Evidence map›Paper›PMID 28878818›Full record

ArticleChild and adolescent psychiatry and mental health2017

Socioeconomic position and self-harm among adolescents: a population-based cohort study in Stockholm, Sweden.

Bereket T Lodebo, Jette Möller, Jan-Olov Larsson, Karin Engström

Abstract read
In one paragraph

Article in Child and adolescent psychiatry and mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Direct Self-Injurious Behavior (D-SIB) and Life Events among Vocational School and High School Students.International journal of environmental research and public health · 2018
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  9. NSSI contagion in adolescent friendships: exploring the impact of peer influence.Child and adolescent psychiatry and mental health · 2025
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  11. Evaluating Machine Learning for Predicting Youth Suicidal Behavior Up to 1 Year After Contact With Mental-Health Specialty Care.Clinical psychological science : a journal of the Association for Psychological Science · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Bereket T LodeboDepartment of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18a, 17177 Stockholm, Sweden.
Jette MöllerDepartment of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18a, 17177 Stockholm, Sweden.
Jan-Olov LarssonDepartment of Women's and Children's Health, Karolinska Institutet, 17177 Stockholm, Sweden.
Karin EngströmDepartment of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18a, 17177 Stockholm, Sweden.ORCID 0000-0002-2899-0443

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the association between parental socioeconomic position and self-harm in adolescence is crucial due to its substantial magnitude and associated inequality. Most previous studies have been either of cross-sectional nature or based solely on self-reports or hospital treated self-harm. The aim of this study is to determine the association between parental socioeconomic position and self-harm among adolescents with a specific focus on gender and severity of self-harm.

methodsA total of 165,932 adolescents born 1988-1994 who lived in Stockholm at the age of 13 were followed in registers until they turned 18. Self-harm was defined as first time self-harm and severity of self-harm was defined as hospitalized or not. Socioeconomic position was defined by parental education and household income. Cox proportional hazards regression were used to estimate hazard ratios (HR) with 95% confidence intervals (CI).

resultsAnalyses showed an association between parental socioeconomic position and self-harm. Among adolescents with parents with primary and secondary education compared to tertiary parental education the HR were 1.10 (95% CI 0.97-1.24) and 1.16 (95% CI 1.08-1.25) respectively. Compared to the highest income category, adolescents from the lower income categories were 1.08 (95% CI 0.97-1.22) to 1.19 (95% CI 1.07-1.33) times more likely to self-harm. In gender-stratified analyses, an association was found only among girls. Further, restriction to severe cases eliminated the association.

conclusionsThis study suggested that low parental socioeconomic position is associated with self-harm in adolescence, predominantly among girls. The desertion of an association among severe cases may be explained by differences in suicidal intent and underlying psychiatric diagnosis. Efforts to prevent self-harm should consider children with low parental socioeconomic position as a potential target group.

Indexed as

AdolescentCohortSelf-injurious behaviorSocial classSweden

Identifiers

PMID28878818
PMCPMC5585967

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.