J Korean Neuropsychiatr Assoc.  2020 Feb;59(1):44-50. 10.4306/jknpa.2020.59.1.44.

The Characteristics of Students Who Had Attempted Self-Injury or Suicide in Chungcheongdo ‘Professional School Visits Outreach Project’

Affiliations
  • 1Department of Psychiatry, Gongju National Hospital, Gongju, Korea. selfobjc@naver.com
  • 2Halym University Suicide and School Mental Health Institute, Anyang, Korea.
  • 3Department of Psychiatry, Hallym University Sacred Heart Hospital, Anyang, Korea.
  • 4Department of Neuropsychiatry, College of Medicine, Chungbuk National Univesity, Cheongju, Korea.

Abstract


OBJECTIVES
This study examined the characteristics of students who participated in the "˜Professional School Visits Outreach Project' and evaluated the factors affecting self-injury or suicidal attempts.
METHODS
In a cross-sectional study, psychiatrists or mental health professionals conducted a semi-structured interview with 296 students, families, and teachers in Chungcheong province and recorded the socioeconomic status (SES), past psychiatric history, current clinical symptoms, and mental status exams. Logistic regression analysis was performed on the variables with differences between the students who had attempted self-harm or suicide and those who had not.
RESULTS
The subjects of this study belonged to a relatively low SES. In addition, their provisional diagnosis was mainly attention-deficit/hyperactivity disorder (38.5%) or depression (29.1%). Approximately 18.2% of students had attempted self-injury or suicide. The variables with differences between students who had attempted self-harm or suicide and those who had not, were female [odds ratio (OR) 2.878, p=0.002], provisional diagnosis of depression (OR 3.045, p=0.001), and a history of bullying victim (OR 1.927, p=0.048). Although the risks of self-injury or suicidal attempts were not increased by child abuse alone, it was increased in girls who experienced both childhood abuse and bullying victim (OR 4.222, p=0.002).
CONCLUSION
The "˜Professional School Visits Outreach Project' provides therapeutic opportunities for low SES and high-risk adolescents with multiple difficulties, such as child abuse, bullying victim, and suicidal behaviors. In addition, the recurrent experience of trauma in girls appears to increase the risk of adolescent self-injury or suicidal attempts.

Keyword

Self-injury; Attempted suicide; Professional school visits outreach project
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