Non-suicidal Self-Injuries and Adolescents High Risk Behaviours: Highlights from the Portuguese HBSC Study
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To analyse sex differences and associations regarding non-suicidal self-injury (NSSI) behaviour and their relationship with other health compromising behaviours. Were inquired 3262 Portuguese adolescents as participants in the context of the Health Behaviour in School-aged Children study/WHO. 20.3% of the adolescents reported at least one NSSI episode. Students from 8th grade had more NSSI than 10th grade students. Concerning sex, girls report more NSSI than boys. The occurrence of NSSI for both sexs is related to alcohol use, being bullied, being a bully, carrying weapons, and safety perception at school. Regarding boys, NSSI is also related to physical activity (PA), drugs use and school grade. For both sexs, being bullied, being a bully and carrying weapons had a positive association with the NSSI occurrence. For girls, also alcohol use had a positive association with the NSSI occurrence. Safety perception at school was negatively associated with the NSSI occurrence in girls. Regarding the 8th and 10th grade students’ being bullied and carrying weapons had a positive association with the NSSI occurrence. For the 8th grade students’ alcohol use and being a bully had also a positive association with the NSSI occurrence. Safety perception at school had a negative association with the NSSI occurrence for the 8th grade students. Specific strategies that address the NSSI occurrence in adolescents are needed for Portuguese adolescents and those needs presented age (grade) and sex specificities. Public policies must take these specificities on board while designing and implementing preventive interventions with families, in the school and in the community in order to promote a safer environment at school and adolescents’ positive development. These interventions will help adolescents to better self-regulate, seek social support, make better choices and to maintain a healthy lifestyle.
KeywordsNon-suicidal self-injury Adolescent health Risk behaviour Protective behaviour Health promotion
The authors would like to thanks to Team Aventura Social for all the work and support to the HSBC 2014 in Portugal.
All authors made substantial contributions, namely:
SUSANA GAPAR: the conception and design of the study, analysis and interpretation of data; approved the final version to be submitted.
MARTA REIS: Acquisition of data and critical for important intellectual content, approved the final version to be submitted.
DIOGO GUERREIRO: Critical review for important intellectual content; approved the final version to be submitted.
DANIEL SAMPAIO: Critical review for important intellectual content; approved the final version to be submitted.
MARGARIDA GASPAR DE MATOS: Acquisition of data and interpretation of data; critical review for important intellectual content, approved the final version to be submitted.
This work was supported by the Ministry of Health. Egrants: SFRH/BSAB/135160/2017; SFRH/BPD/110905/2015; ULisboa/BD2016/609.
Compliance with Ethical Standards
Conflicts of Interest
The author(s) have declared that they have no competing or potential conflicts of interest”.
- Assis, S., Avanci, J., Silva, C., Malaquias, J., Santos, N., & Oliveira, R. (2003). A representação social do ser adolescente: um passo decisivo na promoção da saúde. Ciência & Saúde Coletiva, 8(3), 669–679 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232003000300002.CrossRefGoogle Scholar
- Benjet, C., González-Herrera, I., Castro-Silva, E., Méndez, E., Borges, G., Casanova, L., & Medina-Mora, M. E. (2017). Non-suicidal self-injury in Mexican young adults: Prevalence, associations with suicidal behavior and psychiatric disorders, and DSM-5 proposed diagnostic criteria. Journal of Affective Disorders, 215, 1–8.CrossRefGoogle Scholar
- Boone, Shannon Danielle, (2015). Physical activity as a contributing factor to engagement in self-harm behaviors among youth. Masters Theses & Specialist Projects. Paper 1445. http://digitalcommons.wku.edu/theses/1445
- Boone, Shannon D., Brausch, Amy M. (2016) Physical activity, exercise motivations, depression, and nonsuicidal self-injury in youth. Suicide and Life-Threatening Behaviour 46 (5), 10.111/sltb.12240.Google Scholar
- DGS, Direção Geral de Saúde (2013). Programa Nacional de Saúde Mental: Plano Nacional de Prevenção do Suicídio 2013–2017.Google Scholar
- DGS, Direção Geral de Saúde. (2015). Portugal. Programa Nacional de Saúde Mental: Saúde Mental em Números.Google Scholar
- Guerreiro, D. F., Figueira, M. L., Cruz, D., & Sampaio, D. (2014). Coping strategies in adolescents who self-harm. Crisis, 1–7. https://doi.org/10.1027/0227-5910/a000289.
