@article{ref1,
title="Depression and deliberate self-harm among rural adolescents of Sichuan Province in western China: a 2-year longitudinal study",
journal="Frontiers in psychiatry",
year="2021",
author="Lai, Shimin and Su, Chang and Song, Shasha and Yan, Mingxia and Tang, Chengmeng and Zhang, Qiang and Yin, Fei and Liu, Qiaolan",
volume="12",
number="",
pages="e605785-e605785",
abstract="OBJECTIVE: To explore the change in the prevalence and association of depression and deliberate self-harm and their common and independent influencing factors among western Chinese rural adolescents. <br><br>METHODS: A total of 2,744 junior and senior high school students from two rural schools in Sichuan Province, China, participated in the baseline survey and were invited to participate in two follow-up surveys. The Center for Epidemiologic Studies-Depression Scale, a deliberate self-harm item, the Social Support Rating Scale, the Rosenberg Self-esteem Scale and the Connor-Davidson Resilience Scale were administered. A bivariate four-level logistic regression model was used for analysis. <br><br>RESULTS: The prevalence of depression and deliberate self-harm were 39.6 and 21.2%, respectively. Regular physical exercise, a good relationship with parents, high resilience, and high self-esteem were common protective factors for both depression and deliberate self-harm. Feeling disliked by teachers was a common risk factor for both. Being female, having a mother who emigrated as a migrant worker before the student was 3 years old, feeling disliked by classmates and having a poor family economic status were associated only with an increased risk of depression. Participants with medium social support were less likely to report deliberate self-harm than those with low or high support. Depression and deliberate self-harm were clustered at the class level. <br><br>CONCLUSIONS: The comorbidity of depression and deliberate self-harm in rural adolescents should be given ample attention. Interventions should consider the class clustering of depression and deliberate self-harm and their common and unique influencing factors.<p /> <p>Language: en</p>",
language="en",
issn="1664-0640",
doi="10.3389/fpsyt.2021.605785",
url="http://dx.doi.org/10.3389/fpsyt.2021.605785"
}