Consumo de alcohol y factores de riesgo de conductas autolesivas en adolescentes españoles

  1. Matilde Bousoño
  2. Susana Al-Halabí
  3. Patricia Burón
  4. Marlen Garrido
  5. Eva Mª Díaz-Mesa
  6. Gonzalo Galván
  7. Leticia García-Álvarez
  8. Ángela Velasco
  9. Julia Rodríguez-Revuelta
  10. Camilla Wasserman
  11. Vladimir Carli
  12. Christina Hoven
  13. Marco Sarchiapone
  14. Danuta Wasserman
  15. Manuel Bousoño
  16. Mª Paz García-Portilla
  17. Celso Iglesias
  18. Pilar Alejandra Sáiz
  19. Julio Bobes
Revista:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Ano de publicación: 2021

Volume: 33

Número: 1

Páxinas: 53-62

Tipo: Artigo

DOI: 10.20882/ADICCIONES.1239 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Adicciones: Revista de socidrogalcohol

Resumo

Self-harm behaviors in children and adolescents constitute an important public health problem with prevalence figures in the clinical population between 40 and 80%. The objectives of the study were to analyze and compare the Spanish sub-samples of two studies, SEYLE and WE-STAY to determine prevalence, self-harm patterns and factors associated with self-harm behaviors, notably the use of alcohol or drugs. The questionnaires used in both studies were the Global School Health Survey (GSHS), the Beck Depression Inventory (BDI-II), the Strengths and Difficulties Questionnaire (SDQ). The self-harm behaviors were evaluated with a modified 6-item version of s the Deliberate Self-Harm Inventory (DSHI). The independence of the study’s categorical variables was assessed using the Chi-square test. The change in the relative risk of self-harm between the SEYLE study and WE-STAY was evaluated through the odds ratio (OR) calculation. Two different logistic regression models were calculated in order to establish the factors associated with self-harm behaviors in each study. In the present study, the rates of DSH vary according to study and sex, ranging from 0.58% to 2.08%, and different patterns of selfharm are evidenced by sex, with males self-injuring more frequently by self-inflicted blows and burns, while young women more often cut themselves. The presence of depressive symptoms and alcohol use were the factors most strongly associated with an increased risk of DSH.

Información de financiamento

The SEYLE and WE-STAY projects have been financed by the European Union through the Seventh Frame-work Program (FP7), through grant agreements number HEALTH-F2.2009-223091 and HEALTH-2010e241542, respectively. The authors would like to thank all the researchers and staff who collaborated on both projects.

