Evidence map›Paper›PMID 33253223›Full record

ArticlePloS one2020

Self-harm in primary school-aged children: Prospective cohort study.

Rohan Borschmann, Lisa K Mundy, Louise Canterford, Margarita Moreno-Betancur, Paul A Moran, Nicholas B Allen, Russell M Viner, Louisa Degenhardt, Silja Kosola, Izabela Fedyszyn and 1 more

Abstract read
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In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Current Phenomenon of Self-Harm in Children and Adolescents.Journal of the Korean Academy of Child and Adolescent Psychiatry · 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

11 authors.

Rohan BorschmannJustice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-0365-7775
Lisa K MundyCentre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Louise CanterfordCentre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Margarita Moreno-BetancurDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Paul A MoranCentre for Academic Mental Health, Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Nicholas B AllenDepartment of Psychology, University of Oregon, Eugene, Oregon, United States of America.
Russell M VinerChildren's Policy Research Unit, University College London, London, United Kingdom.
Louisa DegenhardtNational Drug and Alcohol Research Centre, UNSW Sydney, Sydney, NSW, Australia.
Silja KosolaPediatric Research Center, Helsinki Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0002-2881-8299
Izabela FedyszynCentre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
George C PattonCentre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

Funding

Using existing data to understand and ameliorate risk in opioid agonist therapyR01DA044170 · NIDA · UNIVERSITY OF NEW SOUTH WALES · PI DEGENHARDT, LOUISA · 2017 to 2019
$641k
Department of HealthNIDA NIH HHS R01 DA044170
6 · The paper itself

Abstract

introductionNo prospective studies have examined the prevalence, antecedents or concurrent characteristics associated with self-harm in non-treatment-seeking primary school-aged children.

methodsIn this cohort study from Melbourne, Australia we assessed 1239 children annually from age 8-9 years (wave 1) to 11-12 years (wave 4) on a range of health, social, educational and family measures. Past-year self-harm was assessed at wave 4. We estimated the prevalence of self-harm and used multivariable logistic regression to examine associations with concurrent and antecedent factors.

results28 participants (3% of the 1059 with self-harm data; 18 girls [3%], 10 boys [2%]) reported self-harm at age 11-12 years. Antecedent (waves 1-3) predictors of self-harm were: persistent symptoms of depression (sex-age-socioeconomic status adjusted odds ratio [aOR]: 7.8; 95% confidence intervals [CI] 2.6 to 24) or anxiety (aOR: 5.1; 95%CI 2.1 to 12), frequent bullying victimisation (aOR: 24.6; 95%CI 3.8 to 158), and recent alcohol consumption (aOR: 2.9; 95%CI 1.2 to 7.1). Concurrent (wave 4) associations with self-harm were: having few friends (aOR: 8.7; 95%CI 3.2 to 24), poor emotional control (aOR: 4.2; 95%CI 1.9 to 9.6), antisocial behaviour (theft-aOR: 3.1; 95%CI 1.2 to 7.9; carrying a weapon-aOR: 6.9; 95%CI 3.1 to 15), and being in mid-puberty (aOR: 6.5; 95%CI 1.5 to 28) or late/post-puberty (aOR: 14.4; 95%CI 2.9 to 70).

conclusionsThe focus of intervention efforts aimed at preventing and reducing adolescent self-harm should extend to primary school-aged children, with a focus on mental health and peer relationships during the pubertal transition.

Indexed as

Interpersonal RelationsAnxiety DisordersAustraliaBullyingChildCohort StudiesCrime VictimsFemaleHumansMaleMenMental HealthRisk FactorsSchoolsSelf-Injurious Behavior

Identifiers

PMID33253223
PMCPMC7703962

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.