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Deliberate self-harm among adolescents: A structural equation modelling analysis
Arunothai Singtakaew1, Nujjaree Chaimongkol2
1Department of Mental Health, Srithanya Hospital, Ministry of Public Health, Amphur Muang, Nonthaburi, Thailand.
International Journal of Mental Health Nursing
|August 5, 2021
Summary
Deliberate self-harm in adolescents is influenced by sex, resilience, stress, and school connectedness. Interventions should focus on reducing stress and strengthening resilience, family relationships, and school connections, especially for boys.
Area of Science:
- Psychology
- Public Health
- Adolescent Health
Background:
- Deliberate self-harm (DSH) is a significant mental health concern among adolescents globally, with high prevalence in Thailand.
- Understanding the factors influencing DSH is crucial for developing effective prevention strategies.
Purpose of the Study:
- To test a causal model of deliberate self-harm in Thai adolescents.
- To identify the influence of sex, family relationship, school connectedness, stress, resilience, and self-control on DSH behavior.
Main Methods:
- A cross-sectional study involving 360 Thai adolescents recruited via multi-stage random sampling.
- Data collected using validated self-report instruments measuring family relationship, school connectedness, resilience, self-control, stress, and DSH.
- Structural equation modeling was employed to analyze the data.
Main Results:
- Sex, resilience, stress, and school connectedness directly impacted deliberate self-harm.
- Resilience and stress acted as mediators between demographic/social factors and DSH.
- The identified factors explained 65.2% of the variance in deliberate self-harm behavior.
Conclusions:
- The proposed causal model demonstrated a good fit with the empirical data.
- Interventions targeting stress reduction, enhanced school connectedness, stronger family relationships, and improved resilience are recommended.
- Special attention should be given to male adolescents in prevention efforts.
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