Abstract
The present study aimed to explore the status of deliberate self-harm (DSH) among junior high-school students, and investigate the relationship between DSH and substance use and childhood hyperactivity. Subjects were 239 boys (mean age=14.16 years, SD=0.67) and 238 girls (14.22, 0.68) from a junior high-school in Kanagawa, Japan. A self-reporting questionnaire consisting of original questions on self-cutting, self-hitting, and tobacco and alcohol use was employed with the Wender Utah Rating Scale (WURS) for assessing childhood hyperactivity. Overall, 8.00% and 27.70% of males and 9.30% and 12.20% of females reported self-cutting and self-hitting, respectively. Regarding substance use, 33.10% and 74.10% of males and 14.30% and 63.40% of females reported tobacco and alcohol use, respectively. Comparisons of WURS scores between those with and without experience of problematic behaviors revealed that with all problematic behaviors in both genders, scores of those with experience were significantly higher than those without (P<0.01 except for self-cutting in females, P<0.05). The present study indicated that DSH is an important problem, even among children as young as junior high-school age. An association between DSH and childhood hyperactivity was also suggested.
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References
Graff H, Mallin KR (1967) The syndrome of the wrist cutter. Am J Psychiatry 146:789–790
Pattison EM, Kahan J (1983) The deliberate self-harm syndrome. Am J Psychiatry 140:867–872
Diekstra R, Hawton K (1987) Suicide in adolescence. Sage Publications, London
McLaughlin JA, Miller P, Warwick H (1996) Deliberate self-harm in adolescents: hopelessness, depression, problems and problem-solving. J Adolesc 19:523–532
Rosenthal RJ, Rinzler C, Walsh R et al (1972) Wrist-cutting syndrome: the meaning of a gesture. Am J Psychiatry 128:1363–1368
Yamaguchi A, Matsumoto T (in press) Self-mutilation among female high-school students: an association with smoking and drinking, piercing, and bulimic tendency. Clin Psychiatry (Seishinn Igaku) (in Japanese)
Yamaguchi A, Matsumoto T, Kondo C et al (2004) Prevalence of self-mutilation in Japanese university students: a study using self-reporting questionnaire. Clin Psychiatry (Seishinn Igaku) 46:473–479 (in Japanese)
Matsumoto T, Yamaguchi A, Chiba Y et al (2004) Patterns of self-cutting: a preliminary study on differences in clinical implications between wrist- and arm-cutting using a Japanese juvenile detention center sample. Psychiatr Clin Neurosci 58:377–382
Andrews JA, Lewinsohn PM (1992) Suicidal attempts among older adolescents: prevalence and co-occurrence with psychiatric disorders. J Am Acad Child Adolesc Psychiatry 31:655–662
Pilowsky DJ, Wu L, Anthony JC (1999) Panic attacks and suicide attempts in mid-adolescence. Am J Psychiatry 156: 1545–1549
Favazza AR, Derosear DO, Conterio K (1989) Self-mutilation and eating disorders. Suicide Life Threat Behav 19:353–361
van der Kolk BA, Perry C, Hermann JL (1991) Childhood origins of self-destructive behavior. Am J Psychiatry 148:1665–1671
Tantam D, Whittaker J (1992) Personality disorder and self-wounding. Br J Psychiatry 161:451–464
Evans J, Platts H, Liebenau A (1996) Impulsiveness and deliberate self-harm: a comparison of “first-timers” and “repeaters”. Acta Psychiatr Scand 93:378–380
Fulwiler C, Forbes C, Santangelo SL et al (1997) Self-mutilation and suicide attempt: distinguishing features in prisoners. J Am Acad Psychiatr Law 25:69–77
McCloud A, Barnaby B, Omu N et al (2004) Relationship between alcohol use disorders and suicidality in a psychiatric population. Br J Psychiatry 184:439–445
Willcutt EG, Pennington B (1999) Psychiatric comorbidity associated with DSM-IV ADHD in a nonreffered sample of twins. J Am Acad Child Adolesc Psychiatry 38:1355–1362
James A, Lai FH, Dahl C (2004) Attention deficit hyperactivity disorder and suicide: a review of possible associations. Acta Psychiatr Scand 110: 408–415
Ward MF, Wender PH, Reimherr FW (1993) The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. Am J Psychiatry 150:885–890
Matsumoto T, Kamijo A, Yamaguchi A et al (2005) Childhood histories of attention-deficit/hyperactivity disorders in Japanese methamphetamine and inhalant abusers: preliminary report Psychiatr Clin Neurosci 59: 102–105
Shimotsu S, Izutsu T, Matsumoto T et al (2005) Self-esteem and childhood histories of hyperactivity in junior high school students: an evaluation using the Wender Utah Rating Scale. Seishin- igaku (Clin Psychiatry) (in press, in Japanese)
Hawton K, Rodham K, Evans E et al (2002) Deliberate self harm in adolescents: self report survey in schools in England. BMJ 325:1207–1211
Ross S, Heath NL (2003) Two models of adolescent self-mutilation. Suicide Life Threat Behav 33:277–287
Zoroglu SS, Tuzun U, Sar V et al (2003) Suicide attempt and self-mutilation among Turkish high school students in relation with abuse, neglect and dissociation. Psychiatr Clin Neurosci 57:119–126
Lester D, Beck A (1980) What the suicide’s choice of method signifies. Omega 81:271–277
Weissman MM (1975) Wrist-cutting. Arch Gen Psychiatry 32:1166–1171
Hawton K, Fagg J, Simkin S (1996) Deliberate self-poisoning and self injury in children and adolescents under 16 years of age in Oxford, 1976–1993. Br J Psychiatry 169:202–208
Spirito A, Plummer B, Gispert M et al (1992) Adolescent suicide attempts: outcomes at follow-up. Am J Orthopsychiatry 62:464–468
Cooper J, Kapur N, Webb R et al (2005) Suicide after deliberate self-harm: a 4–year cohort study. Am J Psychiatry 162:297–303
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Izutsu, T., Shimotsu, S., Matsumoto, T. et al. Deliberate self-harm and childhood hyperactivity in junior high school students. Eur Child Adolesc Psychiatry 15, 172–176 (2006). https://doi.org/10.1007/s00787-005-0520-5
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DOI: https://doi.org/10.1007/s00787-005-0520-5