Financiadores

Referencias bibliográficas

  • Achenbach, T. M. (1991). Manual for the Youth Self-Report and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry.
  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Washington, DC: American Psychiatric Publishing.
  • Balázs, J., Győri, D., Horváth, L. O., Mészáros, G. y Szentiványi, D. (2018). Attention-deficit hyperactivity disorder and nonsuicidal self-injury in a clinical sample of adolescents: the role of comorbidities and gender. BMC Psychiatry, 18, 34. doi:10.1186/s12888-018-1620-3.
  • Barrigón, M. L. y Baca-García, E. (2018). Retos actuales en la investigación en suicidio. Revista de Psiquiatría y Salud Mental, 11, 1-3. doi:10.1016/j.rpsm.2017.10.001.
  • Beck, A. T., Steer, R. A., Ball, R. y Ranieri, W. (1996). Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. Journal of Personality Assessment, 67, 588-597. doi:10.1207/s15327752jpa6703_13.
  • Bentley, K. H., Cassiello-Robbins, C. F., Vittorio, L., Sauer-Zavala, S. y Barlow, D. H. (2015). The association between nonsuicidal self-injury and the emotional disorders: A meta-analytic review. Clinical Psychology Review, 37, 72-88. doi:10.1016/j.cpr.2015.02.006.
  • Bifulco, A., Schimmenti, A., Moran, P., Jacobs, C., Bunn, A. y Rusu, A. C. (2014). Problem parental care and teenage deliberate self-harm in young community adults. Bulletin of the Menninger Clinic, 78, 95-114. doi:10.1521/bumc.2014.78.2.95.
  • Blasco-Fontecilla, H. (2018). Postmodernity, addictive societies, cannabis and suicidal behaviour: Towards a brave new world? Adicciones, 30, 3-8. doi:10.20882/adicciones.1104.
  • Bousoño, M., Al-Halabí, S., Burón, P., Garrido, M., Díaz-Mesa, E. M., Galván, G., … Bobes, J. (2017). Substance use or abuse, internet use, psychopathology and suicidal ideation in adolescents. Adicciones, 29, 97-104. doi:10.20882/adicciones.811.
  • Bousoño, M., Al-Halabí, S., Burón, P., Garrido, M., Díaz-Mesa, E. M., Galván, G., … Bobes, J. (2019). Predictive factors of alcohol consumption in adolescents: data from 1-year follow-up prospective study. Adicciones, 31, 52-63. doi:10.20882/adicciones.998.
  • Bresin, K. y Schoenleber, M. (2015). Gender differences in the prevalence of nonsuicidal self-injury: A meta-analysis. Clinical Psychology Review, 38, 55-64. doi:10.1016/j.cpr.2015.02.009.
  • Brunner, R., Kaess, M., Parzer, P., Fischer, G., Carli, V., Hoven, C. W., … Wasserman, D. (2014). Life-time prevalence and psychosocial correlates of adolescent direct self-injurious behavior: a comparative study of findings in 11 European countries. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 55, 337-348. doi:10.1111/jcpp.12166.
  • Byrne, B. M., Stewart, S. M. y Lee, P. W. (2004). Validating the beck depression inventory-II for Hong Kong community adolescents. International Journal of Testing, 4, 199-216. doi:10.1207/s15327574ijt0403_1.
  • Carli, V., Hoven, C.W., Wasserman, C., Chiesa, F., Guffanti, G., Sarchiapone, M., … Wasserman D. (2014). A newly identified group of adolescents at “invisible” risk for psychopathology and suicidal behavior: findings from the SEYLE study. World Psychiatry, 13, 78-86. doi:10.1002/wps.20088.
  • Cipriano, A., Cella, S. y Cotrufo, P. (2017). Nonsuicidal self-injury: A systematic review. Frontiers in Psychology, 8, 1946. doi:10.3389/fpsyg.2017.01946.
  • Díaz de Neira, M., García-Nieto, R., de León-Martinez, V., Pérez Fominaya, M., Baca-García, E. y Carballo, J. J. (2015). Prevalence and functions of self-injurious thoughts and behaviors in a sample of Spanish adolescents assessed in mental health outpatient departments. Revista de Psiquiatria y Salud Mental, 8, 137-145. doi:10.1016/j.rpsm.2013.09.003.
  • Dougherty, D. M., Mathias, C. W., Marsh-Richard, D. M., Prevette, K. N., Dawes, M. A., Hatzis, E. S., … Nouvion, S. O. (2009). Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide. Psychiatry Research, 169, 22-27. doi:10.1016/j.psychres.2008.06.011.
  • Fliege, H., Lee, J.R., Grimm, A. y Klapp, B. F. (2009). Risk factors and correlates of deliberate self-harm behavior: a systematic review. Journal of Psychosomatic Research, 66, 477-493. doi:10.1016/j.jpsychores.2008.10.013.
  • Fonseca-Pedrero, E., Inchausti, F., Pérez-Gutiérrez, L., Aritio Solana, R., Ortuño-Sierra, J., Sánchez-García, M. Á., … Pérez de Albéniz Iturriaga, A. (2018). Ideación suicida en una muestra representativa de adolescentes españoles. Revista de Psiquiatría y Salud Mental, 11, 76-85. doi:10.1016/j.rpsm.2017.07.004.
  • Fulwiler, C., Forbes, C., Santangelo, S. L. y Folstein, M. (1997). Self-mutilation and suicide attempt: distinguishing features in prisoners. The Journal of the American Academy of Psychiatry and the Law, 25, 69-77.
  • Goodman, R., Meltzer, H. y Bailey, V. (2003). The Strengths and Difficulties Questionnaire: a pilot study on the validity of the self-report version. International Review of Psychiatry, 15, 173-177. doi:10.1080/0954026021000046137.
