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Published in: European Child & Adolescent Psychiatry 1/2008

01-12-2008 | ORIGINAL CONTRIBUTION

Self-mutilation and suicidal behaviour in children and adolescents: prevalence and psychosocial correlates: results of the BELLA study

Authors: Prof. Dr. Franz Resch, Peter Parzer, Romuald Brunner, the BELLA study group

Published in: European Child & Adolescent Psychiatry | Special Issue 1/2008

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Abstract

Objective

To investigate the prevalence and psychosocial correlates of suicidal behaviour in a representative sample of children and adolescents in Germany.

Methods

Suicidal behaviour was assessed in the BELLA study in a sample of 2,863 families with children aged 7–17 using the corresponding questions from the child behavior check list and the youth self report. Self-reported as well as parent-reported measures of overall mental health problems, anxiety, depression, aggressive and delinquent behaviour, attention deficit-/hyperactivity as well as health-related quality of life were also administered.

Results

Self-mutilation and/or suicidal attempts within the last six months were reported by 2.9% of the adolescents 11–17 years of age. Suicidal thoughts were reported by 3.8% of the same group of adolescents. The prevalence rates reported by the parents were 1.4% for self-mutilation and/or suicidal attempts and 2.2% for suicidal thoughts. The prevalence of parent-reported self-mutilation/suicidal attempts in children below 11 years of age was very low. Youth reporting suicidal behaviour were older than youth not reporting suicidal behaviour. Children and adolescents exhibiting suicidal behaviour reported significantly more general mental health problems, depressive symptoms, anxiety, and hyperactivity as well as lower health-related quality of life.

Conclusions

There is a strong connection between suicidal behaviour and emotional and behavioural problems, especially with symptoms of depression, anxiety and hyperactivity. The association observed between attention deficit-/hyperactivity and suicidal behaviour requires further investigation. The differences in the extent of reported suicidal behaviour in adolescents between the self- and parent-ratings and the degree of confidentiality in the collection of the data are subjects for future research.
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Metadata
Title
Self-mutilation and suicidal behaviour in children and adolescents: prevalence and psychosocial correlates: results of the BELLA study
Authors
Prof. Dr. Franz Resch
Peter Parzer
Romuald Brunner
the BELLA study group
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
European Child & Adolescent Psychiatry / Issue Special Issue 1/2008
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-008-1010-3

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