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European Child & Adolescent Psychiatry

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01-04-2008 | ORIGINAL CONTRIBUTION

Deliberate self-harm in young people: differences in prevalence and risk factors between The Netherlands and Belgium

Authors: Gwendolyn Portzky, Erik-Jan De Wilde, Kees van Heeringen

Published in: European Child & Adolescent Psychiatry | Issue 3/2008

Abstract

Background

This study aimed to examine prevalence and risk factors of deliberate self-harm in Dutch and Dutch-speaking Belgian adolescents.

Method

A cross sectional survey using an anonymous self report questionnaire was performed in both countries. Data on 4,431 Belgian and 4,458 Dutch 15–16 year-old school pupils were analyzed.

Results

Results showed a significant difference between the two countries indicating that lifetime and past year prevalence of deliberate self-harm were both 2.8 times higher in Belgian adolescents than in Dutch adolescents. Further analyses identified differences in the prevalence of factors associated with deliberate self-harm, with Belgian adolescents showing significant higher scores on anxiety, less problem-oriented coping and more common use of alcohol and soft drugs. Belgian adolescents were also at higher risk for the experience of several life events in the previous year and before that such as conflicts with peers, parents and partner, being bullied at school or exposure to suicidal behavior in family and friends. In addition, Belgian adolescents showed less communication with family or teachers about their problems and difficulties.

Conclusions

The results of the study suggest that the increased risk of deliberate self-harm among Belgian adolescents may be associated with an increased reporting of several important life events and with additional ineffective problem-solving such as less problem-oriented coping, more substance use and less communication about their problems. These results support the assumption that sociocultural aspects of nations can influence the risk of deliberate self-harm and are important to consider when developing prevention strategies.

Bhugra D, Mastrogianni A (2004) Globalisation and mental disorder – Overview with relation to depression. Br J Psychiatry 184:10–20PubMedCrossRef

Brent D, Perper J, Moritz G, Allman C, Friend A, Roth G et al (1993) Psychiatric risk factors for adolescent suicide: a case control study. J Am Acad Child Adolesc Psychiatry 32:521–529PubMedCrossRef

Bridge J, Goldstein T, Brent D (2006) Adolescent suicide and suicidal behaviour. J Child Psychol Psychiatry 47:372–394PubMedCrossRef

De Wilde EJ, Kienhorst CWM (1994) Suicide attempts in adolescence: self-report and other report. In: Kerkhof AJFM, et al. (Eds) Attempted suicide in Europe: findings from the multicentre study on parasuicide by the WHO regional office for Europe. DSWO Press, The Netherlands pp 263–269

Eskin M (1995a) Adolescents attitudes toward suicide and a suicidal peer. A comparison between Swedish and Turkish high-school students. Scand J Psychol 36:201–207PubMed

Eskin M (1995b) Suicidal behaviour as related to social support and assertiveness among Swedish and Turkish high-school students. A cross-cultural investigation. J Clin Psychol 51:158–172PubMedCrossRef

Eskin M (2003) A cross-cultural investigation of the communication of suicidal intent in Swedish and Turkish adolescents. Scand J Psychol 44:1–6PubMedCrossRef

Evans E, Hawton K, Rodham K (2004) Factors associated with suicidal phenomena in adolescents: a systematic review of population-based studies. Clin Psychol Rev 24:957–979PubMedCrossRef

Evans E, Hawton K, Rodham K (2005) In what ways are adolescents who engage in self-harm or experience thoughts of self-harm different in terms of help-seeking, communication and coping strategies. J Adolesc 28:573–587PubMedCrossRef

10.

Folkman S, Lazarus R (1986) Stress processes and depressive symptomatology. J Abnorm Psychol 95:107–113PubMedCrossRef

11.

Folkman S, Lazarus R, Dunkel-Schetter C, DeLongis A, Gruen R (1986) Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. J Pers Soc Psychol 50:992–1003PubMedCrossRef

12.

Gonzalez-Forteza C, Alvarez-Ruiz M, Saldana-Henandez A, Carreno-Garcia S (2005) Prevalence of deliberate self-harm in teenage students in the state of Guanajuato, Mexico: 2003. Soc Behav Pers 33:777–792CrossRef

13.

Hawton K, Arensman E, Wasserman D, Hulten A, Bille-Brahe U, Bjerke T et al (1998) Relation between suicide and attempted suicide rates among young people in Europe. J Epidemiol Community Health 52:191–194PubMedCrossRef

14.

van Heeringen C, De Volder V (2002) Trends in attempted suicide in adolescents and young adults 1986–1995. Arch Suicide Res 6:135–143CrossRef

15.

Laye-Gindhu A, Schonert-Reichl K (2005) Nonsuicidal self-harm among community adolescents: understanding the “Whats” and “Whys” of self-harm. J Youth Adolesc 34:447–457CrossRef

16.

Nada-Raja S, Skegg K, Langley J, Morrison D, Sowerby P (2004) Self-harmful behaviors in a population-based sample of young adults. Suicide Life Threat Behav 34:177–186PubMedCrossRef

17.

Platt S, Bille-Braje U, Kerkhof A, Schmidtke A, Bjerke T, Crepet P, De Leo D, Haring C, Lönnqvist J, Michel K, Philippe A, Pommereau X, Querejeta, Salanderberg E, Temesvary B, Wasserman D, Faria J (1992) Parasuicide in Europe. The WHO/EURO Multicentre study on parasuicide. Introduction and preliminary analysis for 1989. Acta Psychiatr Scand 85:97–104PubMedCrossRef

18.

Plutchik R, van Praag HM, Picard S, Conte HR, Korn M (1989) Is there a relation between the seriousness of suicidal intent and the lethality of the suicide attempt? Psychiatry Res 27:71–79PubMedCrossRef

19.

Robson P (1989) Development of a new self-report questionnaire to measure self-esteem. Psychol Med 19:513–518PubMedCrossRef

20.

Rowley J, Ganter K, Fitzpatrick C (2001) Suicidal thoughts and acts in Irish adolescents. Ir J Psychol Med 18:82–86

21.

Shiang J, Kjellander C, Huang K, et al. (1998) Developing cultural competency in clinical practice: Treatment considerations for Chinese cultural groups in the United States. Clin Psychol-Sci Pr 5:182–210CrossRef

22.

Skegg K (2005) Self-harm. Lancet 366:1471–1483PubMedCrossRef

23.

Weismann M, Bland R, Canino C, Greenwald S (1999). Prevalence of suicide ideations and suicide attempts in nine countries. Psychol Med 29:9–17CrossRef

24.

White D, Leach R, Sims R, Atkinson M, Cottrel D (1999) Validation of the Hospital Anxiety and Depression Scale for use with adolescents. Br J Psychiatry 175:452–454PubMed

25.

World Health Organisation (2005) Suicide rates per 100.000 by country, year and sex. Available at http://www.who.int/mental_health/prevention/suicide_rates/en/index.html

Title: Deliberate self-harm in young people: differences in prevalence and risk factors between The Netherlands and Belgium
Authors: Gwendolyn Portzky
Erik-Jan De Wilde
Kees van Heeringen
Publication date: 01-04-2008
Publisher: Steinkopff-Verlag
Published in: European Child & Adolescent Psychiatry / Issue 3/2008
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-007-0652-x

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Springer Medicine

Deliberate self-harm in young people: differences in prevalence and risk factors between The Netherlands and Belgium

Abstract

Background

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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