Being bullied during childhood and the prospective pathways to self-harm in late adolescence.

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.

authors

Lereya ST,Winsper C,Heron J,Lewis G,Gunnell D,Fisher HL,Wolke D

doi

10.1016/j.jaac.2013.03.012

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

608-18.e2

issue

6

eissn

0890-8567

issn

1527-5418

pii

S0890-8567(13)00183-4

journal_volume

52

pub_type

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