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Abstract
OBJECTIVE: To assess whether being bullied between 7 and 10 years of age is directly associated with self-harm in late adolescence when controlling for previous exposure to an adverse family environment (domestic violence, maladaptive parenting); concurrent internalizing and externalizing behavior; and subsequent psychopathology (borderline personality disorder and depression symptoms).
METHOD: A total of 4,810 children and adolescents in the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort were assessed to ascertain bullying exposure (between 7 and 10 years of age) and self-harm at 16 to 17 years.
RESULTS: A total of 16.5% of 16- to 17-year-olds reported self-harm in the previous year. Being bullied was associated with an increased risk of self-harm directly, and indirectly via depression symptoms in early adolescence. The association between an adverse family environment (exposure to maladaptive parenting and domestic violence) and self-harm was partially mediated by being bullied.
CONCLUSIONS: Being bullied during childhood increases the risk of self-harm in late adolescence via several distinct pathways, for example, by increasing the risk of depression and by exacerbating the effects of exposure to an adverse family environment; as well as in the absence of these risk exposures. Health practitioners evaluating self-harm should be aware that being bullied is an important potential risk factor.
Original language | English |
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Pages (from-to) | 608-18.e2 |
Journal | Journal of the American Academy of Child & Adolescent Psychiatry |
Volume | 52 |
Issue number | 6 |
DOIs | |
Publication status | Published - Jun 2013 |
Bibliographical note
Copyright © 2013 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.Research Groups and Themes
- SASH
Keywords
- Adolescent
- Adolescent Behavior
- Bullying
- Child
- Female
- Humans
- Longitudinal Studies
- Male
- Neural Pathways
- Risk Factors
- Self-Injurious Behavior
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