TY  - JOUR
PY  - 2021//
TI  - Negative life events and self-harm among the elderly: result from a survey of 7070 people aged≥60 in China
JO  - Psychiatry research
A1  - Hong, Zhuang
A1  - Zhang, Hongjing
A1  - Xu, Lingzhong
A1  - Zhou, Jinling
A1  - Kong, Fanlei
A1  - Li, Jiajia
A1  - Hu, Fangfang
A1  - Gao, Zhaorong
SP  - e113727
EP  - e113727
VL  - 298
IS  - 
N2  - PURPOSES: Negative life events have been reported as a risk factor for elderly self-harm. The aim of this study was to examine the relationship between negative life events and self-harm in a large sample of people aged 60 and older, and explore the role of some previously identified influential factors in this relationship. <br><br>METHODS: Multi-stage stratified sampling method was used to select the elderly people over 60 years old in Shandong, China. Information were collected through face-to-face interviews. Univariate and multivariable logistic regression were used for initial analysis. Karlson-Holm-Breen (KHB) method was used for mediating effect analysis. <br><br>RESULTS: A total of 7070 participants were included in the study, 160 reported they had a history of self-harm (2.3%), 756 reported they had negative life event experience (10.7%). After model adjustment, the association between negative life events, loneliness, economic status and self-harm was still statistically significant. Mediation analysis showed that the association is explained by loneliness (proportion of mediation 48.86%), self-rated economic status (16.13%). <br><br>CONCLUSIONS: Negative life events, loneliness and economic status were associated with self-harm among the older adults. Loneliness and economic status may play an intermediary role in the relationship between negative life events and self-harm, especially loneliness. More psychological and social functions intervention strategies and prevention measures on the self-harm of the elderly should be provided for the elderly who have experienced negative life events.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2021.113727
ID  - ref1
ER  -