Self-harm, substance use and psychological distress in the Australian general population
MetadataShow full item record
AIMS: To examine predictors of self-harm, especially substance use and psychological distress, in an Australian adult general population sample.DESIGN: Sequential-cohort design with follow-up every four years.SETTING: Australian general population.PARTICIPANTS: A random sample of adults aged 20-24 and 40-44 years (at baseline) living in and around the Australian Capital Territory.MEASUREMENTS: Self-report survey including items on four common forms of self-harm. Psychological distress was indexed by the combined Goldberg Anxiety and Depression scale scores and alcohol problems by the Alcohol Use Disorders Identification Test (AUDIT).FINDINGS: Four thousand one hundred and sixty people (84% of baseline) were re-interviewed at 8 years: 4126 reported their self-harm status. Past year self-harm was reported by 8.2% (95% CI 7.4-9.0%) of participants [males: 9.3% (8.0-10.6%), females: 7.3% (6.2-8.4%)]. Several forms of substance use-smoking (OR = 1.52), marijuana use (OR = 1.77) and drinking alcohol at a level likely to cause dependence (AUDIT score = 20) (OR = 2.08)-were independently predictive of past year self-harm. Additional key risk factors for self-harm in the past year were childhood sexual abuse by a parent (OR = 3.07), bisexual orientation (OR = 2.65), younger age (OR = 2.23) and male gender (OR = 1.86). Other independent predictors were years of education, adverse life events, psychological distress and financial strain.CONCLUSIONS: Self-harm in young and middle-aged adults appears to be associated with current smoking, marijuana and 'dependent' alcohol use. Other independent predictors include younger age, male gender, bisexual orientation, financial strain, education level, psychological distress, adverse life events and sexual abuse by a parent
Showing items related by title, author, creator and subject.
McGough, Shirley ; Wynaden, Dianne ; Ngune, Irene ; Janerka, Carrie ; Hasking, Penelope ; Rees, Clare (2020)Self‐harm is a significant health issue, a leading cause of serious injury and is an indicator of psychological distress. Nurses play an important role in providing therapeutic care to people who self‐harm. The aim of ...
A population-based comparison study of the mental health of patients with intentional and unintentional burnsVetrichevvel, Thirthar P.; Randall, Sean; Wood, F.; Rea, S.; Boyd, James; Duke, J. (2018)Background: A number of studies report high prevalence of mental health conditions among burn patients. However there is a need to understand differences in the temporal relationship between mental health conditions and ...
Borschmann, R.; Thomas, E.; Moran, P.; Carroll, M.; Heffernan, E.; Spittal, M.; Sutherland, G.; Alati, Rosa; Kinner, S. (2017)© The Royal Australian and New Zealand College of Psychiatrists. Objective: Prisoners are at increased risk of both self-harm and suicide compared with the general population, and the risk of suicide after release from ...