Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study

dc.citation.issue1
dc.citation.volume40
dc.contributor.authorSimioni, Andre R.
dc.contributor.authorPan, Pedro M. [UNIFESP]
dc.contributor.authorGadelha, Ary [UNIFESP]
dc.contributor.authorManfro, Gisele G.
dc.contributor.authorMari, Jair J. [UNIFESP]
dc.contributor.authorMiguel, Euripedes C.
dc.contributor.authorRohde, Luis A.
dc.contributor.authorSalum, Giovanni A.
dc.coverageSao Paulo
dc.date.accessioned2020-07-02T18:52:00Z
dc.date.available2020-07-02T18:52:00Z
dc.date.issued2018
dc.description.abstractObjectives: 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 offspringen
dc.description.abstractwhereas 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.en
dc.description.affiliationUniv Fed Rio Grande do Sul, HCPA, Secao Afeto Negat & Proc Sociais, Porto Alegre, RS, Brazil
dc.description.affiliationConselho Nacl Desenvolvimento Cient & Tecnol CNPq, INPD, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Rio Grande do Sul, Dept Psiquiatria, Programa Posgrad Psiquiatria & Ciencias Comportam, Porto Alegre, RS, Brazil
dc.description.affiliationUniv Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Sao Paulo, Dept & Inst Psiquiatria, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipInstituto Nacional de Psiquiatria do Desenvolvimento (INPD)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq) [573974/2008-0]
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2008/57896-8]
dc.description.sponsorshipBrazilian government agency: CNPq
dc.description.sponsorshipBrazilian government agency: FAPESP
dc.description.sponsorshipBrazilian government agency: Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
dc.description.sponsorshipBrazilian government agency: Fundacao de Amparo a Pesquisa do Estado do Rio Grande do Sul (FAPERGS)
dc.description.sponsorshipCNPq/CAPES Masters/PhD scholarships
dc.description.sponsorshipCNPq senior research scholarships [302463/2011-9]
dc.description.sponsorshipFAPERGS
dc.description.sponsorshipHospital de Clinicas de Porto Alegre (HCPA)
dc.description.sponsorshipCAPES
dc.description.sponsorshipCAPES/FAPERGS postdoctoral scholarship
dc.description.sponsorshipIDCNPq) [573974/2008-0]
dc.description.sponsorshipIDFAPESP [2008/57896-8]
dc.description.sponsorshipIDCNPq senior research scholarships [302463/2011-9]
dc.format.extent48-55
dc.identifierhttp://dx.doi.org/10.1590/1516-4446-2016-2124
dc.identifier.citationRevista Brasileira De Psiquiatria. Sao Paulo, v. 40, n. 1, p. 48-55, 2018.
dc.identifier.doi10.1590/1516-4446-2016-2124
dc.identifier.fileWOS000427922900008.pdf
dc.identifier.issn1516-4446
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/53819
dc.identifier.wosWOS:000427922900008
dc.language.isoeng
dc.publisherAssoc Brasileira Psiquiatria
dc.relation.ispartofRevista Brasileira De Psiquiatria
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDeliberate self-harmen
dc.subjectself-injurious behavioren
dc.subjectsuicide attempten
dc.subjectcommunity surveyen
dc.subjectfamily healthen
dc.subjectpsychopathologyen
dc.titlePrevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community studyen
dc.typeinfo:eu-repo/semantics/article
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