@article{ref1,
title="Identifying high-risk subgroups for self-harm in adolescents and young adults: a longitudinal latent class analysis of risk factors",
journal="Journal of affective disorders",
year="2024",
author="McEvoy, David and Brannigan, Ross and Walsh, Cathal and Arensman, Ella and Clarke, Mary",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Self-harm is a major public health concern in young people and is governed by a complex interaction of different risk factors. While many studies have identified these risk factors, less is known about how they tend to co-occur together.
METHODS: A latent class analysis was conducted using risk factors for self-harm from two waves at ages 13 and 17 from the Growing Up in Ireland (GUI) study and examined their associations with self-harm longitudinally at ages 17 and 20, respectively.
RESULTS: At age 13, there was a 'peer problems' group with higher probabilities of bullying, being unpopular and internalising problems and a 'school and substance use problems' group with higher probabilities of substance use, truancy or excessive absence from school and violence. Both of these two groups had over a two-fold risk of self-harm at age 17 in comparison to the low risk factor group. At age 17, there was a group with depression that was diagnosed by a medical professional with the highest relative risk (RR:13.9 (95 % CI 10.2-19.0)) of self-harm at age 20. Two other groups with undiagnosed depression had high probabilities of being bullied, and either high or low probabilities of substance use that had a 9.4 (95 % CI 6.8-13.1) and 7.4 (95 % CI 5.5-10.0) relative risk of self-harm at age 20, respectively.
CONCLUSIONS: Identifying hidden sub-groups using risk factors for self-harm in young people can inform potential public health interventions by clinicians and other professionals who work with young people. Language: en
",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2024.01.230",
url="http://dx.doi.org/10.1016/j.jad.2024.01.230"
}