@article{ref1,
title="Self-harm behaviors, suicidal ideation, and associated factors among rural left-behind children in west China",
journal="Annals of epidemiology",
year="2020",
author="Xiao, Yuanyuan and He, Liping and Chang, Wei and Zhang, Shinan and Wang, Rui and Chen, Xiaowen and Li, Xiaojing and Wang, Zongyan and Risch, Harvey A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: This population-based cross-sectional study describes self-harm (SH) behaviors and associated factors in 2898 Chinese left-behind children (LBC). <br><br>METHODS: Descriptive statistics were used to present and compare the distributional characteristics of SH behaviors. Binary and ordinal logistic-regression models for survey data were applied to explore associated factors of SH. <br><br>RESULTS: Among the LBC, 48% (95% CI: 42%-54%) reported SH behaviors. SH was prominently associated with suicidal ideation. Boys, junior high-school students, and LBC whose fathers were poorly educated were observed to have higher prevalence of SH. Boys, local ethnic minorities, junior high-school students, and LBC whose fathers were comparatively well educated were observed to be at increased risk of more medically serious SH behaviors. <br><br>CONCLUSIONS: SH is a substantial public health problem among rural Chinese LBC. Targeted intervention measures should be developed to reduce future suicide risk.<br><br>Copyright © 2020 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1047-2797",
doi="10.1016/j.annepidem.2019.12.014",
url="http://dx.doi.org/10.1016/j.annepidem.2019.12.014"
}