@article{ref1,
title="Factors associated with the development of self-harm amongst a socio-economically deprived cohort of adolescents in Santiago, Chile",
journal="Social psychiatry and psychiatric epidemiology",
year="2014",
author="Spears, Melissa and Montgomery, Alan A. and Gunnell, David and Araya, Ricardo",
volume="49",
number="4",
pages="629-637",
abstract="PURPOSE: Studies carried out in the West indicate that the incidence of self-harm (SH) is particularly high amongst adolescents, but few studies have investigated its incidence and aetiology in low-income countries. The purpose of this study was to investigate risk factors associated with new onset episodes of SH, amongst Chilean adolescents from low socio-economic backgrounds. METHODS: Prospective cohort study nested within a cluster randomised controlled trial. A 6-month follow-up for 2,042 adolescents, median age 14 years, from socio-economically deprived areas of Santiago, Chile. RESULTS: The lifetime prevalence of SH was 23 %. The incidence rate of SH at 6 months was 14 % amongst those reporting no SH at baseline. In multivariable analyses, risk factors for incident SH include depressive symptoms, suicidal thoughts, poor problem-solving skills and cannabis misuse. CONCLUSIONS: The prevalence and incidence of SH in this socio-economically deprived sample differed highly according to gender. Poor problem-solving skills, suicidal thoughts, and cannabis misuse were associated with onset of SH.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-013-0767-y",
url="http://dx.doi.org/10.1007/s00127-013-0767-y"
}