Junker Asbjørn, Bjørngaard Johan Håkon, Bjerkeset Ottar
Department of Neuroscience, Faculty of Medicine, NTNU-Norwegian University of Science and Technology, Trondheim, Norway.
Department of Public Health and General Practice, Faculty of Medicine, NTNU-Norwegian University of Science and Technology, Trondheim, Norway.
Child Adolesc Psychiatry Ment Health. 2017 May 1;11:25. doi: 10.1186/s13034-017-0161-8. eCollection 2017.
Self-harm is associated with increased suicide risk, and constitutes a major challenge in adolescent mental healthcare. In the current study, we examined the association between different aspects of adolescent health and risk of later self-harm requiring hospital admission.
We linked baseline information from 13 to 19 year old participants (n = 8965) in the Norwegian Young-HUNT 1 study to patient records of self-harm hospitalisation during 15 years of follow-up. We used Cox regression to estimate risk factor hazard ratios (HR).
Eighty-nine persons (71% female) were admitted to hospital because of self-harm. Intoxication/self-poisoning was the most frequent method (81%). Both mental (anxiety/depression, loneliness, being bullied) and somatic (epilepsy, migraine) health issues were associated with up to fourfold increased risk of self-harm-related hospital admission.
Several health issues during adolescence markedly increased the risk of later self-harm hospitalisation. Current findings should be incorporated in the strive to reduce self-harming and attempted suicides among young people.
自我伤害与自杀风险增加相关，是青少年心理健康护理中的一项重大挑战。在本研究中，我们考察了青少年健康的不同方面与日后需要住院治疗的自我伤害风险之间的关联。
我们将挪威青少年健康研究1中13至19岁参与者（n = 8965）的基线信息与随访15年间自我伤害住院的患者记录相链接。我们使用Cox回归来估计风险因素的风险比（HR）。
89人（71%为女性）因自我伤害而住院。中毒/自我中毒是最常见的方式（81%）。心理（焦虑/抑郁、孤独、受欺凌）和躯体（癫痫、偏头痛）健康问题均与自我伤害相关住院风险增加高达四倍有关。
青少年时期的若干健康问题显著增加了日后自我伤害住院的风险。当前的研究结果应纳入到减少年轻人自我伤害和自杀未遂的努力中。
