ArticlePsychiatric services (Washington, D.C.)2023
Association Between Social Determinants of Health and Deliberate Self-Harm Among Youths With Psychiatric Diagnoses.
Article in Psychiatric services (Washington, D.C.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
The trial behind it
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Self-Harm and Suicide in Young People: Advancing Understanding and Intervention.Healthcare (Basel, Switzerland) · 2026Article
- Suicide Risk and Protective Factors Among Medicaid-Enrolled Black Youth With a Mental Health Diagnosis.JAMA network open · 2026Article
- Health behaviors, health, sociodemographic factors, and school success in adolescence as risk factors for injury deaths: a longitudinal study.BMC public health · 2025Article
- Suicidal behaviour in adolescents with affective disorders: A study in a crisis intervention unit (CIU).PloS one · 2025Observational
- Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe authors sought to examine the association between adverse social determinants of health (SDoHs) and risk for self-harm among youths.
methodsThe authors performed a retrospective longitudinal analysis of Ohio Medicaid claims data (April 1, 2016-December 31, 2018) of 244,958 youths (ages 10-17 years) with a primary psychiatric diagnosis. SDoHs were identified from
resultsDuring follow-up after an index claim event, 51,796 youths (21.1%) had at least one adverse SDoH indicator, and 3,262 (1.3%) had at least one self-harm event. Abuse and neglect (hazard ratio [HR]=1.90, 99% CI=1.70-2.12), child welfare placement (HR=1.32, 99% CI=1.04-1.67), parent-child conflict (HR=1.52, 99% CI=1.23-1.87), other family problems (HR=1.25, 99% CI=1.01-1.54), and nonspecific psychosocial needs (HR=1.41, 99% CI=1.06-1.89) were associated with significantly increased hazard of self-harm.
conclusionsAdverse SDoHs were significantly associated with self-harm, even after controlling for demographic and clinical characteristics, underscoring the need for capturing SDoH information in medical records to identify youths at elevated suicide risk and to inform targeted interventions.
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Registered trials
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