{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T06:39:14Z","timestamp":1790491154635,"version":"4.1.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2011,9,1]],"date-time":"2011-09-01T00:00:00Z","timestamp":1314835200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:p>Objective: The aim of this study was to identify risk factors for self-harm for children and adolescents in a mental health inpatient unit.<\/jats:p>\n                  <jats:p>Methods: A retrospective file audit of patient files over three years (2006\u20132009) was conducted to determine risk factors associated with self-harm in children and adolescents admitted to a mental health unit. A checklist of potential factors was based on risk factors found in a review of the literature including demographic information, diagnosis, home situation, environmental stressors, childhood trauma and previous mental health care. The study compared those who self-harmed with a control group who did not self-harm.<\/jats:p>\n                  <jats:p>Results: There were 150 patients who self-harmed (mean age 14 years) and 56 patients who did not self-harm with a mean age of 13 years. Several factors were identified that increased the likelihood of self-harm, including a diagnosis of depression, female gender, increasing age, being Australian-born, living with a step parent, not having received previous mental health care, having a history of trauma, and having other stressors including problems within the family.<\/jats:p>\n                  <jats:p>Conclusions: While increasing age, female gender, a history of trauma and a diagnosis of depression are well known as risk factors for self-harm, this study confirms that family factors, in particular living with a step parent, significantly add to the risk. Child and adolescent services should be aware of the increased risk of self-harm in young people with mental health problems who live in blended families. Treatment approaches need to involve parents as well as the child or young person.<\/jats:p>","DOI":"10.3109\/00048674.2011.595682","type":"journal-article","created":{"date-parts":[[2011,8,10]],"date-time":"2011-08-10T05:47:50Z","timestamp":1312955270000},"page":"749-755","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Risk Factors for Self-Harm in Children and Adolescents Admitted to a Mental Health Inpatient Unit"],"prefix":"10.1177","volume":"45","author":[{"given":"Liselotte","family":"de Kloet","sequence":"first","affiliation":[{"name":"Medical School, De Vrije Universiteit, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Starling","sequence":"additional","affiliation":[{"name":"Walker Unit, Concord Centre for Mental Health, Hospital Road, Concord West, New South Wales 2138, Australia"},{"name":"Discipline of Psychiatry, Sydney Medical School, University of Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassandra","family":"Hainsworth","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Children's Hospital at Westmead, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Berntsen","sequence":"additional","affiliation":[{"name":"Medical School, De Vrije Universiteit, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Chapman","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Children's Hospital at Westmead, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Hancock","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Children's Hospital at Westmead, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,9,1]]},"reference":[{"key":"bibr1-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.1017\/S003329170700027X"},{"key":"bibr2-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2006.05.010"},{"key":"bibr3-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6163.2008.00172.x"},{"key":"bibr4-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxn002"},{"key":"bibr5-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2006.01615.x"},{"key":"bibr6-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.63.7.757"},{"key":"bibr7-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.1093\/clipsy.bpg022"},{"key":"bibr8-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-005-7262-z"},{"key":"bibr9-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/24.3.179"},{"key":"bibr10-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2004.tb06204.x"},{"key":"bibr11-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.3109\/10401239709147808"},{"key":"bibr12-00048674.2011.595682","doi-asserted-by":"publisher","DOI":"10.3109\/00048679509064956"},{"key":"bibr13-00048674.2011.595682","doi-asserted-by":"crossref","unstructured":"13. 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