Academic Journal
Childhood household dysfunction and risk of self-harm: a cohort study of 107 518 young adults in Stockholm County
| العنوان: | Childhood household dysfunction and risk of self-harm: a cohort study of 107 518 young adults in Stockholm County |
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| المؤلفون: | Björkenstam, Emma, Kosidou, Kyriaki, Björkenstam, Charlotte |
| بيانات النشر: | Oxford University Press |
| سنة النشر: | 2016 |
| المجموعة: | HighWire Press (Stanford University) |
| مصطلحات موضوعية: | Health in Adolescence and Young Adulthood |
| الوصف: | Background: Childhood household dysfunction (CHD) is a risk indicator for self- harm in young adulthood. However, less is known about the effects of cumulative exposure to CHD and the role of school performance and childhood psychopathology in the relationship. Methods: We used a Swedish cohort of 107 518 individuals born in 1987-91. Register-based CHD indicators included familial death, parental substance abuse and psychiatric morbidity, parental somatic disease, parental criminality, parental separation/single-parent household, public assistance receipt and residential instability. Estimates of risk of self-harm from age 15 [measured as registered diagnosis of self-harm according to the International Classification of Disease (ICD)] were calculated as hazard ratios (HR) with 95% confidence intervals (CIs). Results: CHD indicators, with exceptions of familial death and parental somatic disease, were associated with an increased risk of self-harm. Accumulating CHD indicators increased the risk of self-harm in a graded manner, and individuals exposed to five or more indicators had a f5-fold risk [hazard ratio (HR): 4.9, 95% CI 3.8-6.4) after adjustment for school performance, childhood psychopathology and confounders. Exposure to five or more CHD indicators and poor school performance conferred a 20-fold increased risk, compared with non-exposed individuals in the highest grade group. The risk was elevated by 9-fold for those with five or more CHD indicators and a history of childhood psychopathology. Conclusion: Childhood household dysfunction is associated with the risk of self-harm in young adults, particularly when accumulated. The risk is markedly increased in the subgroup of disadvantaged children that fail in school or develop childhood psychopathology. |
| نوع الوثيقة: | text |
| وصف الملف: | text/html |
| اللغة: | English |
| Relation: | http://ije.oxfordjournals.org/cgi/content/short/45/2/501; http://dx.doi.org/10.1093/ije/dyw012 |
| DOI: | 10.1093/ije/dyw012 |
| الاتاحة: | http://ije.oxfordjournals.org/cgi/content/short/45/2/501 https://doi.org/10.1093/ije/dyw012 |
| Rights: | Copyright (C) 2016, International Epidemiological Association |
| رقم الانضمام: | edsbas.7F2D109F |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/ije/dyw012 |
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