- Hawton, K., Saunders, K. E., & O'Connor, R. C. (2012). Self-harm and suicide in adolescents. Lancet, 379(9834), 2373–2382. https://doi.org/10.1016/s0140-6736(12)60322-5
- ISSS - International Society for the Study of self-injury. (2017) Fast Facts about Non-suicidal Self Injury. 2017.Google Scholar
- Matos, M.G. (2008). Consumo de Substâncias: Estilo de Vida? À procura de um estilo?. Instituto da Droga e da Toxicodependência. ISBN – 978-972-9345-65-4 http://web01.fmh.utl.pt/aventurasocial/pdf/Consumo.de.Substancias_2008.pdf
- Matos, M. G. (2015). Adolescents in safe navigation through unkown waters. Lisbon: Coisas de Ler.Google Scholar
- Matos, M. G., Calmeiro, L., Marques, A., & Nuno, L. (2013). Does physical activity promotion advantages need the identification of associated health compromising features such as injuries, alcohol use and interpersonal violence? Highlights from HBSC/ WHO Portuguese survey. Journal Child Adolesc Behaviour, 1, 113. https://doi.org/10.4172/2375-4494.1000113.CrossRefGoogle Scholar
- Matos, M. G., Marques, A., Calmeiro, L., & Loureiro, N. (2014). Diferentes perfis comportamentais em adolescentes e associação à prática de atividade física. Psicologia, Saúde e Doenças, 15 ISSN 1645-0086.Google Scholar
- Matos, M.G., Simões, C., Camacho, I., & Reis, M., Aventura Social (2015) A Saúde dos Adolescentes Portugueses em tempos de recessão. HBSC 2014. [The health of portuguese adolescentes in times of recession]. Lisboa: CMDT/DGS/FMH/Universidade de Lisboa. http://aventurasocial.com/arquivo/1437158618_RELATORIO%20HBSC%202014e.pdf.
- Moran, P., Coffey, C., Romaniuk, H., Olsson, C., Borschmann, R., Carlin, J. B., & Patton, G. C. (2012). The natural history of self-harm from adolescence to young adulthood: A population-based cohort study. Lancet, 379(9812), 236–243. https://doi.org/10.1016/S0140-6736(11)61141-0.CrossRefGoogle Scholar
- Noble, R., Sornberger, M., Toste, J., Heath, N. & McLouth, R.. (2011). Safety first: The role of trust and school safety in non-suicidal self-injury. McGill Journal of Education 46(3), 423–441. https://doi.org/10.7202/1009175ar.
- Plener, P., Schumacher, T., Munz, L., & Groschwitz, R. (2015). The longitudinal course of non-suicidal self-injury and deliberate self-harm: A systematic review of the literature. Borderline Personality Disorder and Emotion Dysregulation, 2(1), 2. https://doi.org/10.1186/s40479-014-0024-3.CrossRefGoogle Scholar
- Plener, P. L., Brunner, R., Fegert, J. M., Groschwitz, R. C., In-Albon, T., Kaess, M., Kapusta, N. D., Resch, F., & Becker, K. (2016). Treating nonsuicidal self-injury (NSSI) in adolescents: Consensus based German guidelines. Child and Adolescent Psychiatry and Mental Health, 10, 46. https://doi.org/10.1186/s13034-016-0134-3.CrossRefGoogle Scholar
- Reis, M., Matos, M. G., Ramiro, L., & Figueira, I. (2012). Understanding self-harm in young people: An emotional unbalance in need for intervention. Problems of Psychology in the 21st Century, 4, 50–61.Google Scholar
- Reis, M., Ramiro, L., Camacho, I., Tomé, G., Molina, T., Matos, M.G. (2017). Teens who hurt themselves: A cross-sectional study with HBSC Portuguese data. Journal of Medical Education and Training 1:029 accessed in 18 December 2017 in http://www.scientificoajournals.org/pdf/jmet.1029.pdf
- Roberts, C., Freeman, J., Samdal, O., Schnohr, C. W., de Looze, M. E., Nic Gabhainn, S., et al. (2009). The health behaviour in school-aged children (HBSC) study: Methodological developments and current tensions. International journal of public health, 54 (Suppl. 2), 140e150.Google Scholar
- World Health Organization, Regional Office for Europe (2016). Health behaviour in school-aged children (HBSC) study: international report from the 2013/2014 survey. ISBN 978 92 890 5136 1 http://www.euro.who.int/__data/assets/pdf_file/0003/303438/HSBC-No.7-Growing-up-unequal-Full-Report.pdf