School- and class-level variation in self-harm, suicide ideation and suicide attempts in Danish high schools

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

AIM: Strong associations have been found between being exposed to self-harm in family and friends and own self-harm in adolescence. Therefore, self-harm and suicide behaviour might tend to cluster within school and school classes. The aim of this study was to describe the prevalence, frequency and type of self-harm, suicide ideation and suicide attempts within Danish high schools and to test whether self-harm and suicide behaviour cluster in schools and school classes.

METHODS: Data came from the Danish National Youth Study 2014, a national survey. The respective study included 66,284 high-school students nested in 117 schools and 3146 school classes. The prevalence and clustering of self-harm behaviour, ever and within the last year, type of self-harm (e.g. cutting, burning, scratching and hitting) and suicide ideation and suicide attempts were investigated. Multi-level logistic regression was applied to quantify clustering among participants within the same class and school.

RESULTS: In total, 12,960 (20%) reported self-harm ever and 5706 (8.6%) within the last year. Prevalence was higher among girls than boys. Among girls, cutting (15%) and scratching (13%) was the most common type of self-harm, whereas among boys, hitting (6.7%) was most prevalent. The degree of clustering of self-harm and suicide behaviour was low, with school-level intra-class correlation coefficients (ICC) ranging from 0.8-1.8% and school class level ICC's from 4.3-6.8%.

CONCLUSIONS: This study shows that self-harm was common, especially in girls. The degree of clustering of self-harm and suicide behaviour in school and school classes was low.

OriginalsprogEngelsk
BogserieScandinavian Journal of Public Health
Vol/bind47
Udgave nummer2
Sider (fra-til)146-156
ISSN1403-4956
DOI
StatusUdgivet - 1. mar. 2019

Fingeraftryk

Cluster Analysis
Logistic Models

Citer dette

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title = "School- and class-level variation in self-harm, suicide ideation and suicide attempts in Danish high schools",
abstract = "AIM: Strong associations have been found between being exposed to self-harm in family and friends and own self-harm in adolescence. Therefore, self-harm and suicide behaviour might tend to cluster within school and school classes. The aim of this study was to describe the prevalence, frequency and type of self-harm, suicide ideation and suicide attempts within Danish high schools and to test whether self-harm and suicide behaviour cluster in schools and school classes.METHODS: Data came from the Danish National Youth Study 2014, a national survey. The respective study included 66,284 high-school students nested in 117 schools and 3146 school classes. The prevalence and clustering of self-harm behaviour, ever and within the last year, type of self-harm (e.g. cutting, burning, scratching and hitting) and suicide ideation and suicide attempts were investigated. Multi-level logistic regression was applied to quantify clustering among participants within the same class and school.RESULTS: In total, 12,960 (20{\%}) reported self-harm ever and 5706 (8.6{\%}) within the last year. Prevalence was higher among girls than boys. Among girls, cutting (15{\%}) and scratching (13{\%}) was the most common type of self-harm, whereas among boys, hitting (6.7{\%}) was most prevalent. The degree of clustering of self-harm and suicide behaviour was low, with school-level intra-class correlation coefficients (ICC) ranging from 0.8-1.8{\%} and school class level ICC's from 4.3-6.8{\%}.CONCLUSIONS: This study shows that self-harm was common, especially in girls. The degree of clustering of self-harm and suicide behaviour in school and school classes was low.",
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author = "Pisinger, {Veronica S C} and Keith Hawton and Tolstrup, {Janne S}",
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School- and class-level variation in self-harm, suicide ideation and suicide attempts in Danish high schools. / Pisinger, Veronica S C; Hawton, Keith; Tolstrup, Janne S.

I: Scandinavian Journal of Public Health, Bind 47, Nr. 2, 01.03.2019, s. 146-156.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - School- and class-level variation in self-harm, suicide ideation and suicide attempts in Danish high schools

AU - Pisinger, Veronica S C

AU - Hawton, Keith

AU - Tolstrup, Janne S

PY - 2019/3/1

Y1 - 2019/3/1

N2 - AIM: Strong associations have been found between being exposed to self-harm in family and friends and own self-harm in adolescence. Therefore, self-harm and suicide behaviour might tend to cluster within school and school classes. The aim of this study was to describe the prevalence, frequency and type of self-harm, suicide ideation and suicide attempts within Danish high schools and to test whether self-harm and suicide behaviour cluster in schools and school classes.METHODS: Data came from the Danish National Youth Study 2014, a national survey. The respective study included 66,284 high-school students nested in 117 schools and 3146 school classes. The prevalence and clustering of self-harm behaviour, ever and within the last year, type of self-harm (e.g. cutting, burning, scratching and hitting) and suicide ideation and suicide attempts were investigated. Multi-level logistic regression was applied to quantify clustering among participants within the same class and school.RESULTS: In total, 12,960 (20%) reported self-harm ever and 5706 (8.6%) within the last year. Prevalence was higher among girls than boys. Among girls, cutting (15%) and scratching (13%) was the most common type of self-harm, whereas among boys, hitting (6.7%) was most prevalent. The degree of clustering of self-harm and suicide behaviour was low, with school-level intra-class correlation coefficients (ICC) ranging from 0.8-1.8% and school class level ICC's from 4.3-6.8%.CONCLUSIONS: This study shows that self-harm was common, especially in girls. The degree of clustering of self-harm and suicide behaviour in school and school classes was low.

AB - AIM: Strong associations have been found between being exposed to self-harm in family and friends and own self-harm in adolescence. Therefore, self-harm and suicide behaviour might tend to cluster within school and school classes. The aim of this study was to describe the prevalence, frequency and type of self-harm, suicide ideation and suicide attempts within Danish high schools and to test whether self-harm and suicide behaviour cluster in schools and school classes.METHODS: Data came from the Danish National Youth Study 2014, a national survey. The respective study included 66,284 high-school students nested in 117 schools and 3146 school classes. The prevalence and clustering of self-harm behaviour, ever and within the last year, type of self-harm (e.g. cutting, burning, scratching and hitting) and suicide ideation and suicide attempts were investigated. Multi-level logistic regression was applied to quantify clustering among participants within the same class and school.RESULTS: In total, 12,960 (20%) reported self-harm ever and 5706 (8.6%) within the last year. Prevalence was higher among girls than boys. Among girls, cutting (15%) and scratching (13%) was the most common type of self-harm, whereas among boys, hitting (6.7%) was most prevalent. The degree of clustering of self-harm and suicide behaviour was low, with school-level intra-class correlation coefficients (ICC) ranging from 0.8-1.8% and school class level ICC's from 4.3-6.8%.CONCLUSIONS: This study shows that self-harm was common, especially in girls. The degree of clustering of self-harm and suicide behaviour in school and school classes was low.

KW - Clustering

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KW - suicide attempt

KW - suicide ideation

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KW - Prevalence

KW - Humans

KW - Risk Factors

KW - Male

KW - Self-Injurious Behavior/epidemiology

KW - Suicidal Ideation

KW - Educational Status

KW - Suicide, Attempted/statistics & numerical data

KW - Schools/statistics & numerical data

KW - Denmark/epidemiology

KW - Adolescent

KW - Female

KW - Students/psychology

KW - Surveys and Questionnaires

U2 - 10.1177/1403494818799873

DO - 10.1177/1403494818799873

M3 - Journal article

VL - 47

SP - 146

EP - 156

JO - Scandinavian Journal of Public Health. Supplement

JF - Scandinavian Journal of Public Health. Supplement

SN - 1403-4956

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ER -