency: Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
Brazilian government agency: Fundacao de Amparo a Pesquisa do Estado do Rio Grande do Sul (FAPERGS)
CNPq/CAPES Masters/PhD scholarships
CNPq senior research scholarships [302463/2011-9]
Hospital de Clinicas de Porto Alegre (HCPA)
CAPES/FAPERGS postdoctoral scholarship
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