Life Events Predicting the First Onset of Adolescent Direct Self-Injurious Behavior—A Prospective Multicenter Study

Kaess, Michael; Eppelmann, Lena; Brunner, Romuald; Parzer, Peter; Resch, Franz; Carli, Vladimir; Wasserman, Camilla; Sarchiapone, Marco; Hoven, Christina W.; Apter, Alan; Balazs, Judit; Barzilay, Shila; Bobes, Julio; Cosman, Doina; Horvath, Lili O.; Kahn, Jean-Pierre; Keeley, Helen; McMahon, Elaine; Podlogar, Tina; Postuvan, Vita; ... (2020). Life Events Predicting the First Onset of Adolescent Direct Self-Injurious Behavior—A Prospective Multicenter Study. Journal of adolescent health, 66(2), pp. 195-201. Elsevier 10.1016/j.jadohealth.2019.08.018

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PURPOSE: Self-injurious behavior is a frequent phenomenon in adolescence. The present study prospectively examined life events as risk factors for the first onset of direct self-injurious behavior (D-SIB) in the Saving and Empowering Young Lives in Europe school-based multicenter sample. METHODS: Longitudinal assessments with an interval of 1 year were performed within a sample of 1,933 adolescents (51.47% females; mean age 14.84 ± .9 years) from 10 European countries and Israel. RESULTS: The number of life events during the past 6 months predicted the first onset of D-SIB in the following year. Gender neither predicted the onset of D-SIB nor moderated the association with life events. Moreover, analyses of individual events identified a range of mainly interpersonal events within both family and peer group as proximal risk factors for first episode D-SIB. CONCLUSIONS: The results support the critical role of interpersonal life events in the development of D-SIB for both genders and refine the conceptualization of proximal risk factors in terms of accumulated stressors and interpersonal events.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy

UniBE Contributor:

Kaess, Michael


600 Technology > 610 Medicine & health








Chantal Michel

Date Deposited:

19 Dec 2019 13:11

Last Modified:

20 Jan 2020 01:32

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