@article{ref1,
title="Deliberate self-harm among children with disabilities in China: a matched case-control study",
journal="Pediatric research",
year="2019",
author="Gao, Qi and Xiang, Henry and Xiang, Yu-Tao and Zhu, Huiping",
volume="85",
number="3",
pages="275-282",
abstract="BACKGROUND: Study about deliberate self-harm (DSH) in children with different types of disabilities was scarce. This study compared the incidence and patterns of DSH between children with and without disabilities aged 6-17 years using a matched case-control study in Beijing. <br><br>METHODS: A total of 650 pairs of children with and without disabilities were surveyed. Characteristics of latest episode of self-harm within the 12 months were compared. Associations between disability status, sociodemographic factors, smoking, drinking, sleep problems, and self-harm were examined. <br><br>RESULTS: Children with disabilities showed significant higher incidence of DSH than children without disabilities. Two groups differed significantly in terms of self-harm methods, body parts injured, premeditation, wishing to be known by others and help-seeking behavior. The adjusted OR for self-harm was 4.76 (2.99-7.55) for children with disabilities compared with children without disabilities. Children who slept fewer than 6 h per night, had difficulty falling asleep at night sometimes/often, and went to sleep after midnight 1 to 3 nights per month or at least once a week were at elevated risk of self-harm. <br><br>CONCLUSION: This study highlights a strong relationship between disability, sleep problems, and DSH. Interventions to reduce self-harm should target disability and sleep problems as important risk factors.<p /> <p>Language: en</p>",
language="en",
issn="0031-3998",
doi="10.1038/s41390-018-0258-7",
url="http://dx.doi.org/10.1038/s41390-018-0258-7"
}