Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress
Introduction: Self-harm has increased among adolescents in recent years, turning it to one of the major public and mental health concerns. Objective: The present study aims to investigate the prevalence of self-harm and deliberate self-cutting in high school students in northern Iran, and its relati...
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| Format: | Article |
| Language: | English |
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Guilan University of Medical Sciences
2022-06-01
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| Series: | Journal of Holistic Nursing and Midwifery |
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| Online Access: | http://hnmj.gums.ac.ir/article-1-1909-en.html |
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| author | Elahe Abdollahi Maryam Kousha Arvin Bozorgchenani Mohammadreza Bahmani Elahe Rafiei Fatemeh Eslamdoust-Siahestalkhi |
| author_facet | Elahe Abdollahi Maryam Kousha Arvin Bozorgchenani Mohammadreza Bahmani Elahe Rafiei Fatemeh Eslamdoust-Siahestalkhi |
| author_sort | Elahe Abdollahi |
| collection | DOAJ |
| description | Introduction: Self-harm has increased among adolescents in recent years, turning it to one of the major public and mental health concerns.
Objective: The present study aims to investigate the prevalence of self-harm and deliberate self-cutting in high school students in northern Iran, and its relationship with anxiety, depression, and stress.
Materials and Methods: In this analytical cross-sectional study, participants were 617 high school students in Rasht, Iran in 2018 who were selected through multistage cluster random sampling. Data collection tools were a demographic form, the Self-Harm Inventory (SHI), and the 21-item Depression, Anxiety, and Stress Scale (DASS-21). Data analysis was done by independent t-test, Kruskal–Wallis test, one-way analysis of variance, chi-square test, Fisher’s Exact test, and linear and logistic regression.
Results: The mean age of students was 16.11±1.35 years, and the majority of them were male (64.2%). The prevalence of self-harm behaviors was 54.9% (n=339), 20.3% in females and 79.7% in males. Deliberate self-cutting was found in 11% of students. The score of SHI was significantly higher in boys than in girls, while the prevalence of deliberate self-cutting was more in girls (P=0.001). Self-harm behaviors increased with increasing depression, anxiety, and stress (P=0.001). Gender (B=0.704, 95%CI; 0.149-1.258, P=0.013), grade (B=-1.011, 95%CI;-1.517- -0.504, P=0.001), family size (B=0.620, 95%CI; 0.344-0.895, P=0.001), age (B=0.624, 95%CI; 0.286-0.962, P=0.001), and the grade point average in the past year (B=-0.945, 95%CI; -1.197- -0.693, P= 0.001) had significant relationship with self-harm behaviors (R2= 0.145). Moreover, gender (OR=4.874, 95%CI; 2.297-10.344, P=0.001), grade point average in the past year (OR=0.727, 95%CI; 0.567-0.932, P=0.012), substance abuse (OR=7.972, 95%CI; 3.424-18.564, P=0.001), depression (OR=1.163, 95%CI; 1.065-1.271, P=0.001), stress (OR=1.105, 95%CI; 1.006-1.213, P=0.036), and father’s educational level (OR=7.897, 95%CI; 1.138-54.807, P=0.001) had significant relationship with deliberate self-cutting.
Conclusion: Self-harm behaviors in adolescents are associated with anxiety, depression, and stress. |
| format | Article |
| id | doaj-art-e699f2b043cb4a4caeed258a33f8a5d7 |
| institution | OA Journals |
| issn | 2588-3712 2588-3720 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Journal of Holistic Nursing and Midwifery |
| spelling | doaj-art-e699f2b043cb4a4caeed258a33f8a5d72025-08-20T02:38:56ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122588-37202022-06-01323169177Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and StressElahe Abdollahi0Maryam Kousha1Arvin Bozorgchenani2Mohammadreza Bahmani3Elahe Rafiei4Fatemeh Eslamdoust-Siahestalkhi5 Assistant Professor, Kavosh Cognitive Behavior Sciences and Addiction Research Center, Guilan University of Medical Sciences, Rasht, Iran. Assistant Professor, Kavosh Cognitive Behavior Sciences and Addiction Research Center, Guilan University of Medical Sciences, Rasht, Iran. Assistant Professor, Kavosh Cognitive Behavior Sciences and Addiction Research Center, Guilan University of Medical Sciences, Rasht, Iran. Epidemiology (MSc), Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran. Epidemiology (MSc), Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran. Assistant Professor, Kavosh Cognitive Behavior Sciences and Addiction Research Center, Guilan University of Medical Sciences, Rasht, Iran. Introduction: Self-harm has increased among adolescents in recent years, turning it to one of the major public and mental health concerns. Objective: The present study aims to investigate the prevalence of self-harm and deliberate self-cutting in high school students in northern Iran, and its relationship with anxiety, depression, and stress. Materials and Methods: In this analytical cross-sectional study, participants were 617 high school students in Rasht, Iran in 2018 who were selected through multistage cluster random sampling. Data collection tools were a demographic form, the Self-Harm Inventory (SHI), and the 21-item Depression, Anxiety, and Stress Scale (DASS-21). Data analysis was done by independent t-test, Kruskal–Wallis test, one-way analysis of variance, chi-square test, Fisher’s Exact test, and linear and logistic regression. Results: The mean age of students was 16.11±1.35 years, and the majority of them were male (64.2%). The prevalence of self-harm behaviors was 54.9% (n=339), 20.3% in females and 79.7% in males. Deliberate self-cutting was found in 11% of students. The score of SHI was significantly higher in boys than in girls, while the prevalence of deliberate self-cutting was more in girls (P=0.001). Self-harm behaviors increased with increasing depression, anxiety, and stress (P=0.001). Gender (B=0.704, 95%CI; 0.149-1.258, P=0.013), grade (B=-1.011, 95%CI;-1.517- -0.504, P=0.001), family size (B=0.620, 95%CI; 0.344-0.895, P=0.001), age (B=0.624, 95%CI; 0.286-0.962, P=0.001), and the grade point average in the past year (B=-0.945, 95%CI; -1.197- -0.693, P= 0.001) had significant relationship with self-harm behaviors (R2= 0.145). Moreover, gender (OR=4.874, 95%CI; 2.297-10.344, P=0.001), grade point average in the past year (OR=0.727, 95%CI; 0.567-0.932, P=0.012), substance abuse (OR=7.972, 95%CI; 3.424-18.564, P=0.001), depression (OR=1.163, 95%CI; 1.065-1.271, P=0.001), stress (OR=1.105, 95%CI; 1.006-1.213, P=0.036), and father’s educational level (OR=7.897, 95%CI; 1.138-54.807, P=0.001) had significant relationship with deliberate self-cutting. Conclusion: Self-harm behaviors in adolescents are associated with anxiety, depression, and stress.http://hnmj.gums.ac.ir/article-1-1909-en.htmlself-harmdepressionanxietystressadolescents |
| spellingShingle | Elahe Abdollahi Maryam Kousha Arvin Bozorgchenani Mohammadreza Bahmani Elahe Rafiei Fatemeh Eslamdoust-Siahestalkhi Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress Journal of Holistic Nursing and Midwifery self-harm depression anxiety stress adolescents |
| title | Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress |
| title_full | Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress |
| title_fullStr | Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress |
| title_full_unstemmed | Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress |
| title_short | Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress |
| title_sort | prevalence of self harm behaviors and deliberate self cutting in high school students in northern iran and its relationship with anxiety depression and stress |
| topic | self-harm depression anxiety stress adolescents |
| url | http://hnmj.gums.ac.ir/article-1-1909-en.html |
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