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Coping strategies in adolescents who self-harm
Diogo F Guerreiro1, Maria Luisa Figueira1, Diana Cruz2
1<location>Department of Psychiatry, Faculty of Medicine, University of Lisbon, Portugal</location>
Background:
Adolescent self-harm (SH) is a major public health concern, associated with poor outcomes. The use of ineffective coping is often referred to in explanatory models of adolescent SH.
Aims:
To assess the relationship between SH and coping strategies in a large sample of school-aged adolescents.
Method:
A sample of public school students (n = 1,713), aged between 12 and 20 years, were examined using an anonymously completed questionnaire. SH was defined according to strict criteria through a two-stage procedure. Study participants were divided into two groups: no self-harm and lifetime self-harm. The differences between groups were explored, including logistic regression analyses (controlling for anxiety and depression effects), to reveal which coping strategies better predicted lifetime SH.
Results:
The use of nonproductive strategies was associated with SH in both genders, particularly self-blame and tension reduction. Strategies involving consulting significant others for support were used less in the SH group, especially among male subjects. The preferential use of a productive coping style was negatively associated with the SH group in both genders.
Conclusion:
The results support previous data regarding a different pattern of coping strategies used by adolescents who harm themselves. The use of self-rating instruments and the cross-sectional nature of the study limit our results.