Abstract
Background: Adolescent self-harm (SH) is a major public health concern, associated with poor outcomes. The use of ineffective coping is often referred to in explanatory models of adolescent SH. Aims: To assess the relationship between SH and coping strategies in a large sample of school-aged adolescents. Method: A sample of public school students (n = 1,713), aged between 12 and 20 years, were examined using an anonymously completed questionnaire. SH was defined according to strict criteria through a two-stage procedure. Study participants were divided into two groups: no self-harm and lifetime self-harm. The differences between groups were explored, including logistic regression analyses (controlling for anxiety and depression effects), to reveal which coping strategies better predicted lifetime SH. Results: The use of nonproductive strategies was associated with SH in both genders, particularly self-blame and tension reduction. Strategies involving consulting significant others for support were used less in the SH group, especially among male subjects. The preferential use of a productive coping style was negatively associated with the SH group in both genders. Conclusion: The results support previous data regarding a different pattern of coping strategies used by adolescents who harm themselves. The use of self-rating instruments and the cross-sectional nature of the study limit our results.
References
2012). Premature death after self-harm: A multicentre cohort study. Lancet, 380(9853), 1568–1574.
(2009). Influence of sociodemographic variables on coping styles, social stress, and sexual sensation seeking in adolescents. Psicothema, 21(2), 220–226.
(2003). Stress, coping, and behavioural problems among rural and urban adolescents. Journal of Adolescence, 26(5), 577–588.
(2005). In what ways are adolescents who engage in self-harm or experience thoughts of self-harm different in terms of help-seeking, communication and coping strategies? Journal of Adolescence, 28(4), 573–587.
(2007). Suicide in adolescents: Using life charts to understand the suicidal process. Journal of Affective Disorders, 100(1–3), 199–210.
(2008). Adolescent coping: Advances in theory, research and practice. London, UK: Routledge.
(1993a). Adolescent Coping Scale: Administrator’s manual. Melbourne, Australia: Australian Council for Educational Research.
(1993b). Boys play sport and girls turn to others: Age, gender and ethnicity as determinants of coping. Journal of Adolescence, 16(3), 253–266.
(2003). Coping with concerns: An exploratory comparison of Australian, Colombian, German, and Palestinian adolescents. Journal of Youth and Adolescence, 32(1), 59–66.
(2014). Adaptation and psychometric proprieties study for the portuguese version of the adolescent coping scale – escala de coping para adolescentes. Acta Medica Portuguesa, 27(2), 166–180.
(2013). Association between deliberate self-harm and coping in adolescents: A critical review of the last 10 years’ literature. Archives of Suicide Research, 17(2), 91–105.
(2007). Deliberate self-harm in young people: Characteristics and subsequent mortality in a 20-year cohort of patients presenting to hospital. Journal of Clinical Psychiatry, 68(10), 1574–1583.
(2002). Deliberate self harm in adolescents: Self report survey in schools in England. BMJ, 325(7374), 1207–1211.
(2012). Self-harm and suicide in adolescents. Lancet, 379(9834), 2373–2382.
(2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27(2), 226–239.
(2005). Nonsuicidal self-harm among community adolescents: Understanding the ”whats” and ”whys” of self-harm. Journal of Youth and Adolescence, 34(5), 447–457.
(1984). Stress, appraisal, and coping. New York, NY: Springer.
(1993). Coping theory and research: Past, present, and future. Psychosomatic Medicine, 55(3), 234–247.
(2011). Psychological characteristics, stressful life events and deliberate self-harm: Findings from the Child & Adolescent Self-harm in Europe (CASE) Study. European Child & Adolescent Psychiatry, 20(10), 499–508.
(2008). Deliberate self-harm within an international community sample of young people: Comparative findings from the Child & Adolescent Self-harm in Europe (CASE) Study. Journal of child Psychology and Psychiatry, and Allied Disciplines, 49(6), 667–677.
(2009). Adolescents choosing self-harm as an emotion regulation strategy: the protective role of trait emotional intelligence. The British Journal of Clinical Psychology , 48(Pt 2), 181–193.
(2009). Why do people hurt themselves? New insights into the nature and functions of self-injury. Current Directions in Psychological Science, 18(2), 78–83.
(2009). Self-harm in adolescents: Self-report survey in schools in Scotland. British Journal of Psychiatry, 194(1), 68–72.
(2012). Practitioner review: Self-harm in adolescents. Journal of Child Psychology and Psychiatry, 53(4), 337–350.
(2007). Validation study of a Portuguese version of the Hospital Anxiety and Depression Scale. Psychology, Health & Medicine, 12(2), 225–235; quiz 235–227.
(1987). Adolescent coping style and behaviors: conceptualization and measurement. Journal of Adolescence, 10(2), 163–186.
(2007). Deliberate self-harm in adolescents. Current Opinion in Psychiatry, 20(4), 337–342.
(2009). The role of expressed emotion, self-concept, coping, and depression in parasuicidal behavior: A follow-up study. Archives of Suicide Research, 13(4), 358–367.
(1999). Validation of the Hospital Anxiety and Depression Scale for use with adolescents. British Journal of Psychiatry, 175, 452–454.
(2010). Emotion regulation, coping and alcohol use as moderators in the relationship between non-suicidal self-injury and psychological distress. Prevention Science, 11(1), 33–41.
(1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.
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