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Published on: August 22, 2012
Self-harm behaviors, suicidal ideation, and associated factors among rural left-behind children in west China
Yuanyuan Xiao1, Liping He2, Wei Chang2
1School of Public Health, Kunming Medical University, Kunming, Yunnan, China; Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT.
Purpose:
This population-based cross-sectional study describes self-harm (SH) behaviors and associated factors in 2898 Chinese left-behind children (LBC).
Methods:
Descriptive statistics were used to present and compare the distributional characteristics of SH behaviors. Binary and ordinal logistic-regression models for survey data were applied to explore associated factors of SH.
Results:
Among the LBC, 48% (95% CI: 42%-54%) reported SH behaviors. SH was prominently associated with suicidal ideation. Boys, junior high-school students, and LBC whose fathers were poorly educated were observed to have higher prevalence of SH. Boys, local ethnic minorities, junior high-school students, and LBC whose fathers were comparatively well educated were observed to be at increased risk of more medically serious SH behaviors.
Conclusions:
SH is a substantial public health problem among rural Chinese LBC. Targeted intervention measures should be developed to reduce future suicide risk.
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