Citation

Kaess M, Eppelmann L, Brunner R, Parzer P, Resch F, Carli V, Wasserman C, Sarchiapone M, Hoven CW, Apter A, Balazs J, Barzilay S, Bobes J, Cosman D, Horváth LO, Kahn JP, Keeley H, McMahon E, Podlogar T, Postuvan V, Saiz PA, Tubiana A, Värnik A, Wasserman D. J. Adolesc. Health 2019; ePub(ePub): ePub.

Affiliation

National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.jadohealth.2019.08.018

PMID

31677986

Abstract

PURPOSE: Self-injurious behavior is a frequent phenomenon in adolescence. The present study prospectively examined life events as risk factors for the first onset of direct self-injurious behavior (D-SIB) in the Saving and Empowering Young Lives in Europe school-based multicenter sample.

METHODS: Longitudinal assessments with an interval of 1 year were performed within a sample of 1,933 adolescents (51.47% females; mean age 14.84 ±.9 years) from 10 European countries and Israel.

RESULTS: The number of life events during the past 6 months predicted the first onset of D-SIB in the following year. Gender neither predicted the onset of D-SIB nor moderated the association with life events. Moreover, analyses of individual events identified a range of mainly interpersonal events within both family and peer group as proximal risk factors for first episode D-SIB.

CONCLUSIONS: The results support the critical role of interpersonal life events in the development of D-SIB for both genders and refine the conceptualization of proximal risk factors in terms of accumulated stressors and interpersonal events.

Copyright © 2019 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Language: en

Keywords

Adolescents; D-SIB; Life events; SEYLE; Self-harm; Self-injury