{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T01:40:28Z","timestamp":1782783628338,"version":"3.54.5"},"reference-count":82,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T00:00:00Z","timestamp":1621468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Sociol."],"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> A growing body of evidence from high-income contexts suggests a strong association between sexual violence victimisation and self-harm and eventual suicide. However, both sexual violence and self-harm among adolescents are still less researched in sub-Saharan African countries, including Ghana.<\/jats:p><jats:p><jats:bold>Objectives:<\/jats:bold> To estimate the 12-month prevalence of self-harm, and to describe the associated factors and reported reasons for self-harm among school-going adolescent survivors of sexual violence victimisation during the previous 12 months in urban Ghana.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Analytic data came from a regional-based representative cross-sectional survey including in-school youth (<jats:italic>N<\/jats:italic> = 1,723) conducted in 2017 within the Greater Accra Region of Ghana. Of these, 297 (17.2%) self-reported sexual violence victimisation in the previous 12 months; this proportion of the participants (<jats:italic>n<\/jats:italic> = 297) was the focus of the current study. Items measuring sexual violence victimisation, self-harm, and correlates were adopted from the 2012 Ghana WHO\u2013Global School-based Student Health Survey and the Child and Adolescent Self-harm in Europe Study. Data analysis involved multivariable logistic regression models.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The estimate of self-harm ideation during the previous 12 months was 45.8% (95% CI: 40\u201352), whereas the estimate of self-harm behaviour was 38.7% (95% CI: 33\u201344). About two in five of the participants who reported self-harm wanted to die by their last episode of the behaviour. While bullying victimisation was associated with increased odds of self-harm ideation (aOR = 1.97, 95% CI 1.17, 3.31, <jats:italic>p<\/jats:italic> = 0.010) and behaviour (aOR = 2.76, 95% CI 1.59, 4.80, <jats:italic>p<\/jats:italic> &amp;lt; 0.001), weekly alcohol use (aOR = 2.56, 95% CI 1.32, 4.93, <jats:italic>p<\/jats:italic> = 0.005), conflict with parents (aOR = 2.30, 95% CI 1.28, 4.12, <jats:italic>p<\/jats:italic> = 0.005), and physical abuse victimisation (aOR = 1.80, 95% CI 1.03, 3.15, <jats:italic>p<\/jats:italic> = 0.037) showed strong associations with increased odds of self-harm behaviour in the past 12 months.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> The evidence underscores the need for both universal and targeted multi-level intervention and prevention programmes to mitigate the offence of sexual violence and reduce the chances of self-harm among adolescent survivors of sexual violence in urban Ghana.<\/jats:p>","DOI":"10.3389\/fsoc.2021.605865","type":"journal-article","created":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T06:26:36Z","timestamp":1621491996000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Self-Harm Among School-Going Adolescent Survivors of Sexual Violence Victimisation: A Cross-Sectional Study"],"prefix":"10.3389","volume":"6","author":[{"given":"Emmanuel Nii-Boye","family":"Quarshie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,5,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1016\/j.chiabu.2017.01.001","article-title":"Boys are not exempt: sexual exploitation of adolescents in sub-Saharan Africa","volume":"65","author":"Adjei","year":"2017","journal-title":"Child Abuse Negl."},{"key":"B2","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1177\/0020764015579739","article-title":"Nonsuicidal self-injury in Indian adolescents: nonexistent or unacknowledged?","volume":"61","author":"Aggarwal","year":"2015","journal-title":"Int. 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