Deliberate Self-harm Among Children in Tertiary Care Residential Treatment: Prevalence and Correlates

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• 作者：Shannon L. Stewart (1)
  Philip Baiden (1)
  Laura Theall-Honey (1)
  Wendy den Dunnen (2)
  
• 关键词：Deliberate self ; harm ; Suicidal talk ; Children ; Residential treatment
• 刊名：Child and Youth Care Forum
• 出版年：2014
• 出版时间：February 2014
• 年：2014
• 卷：43
• 期：1
• 页码：63-81
• 全文大小：276 KB
• 作者单位：Shannon L. Stewart (1)
  Philip Baiden (1)
  Laura Theall-Honey (1)
  Wendy den Dunnen (2)
  
  1. Child and Parent Resource Institute, 600 Sanatorium Road, London, ON, N6H 3W7, Canada
  2. Faculty of Social Sciences, School of Psychology, University of Ottawa, 136 Jean-Jacques Lussier, Ottawa, ON, K1N 6N5, Canada
  
• ISSN：1573-3319

文摘

Background Few studies have examined deliberate self-harm (DSH) among children in residential treatment in Canada. Most of the existing studies examined adolescent students or children from pediatric emergency departments. Objectives The objectives of this study were to examine the prevalence of DSH among children in tertiary care residential treatment and the factors associated with DSH. Methods Data on 284 children aged 5-7?years (M?=?11.54?years, SD?=?2.56) with mental health problems in tertiary care residential treatment were analyzed. Binary logistic regression was performed to examine the likelihood of engaging in DSH. Results About 35?% of children engaged in DSH. Suicidal talk emerged as the strongest factor to be associated with DSH. Children who used alcohol or drugs were also more likely to engage in DSH than those who did not use alcohol or drugs. Furthermore, symptoms of conduct problems were associated with the likelihood of engaging in DSH. Conclusions Identifying children at risk for engaging in DSH and suicidal behavior is of critical importance to mental health care providers. These factors could assist in identifying children who might require more specialized treatment related to self-harm during their stay in residential treatment.