Appreciating Complexity in Adolescent Self-Harm Risk Factors: Psychological Profiling in a Longitudinal Community Sample
Past research identifies a number of risk factors for adolescent self-harm, but often fails to account for overlap between these factors. This study investigated the underlying, broader concepts by identifying different psychological profiles among adolescents. We then compared new self-harm rates over a six-month period across different psychological profiles. Australian high school students (n = 326, 68.1% female) completed a questionnaire including a broad range of psychological and socioenvironmental risk and protective factors. Non-hierarchical cluster analysis produced six groups with different psychological profiles at baseline and rate of new self-harm at follow-up. The lowest rate was 1.4% in a group that appeared psychologically healthy; the highest rate was 37.5% in a group that displayed numerous psychological difficulties. Four groups with average self-harm had varied psychological profiles including low impulsivity, anxiety, impulsivity, and poor use of positive coping strategies. Identifying multiple profiles with distinct psychological characteristics can improve detection, guide prevention, and tailor treatment.
KeywordsSelf-harm Risk factors Adolescence Psychological profiles
S.S. participated in writing, design, and analysis, and carried out the data collection. M.J. contributed to writing, design, and analysis. J.H. provided clinical guidance and feedback on the manuscript. All authors read and approved the final manuscript.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no competing interests.
The study was reviewed and approved by the Macquarie University Human Research Ethics Committee, reference number 5201400575.
The project was approved by the School Principal, Executive and school counsellors in each school. Parents and students provided opt-in informed consent at the first time point; this consent covered the baseline and follow-up survey. At the follow-up, parents were provided the full study information and the opportunity to opt-out on behalf of their teen, and students again provided opt-in informed consent.
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