TY  - JOUR
PY  - 2015//
TI  - High alcohol use a strong and significant risk factor for repetitive self-harm in female and male youth: a prospective cohort study
JO  - American journal of drug and alcohol abuse encompassing all addictive disorders
A1  - Martiniuk, Alexandra L. C.
A1  - Chen, Huei-Yang
A1  - Glozier, Nick
A1  - Patton, George
A1  - Senserrick, Teresa M.
A1  - Williamson, Ann
A1  - Woodward, Mark
A1  - Ivers, Rebecca
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Deliberate self-harm (DSH) is reported by between 5 and 17% of youth aged 14-25 years. Current management measures focus on repetition prevention in high-risk groups. <br><br>OBJECTIVES: To examine risk factors and predictors of DSH and DSH repetition in a community sample, by gender. <br><br>METHODS: A prospective cohort of 20 822 young adults (aged 17-24 years) was recruited when obtaining their driving license. A random sample of 5000 was approached for follow-up 12-18 months; 2991 (60%) responded and formed the cohort for this analysis. Patterns of self-harm, using a modified Beck Suicide Inventory, were investigated with logistic regression. <br><br>RESULTS: DSH was reported by 4.1% (123/2991) at baseline. Over the following 12 months, 3.0% (90/2991) reported new instances of DSH which included 20% (25) respondents who had engaged in DSH at baseline. Psychological distress was a risk factor for engaging in DSH in the past 12 months, OR 3.55 (95% CI 2.06-6.14). Although several clinical risk factors differed between genders, high alcohol use, OR 23.6 (95% CI 3.64-153) and psychological distress, OR 4.97 (95% CI 1.08-22.9) were significant risk factors for repeat DSH in both males and females. <br><br>CONCLUSION: In this community cohort, 1 in 25 youth had self-harmed in the year prior; of these, 4 in 5 did not repeat DSH over the following year. High alcohol use stands out as a strong risk factor for DSH repetition. Assessing alcohol use may help clinicians identify those who are at greatest risk for repetitive self-harm.<p />  <p>Language: en</p>
LA  - en
SN  - 0095-2990
UR  - http://dx.doi.org/
ID  - ref1
ER  -