Evidence map›Paper›PMID 32572615›Full record

ArticleEuropean child & adolescent psychiatry2021

Self-injury from early adolescence to early adulthood: age-related course, recurrence, and services use in males and females from the community.

Annekatrin Steinhoff, Denis Ribeaud, Stephan Kupferschmid, Nesrin Raible-Destan, Boris B Quednow, Urs Hepp, Manuel Eisner, Lilly Shanahan

Abstract read
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In one paragraph

Article in European child & adolescent psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
–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

38 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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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

8 authors.

Annekatrin SteinhoffJacobs Center for Productive Youth Development, University of Zurich, Andreasstrasse 15, 8050, Zurich, Switzerland. steinhoff@jacobscenter.uzh.ch.ORCID http://orcid.org/0000-0002-6260-4139
Denis RibeaudJacobs Center for Productive Youth Development, University of Zurich, Andreasstrasse 15, 8050, Zurich, Switzerland.
Stephan KupferschmidIntegrated Psychiatric Services Winterthur, Zurcher Unterland, P. O. Box 144, 8408, Winterthur, Switzerland.
Nesrin Raible-DestanIntegrated Psychiatric Services Winterthur, Zurcher Unterland, P. O. Box 144, 8408, Winterthur, Switzerland.
Boris B QuednowJacobs Center for Productive Youth Development, University of Zurich, Andreasstrasse 15, 8050, Zurich, Switzerland.
Urs HeppIntegrated Psychiatric Services Winterthur, Zurcher Unterland, P. O. Box 144, 8408, Winterthur, Switzerland.
Manuel EisnerJacobs Center for Productive Youth Development, University of Zurich, Andreasstrasse 15, 8050, Zurich, Switzerland.
Lilly ShanahanJacobs Center for Productive Youth Development, University of Zurich, Andreasstrasse 15, 8050, Zurich, Switzerland.

Funding

Jacobs Foundation 2010-888, 2013-1081-1Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 100014_132124, 100014_149979, 10FI14_170409
6 · The paper itself

Abstract

Adolescent self-injury is a widespread public health problem, but long-term longitudinal studies from European countries are rare. Self-injury in males and sex differences are poorly understood. This study describes the prevalence, frequency, age-related course, and recurrence of, and mental health services use related to adolescent self-injury. Data came from a Swiss prospective-longitudinal cohort study (N = 1482). Adolescents (52% male) reported frequency of self-injury and mental health services use (including reasons for and types of services use, hospitalizations) at ages 13, 15, 17, and 20. Between ages 13-20, 27% of adolescents reported self-injury at least once. In males, prevalence decreased from 12 to 5%; in females self-injury peaked at age 15 (16%) and then decreased (11% at age 20). In males, recurrence of self-injury increased after age 15 (from odds ratio [OR] < 3 to OR > 10); in females, recurrence was high from age 13 onwards (OR > 5). Predictors of recurrence included childhood/early adolescent internalizing symptoms and early self-injury onset. Typically, less than half of adolescents with self-injury used mental health services. Males with self-injury used services mainly for externalizing problems, learning difficulties, and attention/concentration problems; females for depression or self-injury, family problems, and victimization. Types of services used changed with age, and adolescents with self-injury had increased rates of hospitalization. There are notable sex differences in the longitudinal course of self-injury and reasons for related mental health services use. Treating early internalizing symptoms could be a promising target for preventing recurrent self-injury. Males are at particular risk of not receiving adequate treatment for self-injury.

Indexed as

AdolescentAdultAge FactorsCohort StudiesFemaleHumansLongitudinal StudiesMaleProspective StudiesRecurrenceSelf-Injurious BehaviorYoung AdultAdolescenceLongitudinalSelf-injuryServices useSex differencesYoung adulthood

Identifiers

PMID32572615
PMCPMC8140957

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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.