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dc.contributor.authorCleare, Seonaid
dc.contributor.authorWetherall, Karen
dc.contributor.authorClark, Andrea
dc.contributor.authorRyan, Caoimhe
dc.contributor.authorKirtley, Olivia
dc.contributor.authorSmith, Michael
dc.contributor.authorO’connor, Rory
dc.identifier.citationCleare , S , Wetherall , K , Clark , A , Ryan , C , Kirtley , O , Smith , M & O’connor , R 2018 , ' Adverse childhood experiences and hospital-treated self-harm ' , International Journal of Environmental Research and Public Health , vol. 15 , no. 6 , 1235 .
dc.identifier.otherPURE: 253343736
dc.identifier.otherPURE UUID: 534bd7fe-e7f3-4a64-81e9-10745a0222b1
dc.identifier.othercrossref: 10.3390/ijerph15061235
dc.identifier.otherScopus: 85048598162
dc.identifier.otherWOS: 000436496900186
dc.descriptionThe study was funded by NHS Greater Glasgow and ClydeMental Health and Sexual Health Partnerships and NHS Health Scotland.en
dc.description.abstractAdverse childhood experiences (ACEs) have been implicated in a range of negative health outcomes in adulthood, including increased suicide mortality. In this study, we explored the relationship between ACEs and hospital-treated self-harm. Specifically, we investigated whether those who had a history of repeat self-harm reported more ACEs than those who had self-harmed for the first time. Patients (n = 189) admitted to two hospitals in Glasgow (UK) following first-time (n = 41) or repeated (n = 148) self-harm completed psychosocial measures. Univariate analyses revealed that those presenting with repeat self-harm reported higher depressive symptoms, anxiety symptoms, intent to die, and ACEs, and lower dependent attachment style. However, only ACEs, along with female gender and depressive symptoms, significantly differentiated between the repeat self-harm group and the first-time self-harm group in the multivariate model. Controlling for all other psychosocial variables, participants who reported 4+ ACEs were significantly more likely to be in the repeat self-harm group as compared to those who experienced 0–3 ACEs. This finding highlights the pernicious effect of exposure to multiple ACEs. Further research is urgently required to better understand the mechanisms that explain this relationship. Clinicians should be aware of the extent of the association between ACEs and repeat self-harm.
dc.relation.ispartofInternational Journal of Environmental Research and Public Healthen
dc.rights© 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
dc.subjectSuicidal behaviouren
dc.subjectRisk factorsen
dc.subjectAdverse childhood experiencesen
dc.subjectBF Psychologyen
dc.subjectRJ101 Child Health. Child health servicesen
dc.titleAdverse childhood experiences and hospital-treated self-harmen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.School of Psychology and Neuroscienceen
dc.description.statusPeer revieweden

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