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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.
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Table 1.
Descriptive characteristics of sample
Table 2.
Comparison between ADHD group and Depressive dis order group
Table 3.
OR from ordered logistic regression models predicting suicidal attempts to various factors
Table 4.
Sex-adjusted Mantel-Haenszel OR for the association between self-injury or suicidal attempt and both childhood abuse and bullying victim
| Child abuse and bullying victim | ||
|---|---|---|
| OR (95% CI)∗ | p-value | |
| Sex classification (among self-injury or suicidal attempters) | ||
| Male | 1.145 (0.392-3.349) | 0.782 |
| Female | 4.222 (1.688-10.564) | 0.002 |
| Total | 2.383 (1.271-4.467) | 0.008 |
Table 5.
Depression-adjusted Mantel-Haenszel OR for the association between self-injury or suicidal attempt and bullying victim
| Bullying victim | ||
|---|---|---|
| OR (95% CI)∗ | p-value | |
| Depressive disorder (among self-injury or suicidal attempter) | ||
| Yes | 1.106 (0.458-2.669) | 1.000 |
| No | 3.909 (1.532-9.972) | 0.003 |
| Total | 2.212 (1.213-4.034) | 0.009 |
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