Self-harm in young people: Prevalence, associated factors and help-seeking in school-going adolescents.

Abstract

Adolescent self-harm is recognised as a serious public health problem however there is little reliable comparative data on its prevalence or characteristics or on the extent of help-seeking for self-harm. The aims of this study were to determine the prevalence and associated factors of adolescent self-harm in an urban region in Ireland and to investigate help-seeking behaviours for self-harm. This was a cross-sectional study of 856 school-going adolescents employing an anonymous self-report questionnaire. A lifetime history of self-harm was reported by 12.1% of adolescents. Factors independently associated with self-harm included exposure to self-harm of a friend/family member. Professional help-seeking was uncommon prior to (9%) and after (12%) self-harm. Furthermore, only 6.9% of adolescents presented to hospital as a result of their last selfharm act. These findings indicate that self-harm is common in adolescents however seeking professional help is not a common phenomenon and those who present to hospital represent the ‘tip of the iceberg’ of adolescent self-harm. Identifying the prevalence of self-harm and associated factors in addition to help-seeking behaviours in young people is important to determine the preventative programmes to target ‘at-risk’ groups. Mental health nurses have an important and increasing role to play in such school-based initiatives.