Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSIMIONI, Andre R.
dc.contributor.authorPAN, Pedro M.
dc.contributor.authorGADELHA, Ary
dc.contributor.authorMANFRO, Gisele G.
dc.contributor.authorMARI, Jair J.
dc.contributor.authorMIGUEL, Euripedes C.
dc.contributor.authorROHDE, Luis A.
dc.contributor.authorSALUM, Giovanni A.
dc.date.accessioned2018-05-08T14:36:05Z
dc.date.available2018-05-08T14:36:05Z
dc.date.issued2018
dc.description.abstractObjectives: Little is known about the prevalence and correlates of deliberate self-harm (DSH) in children from low- and middle-income countries. We investigated the prevalence of DSH and its clinical and maternal psychopathological associations in Brazilian children (n=2,508, ages 6-14y) in a community-based study. Methods: Participants of the High Risk Cohort Study for the Development of Childhood Psychiatric Disorders (HRC) and their mothers were assessed in structured interviews. Current (last month) and lifetime DSH were estimated, including analysis stratified by age groups. Logistic regressions were performed to investigate the role of the children's clinical diagnoses and maternal psychopathology on DSH prevalence estimates, adjusting for potential confounding factors. Results: The prevalence of current DSH was 0.8% (children 0.6%, adolescents 1%) and lifetime DSH was 1.6% (1.8% and 1.5%, respectively). Current and lifetime DSH were more frequent in children with depression, attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), even in multiple models accounting for demographic variables and co-occurring psychiatric disorders. Maternal anxiety disorder was strongly associated with current and lifetime DSH in offspring; whereas current DSH, specifically in young children, was associated with maternal mood disorder. Conclusion: Diagnoses of depression, ADHD and ODD were consistently associated with DSH, as was having a mother with anxiety disorder.
dc.description.indexMEDLINE
dc.description.sponsorshipInstituto Nacional de Psiquiatria do Desenvolvimento (INPD)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq) [573974/2008-0]
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2008/57896-8]
dc.description.sponsorshipBrazilian government agency: CNPq
dc.description.sponsorshipBrazilian government agency: FAPESP
dc.description.sponsorshipBrazilian government agency: Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
dc.description.sponsorshipBrazilian government agency: Fundacao de Amparo a Pesquisa do Estado do Rio Grande do Sul (FAPERGS)
dc.description.sponsorshipCNPq/CAPES Masters/PhD scholarships
dc.description.sponsorshipCNPq senior research scholarships [302463/2011-9]
dc.description.sponsorshipFAPERGS
dc.description.sponsorshipHospital de Clinicas de Porto Alegre (HCPA)
dc.description.sponsorshipCAPES
dc.description.sponsorshipCAPES/FAPERGS postdoctoral scholarship
dc.identifier.citationREVISTA BRASILEIRA DE PSIQUIATRIA, v.40, n.1, p.48-55, 2018
dc.identifier.doi10.1590/1516-4446-2016-2124
dc.identifier.eissn1809-452X
dc.identifier.issn1516-4446
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/26405
dc.language.isoeng
dc.publisherASSOC BRASILEIRA PSIQUIATRIA
dc.relation.ispartofRevista Brasileira de Psiquiatria
dc.rightsopenAccess
dc.rights.holderCopyright ASSOC BRASILEIRA PSIQUIATRIA
dc.subjectDeliberate self-harm
dc.subjectself-injurious behavior
dc.subjectsuicide attempt
dc.subjectcommunity survey
dc.subjectfamily health
dc.subjectpsychopathology
dc.subject.othersuicidal-behavior
dc.subject.otherpsychiatric-disorders
dc.subject.othermental-health
dc.subject.otherrisk-factors
dc.subject.othercohort
dc.subject.otherideation
dc.subject.otherinjury
dc.subject.otherbrazil
dc.subject.othertrajectories
dc.subject.otherassociation
dc.subject.wosPsychiatry
dc.titlePrevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalSIMIONI, Andre R.:Univ Fed Rio Grande do Sul, HCPA, Secao Afeto Negat & Proc Sociais, Porto Alegre, RS, Brazil; Conselho Nacl Desenvolvimento Cient & Tecnol CNPq, INPD, Sao Paulo, SP, Brazil; Univ Fed Rio Grande do Sul, Dept Psiquiatria, Programa Posgrad Psiquiatria & Ciencias Comportam, Porto Alegre, RS, Brazil
hcfmusp.author.externalPAN, Pedro M.:Conselho Nacl Desenvolvimento Cient & Tecnol CNPq, INPD, Sao Paulo, SP, Brazil; Univ Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, Brazil
hcfmusp.author.externalGADELHA, Ary:Conselho Nacl Desenvolvimento Cient & Tecnol CNPq, INPD, Sao Paulo, SP, Brazil; Univ Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, Brazil
hcfmusp.author.externalMANFRO, Gisele G.:Conselho Nacl Desenvolvimento Cient & Tecnol CNPq, INPD, Sao Paulo, SP, Brazil; Univ Fed Rio Grande do Sul, Dept Psiquiatria, Programa Posgrad Psiquiatria & Ciencias Comportam, Porto Alegre, RS, Brazil
hcfmusp.author.externalMARI, Jair J.:Conselho Nacl Desenvolvimento Cient & Tecnol CNPq, INPD, Sao Paulo, SP, Brazil; Univ Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, Brazil
hcfmusp.author.externalSALUM, Giovanni A.:Univ Fed Rio Grande do Sul, HCPA, Secao Afeto Negat & Proc Sociais, Porto Alegre, RS, Brazil; Conselho Nacl Desenvolvimento Cient & Tecnol CNPq, INPD, Sao Paulo, SP, Brazil; Univ Fed Rio Grande do Sul, Dept Psiquiatria, Programa Posgrad Psiquiatria & Ciencias Comportam, Porto Alegre, RS, Brazil
hcfmusp.citation.scopus9
hcfmusp.contributor.author-fmusphcEURIPEDES CONSTANTINO MIGUEL FILHO
hcfmusp.contributor.author-fmusphcLUIS AUGUSTO PAIM ROHDE
hcfmusp.description.beginpage48
hcfmusp.description.endpage55
hcfmusp.description.issue1
hcfmusp.description.volume40
hcfmusp.origemWOS
hcfmusp.origem.pubmed28832748
hcfmusp.origem.scieloSCIELO:S1516-44462018000100048
hcfmusp.origem.scopus2-s2.0-85044223323
hcfmusp.origem.wosWOS:000427922900008
hcfmusp.publisher.citySAO PAULO
hcfmusp.publisher.countryBRAZIL
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