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

Detalhes bibliográficos
Autor(a) principal: Simioni, Andre R.
Data de Publicação: 2018
Outros Autores: Pan, Pedro M. [UNIFESP], Gadelha, Ary [UNIFESP], Manfro, Gisele G., Mari, Jair J. [UNIFESP], Miguel, Euripedes C., Rohde, Luis A., Salum, Giovanni A.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/1516-4446-2016-2124
https://repositorio.unifesp.br/handle/11600/53819
Resumo: 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 offspring
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spelling Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community studyDeliberate self-harmself-injurious behaviorsuicide attemptcommunity surveyfamily healthpsychopathologyObjectives: 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.Univ Fed Rio Grande do Sul, HCPA, Secao Afeto Negat & Proc Sociais, Porto Alegre, RS, BrazilConselho Nacl Desenvolvimento Cient & Tecnol CNPq, INPD, Sao Paulo, SP, BrazilUniv Fed Rio Grande do Sul, Dept Psiquiatria, Programa Posgrad Psiquiatria & Ciencias Comportam, Porto Alegre, RS, BrazilUniv Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, BrazilUniv Sao Paulo, Dept & Inst Psiquiatria, Sao Paulo, SP, BrazilUniv Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, BrazilWeb of ScienceInstituto 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: CNPqBrazilian government agency: FAPESPBrazilian 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 scholarshipsCNPq senior research scholarships [302463/2011-9]FAPERGSHospital de Clinicas de Porto Alegre (HCPA)CAPESCAPES/FAPERGS postdoctoral scholarshipCNPq) [573974/2008-0]FAPESP [2008/57896-8]CNPq senior research scholarships [302463/2011-9]Assoc Brasileira Psiquiatria2020-07-02T18:52:00Z2020-07-02T18:52:00Z2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion48-55application/pdfhttp://dx.doi.org/10.1590/1516-4446-2016-2124Revista Brasileira De Psiquiatria. Sao Paulo, v. 40, n. 1, p. 48-55, 2018.10.1590/1516-4446-2016-2124WOS000427922900008.pdf1516-4446https://repositorio.unifesp.br/handle/11600/53819WOS:000427922900008engRevista Brasileira De PsiquiatriaSao Pauloinfo:eu-repo/semantics/openAccessSimioni, 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.reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-03T04:54:36Zoai:repositorio.unifesp.br/:11600/53819Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-03T04:54:36Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
title Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
spellingShingle Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
Simioni, Andre R.
Deliberate self-harm
self-injurious behavior
suicide attempt
community survey
family health
psychopathology
title_short Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
title_full Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
title_fullStr Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
title_full_unstemmed Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
title_sort Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
author Simioni, Andre R.
author_facet 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.
author_role author
author2 Pan, Pedro M. [UNIFESP]
Gadelha, Ary [UNIFESP]
Manfro, Gisele G.
Mari, Jair J. [UNIFESP]
Miguel, Euripedes C.
Rohde, Luis A.
Salum, Giovanni A.
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv 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.
dc.subject.por.fl_str_mv Deliberate self-harm
self-injurious behavior
suicide attempt
community survey
family health
psychopathology
topic Deliberate self-harm
self-injurious behavior
suicide attempt
community survey
family health
psychopathology
description 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 offspring
publishDate 2018
dc.date.none.fl_str_mv 2018
2020-07-02T18:52:00Z
2020-07-02T18:52:00Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/1516-4446-2016-2124
Revista Brasileira De Psiquiatria. Sao Paulo, v. 40, n. 1, p. 48-55, 2018.
10.1590/1516-4446-2016-2124
WOS000427922900008.pdf
1516-4446
https://repositorio.unifesp.br/handle/11600/53819
WOS:000427922900008
url http://dx.doi.org/10.1590/1516-4446-2016-2124
https://repositorio.unifesp.br/handle/11600/53819
identifier_str_mv Revista Brasileira De Psiquiatria. Sao Paulo, v. 40, n. 1, p. 48-55, 2018.
10.1590/1516-4446-2016-2124
WOS000427922900008.pdf
1516-4446
WOS:000427922900008
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Revista Brasileira De Psiquiatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 48-55
application/pdf
dc.coverage.none.fl_str_mv Sao Paulo
dc.publisher.none.fl_str_mv Assoc Brasileira Psiquiatria
publisher.none.fl_str_mv Assoc Brasileira Psiquiatria
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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