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. 2015 Mar 1:173:163-9.
doi: 10.1016/j.jad.2014.11.003. Epub 2014 Nov 15.

Self-reported school experience as a predictor of self-harm during adolescence: a prospective cohort study in the South West of England (ALSPAC)

Judi Kidger  1 , Jon Heron  2 , David A Leon  3 , Kate Tilling  2 , Glyn Lewis  4 , David Gunnell  2
Affiliations

Self-reported school experience as a predictor of self-harm during adolescence: a prospective cohort study in the South West of England (ALSPAC)

Judi Kidger et al. J Affect Disord. .

Abstract

Background: Several aspects of school life are thought to be associated with increased risk of self-harm in adolescence, but these have rarely been investigated in prospective studies.

Methods: Members of the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort completed postal surveys of school experiences aged 14, and self-harm behaviour aged 16 (n=3939). Associations between school experiences (feeling connected to school, enjoyment of school and perception of teachers as fair) and subsequent self-harm were examined using multivariable logistic regression models.

Results: Self-harm aged 16 was associated with earlier perceptions of school, specifically not getting on well with or feeling accepted by others (OR=2.43 [1.76, 3.35] and OR=2.69 [2.16, 3.35] respectively), not liking school or the work done in class (OR=1.40 [1.17, 1.69] and OR=1.36 [1.10, 1.67]), and feeling that teachers are not clear about behaviour or fail to address misbehaviour consistently (OR=1.59 [1.20, 2.12] OR=1.89 [1.51, 2.37]). These associations were partially attenuated in models controlling for mental health concurrent with the outcome. Poor school experiences were related to both suicidal and non-suicidal self-harm, with slightly stronger associations visible for the former.

Limitations: (i) There was some loss to follow up, (ii) experience of bullying was not measured, and (iii) exposure and outcome measures were self-report.

Conclusions: Students who feel unconnected to school, unhappy at school, or feel that teachers are unfair are more likely to self-harm in the future. Assessing students' perceptions of school may serve to identify those at risk of self-harm who would benefit from preventative interventions.

Keywords: ALSPAC; Adolescence; School risk factors; Self-harm.

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Figures

Fig. 1
Fig. 1
Flow of participants from pregnancy to the age 16 postal questionnaire in the ALSPAC cohort study.
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References

    1. Bond L., Patton G., Glover S., Carlin J.B., Butler H., Thomas L., Bowes G. The Gatehouse Project: can a multilevel school intervention affect emotional wellbeing and health risk behaviours? J. Epidemiol. Community Health. 2004;58:997–1003. - PMC - PubMed
    1. Boyd A., Golding J., Macleod J., Lawlor D.A., Fraser A., Henderson J., Molloy L., Ness A., Ring S., Davey Smith G. Cohort profile: the ׳Children of the 90s׳ – the index offspring of the Avon longitudinal study of parents and children. Int. J. Epidemiol. 2013;58:111–127. - PMC - PubMed
    1. Carter M., McGee R., Taylor B., Williams S. Health outcomes in adolescence: associations with family, friends and school engagement. J. Adolesc. 2007;30:51–62. - PubMed
    1. Cox J.L., Chapman G., Murray D., Jones P. Validation of the Edinburgh Postnatal Depression Scale (EPDS) in nonpostnatal women. J. Affect. Disord. 1996;39(3):185–189. - PubMed
    1. Cox J.L., Holden J.M., Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br. J. Psychiatry. 1987;150:782–786. - PubMed

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