Dataset Information

Deliberate self-harm and associated risk factors in young adults: the importance of education attainment and sick leave.

ABSTRACT:

Purpose

The prevalence of deliberate self-harm (DSH) is high in young adults. However, few studies have examined risk in this specific age group. We, therefore, examined the relative influence and interactive nature of a wide range of potential sociodemographic and sick leave related risk factors in young adults, aged 18-35 years, using Norwegian register data.

Methods

All subjects with at least one episode of hospital presentation for DSH registered in the Norwegian Patient Register during the period 2008-2013 were compared with age, gender and date matched population controls using a nested case-control design. The relative influence of factors and their interactions were assessed using conditional logistic regression and recursive partitioning models.

Results

9 873 study cases were compared to 186 092 controls. Socioeconomic status, marital status, sick leave and several demographic factors influenced risk for DSH. Specifically, low education (OR 7.44, 95% CI 6.82-8.12), current sick leave due to psychiatric disorders (OR 18.25, 95% CI 14.97-22.25) and being previously married (OR 3.83, 95% CI 3.37-4.36) showed the highest effect sizes. Importantly, there was an interaction between education and sick leave, where those with either low education and no sick leave (OR 13.33, 95% CI 11.66-15.23) or high education and sick leave (OR 18. 87, 95% CI 17.41-24.21) were the subgroups at highest risk.

Conclusion

DSH in young adults is associated with multiple sociodemographic and health disadvantages. Importantly, the two high-risk subgroups imply different pathways of risk and a need for differentiated preventative efforts.

SUBMITTER: Lunde KB

PROVIDER: S-EPMC7847451 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Deliberate self-harm and associated risk factors in young adults: the importance of education attainment and sick leave.

Lunde Ketil Berge KB Mehlum Lars L Melle Ingrid I Qin Ping P

Social psychiatry and psychiatric epidemiology 20200616 1

<h4>Purpose</h4>The prevalence of deliberate self-harm (DSH) is high in young adults. However, few studies have examined risk in this specific age group. We, therefore, examined the relative influence and interactive nature of a wide range of potential sociodemographic and sick leave related risk factors in young adults, aged 18-35 years, using Norwegian register data.<h4>Methods</h4>All subjects with at least one episode of hospital presentation for DSH registered in the Norwegian Patient Regis ...[more]

PMID: 32556378

Similar Datasets

Project description:ImportanceIndividuals who self-harm may have an increased risk of aggression toward others, but this association has been insufficiently investigated. More conclusive evidence may affect assessment, treatment interventions, and clinical guidelines.ObjectiveTo investigate the association between nonfatal self-harm and violent crime.Design, setting, and participantsThis population-based longitudinal cohort study, conducted from January 1, 1997, through December 31, 2013, studied all Swedish citizens born between 1982 and 1998 who were 15 years and older (N = 1 850 252). Individuals who emigrated from Sweden before the age of 15 years (n = 104 051) or immigrated to Sweden after the age of 13 years (ie, <2 years before the beginning of the follow-up; n = 22 009) were excluded. Data analysis was performed from April 21, 2016, to June 4, 2016.ExposuresReceipt of self-harm-associated clinical care.Main outcomes and measuresConviction of a violent crime according to the Swedish penal code.ResultsThe study cohort consisted of 1 850 525 individuals (950 382 males and 900 143 females), and the mean (SD) follow-up time was 8.1 (4.7) years (range, 0-17.0 years; minimum age, 15 years; maximum age, 32 years). During a mean follow-up period of 8.1 years, 55 185 individuals (3.0%) received clinical care for self-harm. The crude hazard ratio was 4.9 (95% CI, 4.8-5.0) for violent crime conviction in exposed individuals compared with the unexposed group. Women who self-harm were at particularly high risk for expressing violent behaviors. After adjustment for relevant psychiatric comorbidities and socioeconomic status, an almost doubled hazard of violent offense remained (hazard ratio, 1.8; 95% CI, 1.8-1.9).Conclusions and relevanceSelf-harm is associated with an increased risk of conviction for a violent offense in both sexes. The risk of violence, as well as the risk of suicide and self-harm, should be assessed among offending and self-harming individuals.

Dataset Information

Deliberate self-harm and associated risk factors in young adults: the importance of education attainment and sick leave.

Purpose

Methods

Results

Conclusion

Publications

Deliberate self-harm and associated risk factors in young adults: the importance of education attainment and sick leave.

Similar Datasets

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