  • Gratz, K. L. (2001). Measurement of Deliberate Self-Harm: Preliminary Data on the Deliberate Self-Harm Inventory. Journal of Psychopathology and Behavioral Assessment, 23, 253-263. doi:10.1023/A:1012779403943.
  • Hargus, E., Hawton, K. y Rodham, K. (2009). Distinguishing between subgroups of adolescents who self-harm. Suicide & Life-Threatening Behavior, 39, 518-537. doi:10.1521/suli.2009.39.5.518.
  • Hawton, K. y Harriss, L. (2008). Deliberate self-harm by under-15-year-olds: characteristics, trends and outcome. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 49, 441-448. doi:10.1111/j.1469-7610.2007.01852.x.
  • Hawton, K., Rodham, K., Evans, E. y Weatherall, R. (2002). Deliberate self-harm in adolescents: self-report survey in schools in England. British Medical Journal, 325, 1207-1211.
  • Heerde, J. A., Toumbourou, J. W., Hemphill, S. A., Herrenkohl, T. I., Patton, G. C. y Catalano, R. F. (2015). Incidence and Course of Adolescent Deliberate Self-Harm in Victoria, Australia, and Washington State. Journal of Adolescent Health, 57, 537-544. doi:10.1016/j.jadohealth.2015.07.017.
  • Hinshaw, S. P., Owens, E. B., Zalecki, C., Huggins, S. P., Montenegro-Nevado, A. J., Schrodek, E. y Swanson, E. N. (2012). Prospective follow-up of girls with attention-deficit/hyperactivity disorder into early adulthood: continuing impairment includes elevated risk for suicide attempts and self-injury. Journal of Consulting and Clinical Psychology, 80, 1041-1051. doi:10.1037/a0029451.
  • Huang, Y.H., Liu, H.-C., Tsai, F.-J., Sun, F.-J., Huang, K.-Y., Chiu, Y.-C., … Liu, S.-I. (2017). Correlation of impulsivity with self-harm and suicidal attempt: a community study of adolescents in Taiwan. BMJ Open, 7, e017949. doi:10.1136/bmjopen-2017-017949.
  • Ilomäki, E., Räsänen, P., Viilo, K., Hakko, H. y STUDY-70 Workgroup. (2007). Suicidal behavior among adolescents with conduct disorder--the role of alcohol dependence. Psychiatry Research, 150, 305-311. doi:10.1016/j.psychres.2006.02.011.
  • Kaess, M., Fischer-Waldschmidt, G., Resch, F. y Koenig, J. (2017). Health related quality of life and psychopathological distress in risk taking and self-harming adolescents with full-syndrome, subthreshold and without borderline personality disorder: rethinking the clinical cut-off? Borderline Personality Disorder and Emotion Dysregulation, 4, 7. doi:10.1186/s40479-017-0058-4.
  • Kaminski, J. W., Puddy, R. W., Hall, D. M., Cashman, S. Y., Crosby, A. E. y Ortega, L. A. G. (2010). The relative influence of different domains of social connectedness on self-directed violence in adolescence. Journal of Youth and Adolescence, 39, 460-473. doi:10.1007/s10964-009-9472-2.
  • Kashden, J., Fremouw, W. J., Callahan, T. S. y Franzen, M. D. (1993). Impulsivity in suicidal and nonsuicidal adolescents. Journal of Abnormal Child Psychology, 21, 339-353.
  • Kirchner, T., Ferrer, L., Forns, M. y Zanini, D. (2011). Self-harm behavior and suicidal ideation among high school students. Gender differences and relationship with coping strategies. Actas Españolas de Psiquiatría, 39, 226-235.
  • Lenkiewicz, K., Racicka, E. y Bryńska, A. (2017). Self-injury - placement in mental disorders classifications, risk factors and primary mechanisms. Review of the literature. Psychiatria Polska, 51, 323-334. doi:10.12740/PP/62655.
  • Lowenstein, L. F. (2005). Youths who intentionally practise self-harm. Review of the recent research 2001-2004. International Journal of Adolescent Medicine and Health, 17, 225-230.
  • Lundh, L.G., Wångby-Lundh, M. y Bjärehed, J. (2011). Deliberate self-harm and psychological problems in young adolescents: evidence of a bidirectional relationship in girls. Scandinavian Journal of Psychology, 52, 476-483. doi:10.1111/j.1467-9450.2011.00894.x.
  • Madge, N., Hawton, K., McMahon, E. M., Corcoran, P., De Leo, D., de Wilde, E. J., … Arensman, E. (2011). Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Study. European Child & Adolescent Psychiatry, 20, 499-508. doi:10.1007/s00787-011-0210-4.
  • Madge, N., Hewitt, A., Hawton, K., de Wilde, E. J., Corcoran, P., Fekete, S., … Ystgaard, M. (2008). Deliberate self-harm within an international community sample of young people: comparative findings from the Child & Adolescent Self-harm in Europe (CASE) Study. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 49, 667-677. doi:.10.1111/j.1469-7610.2008.01879.x.
  • McCormick, E. M., Qu, Y. y Telzer, E. H. (2017). Activation in context: Differential conclusions drawn from cross-sectional and longitudinal analyses of adolescents’ cognitive control-related neural activity. Frontiers in Human Neuroscience, 11, 141. doi:10.3389/fnhum.2017.00141.
  • Meszaros, G., Horvath, L. O. y Balazs, J. (2017). Self-injury and externalizing pathology: a systematic literature review. BMC Psychiatry, 17, 160. doi:10.1186/s12888-017-1326-y.
  • Meza, J. I., Owens, E. B. y Hinshaw, S. P. (2016). Response inhibition, peer preference and victimization, and self-harm: Longitudinal associations in young adult women with and without ADHD. Journal of Abnormal Child Psychology, 44, 323-334. doi:10.1007/s10802-015-0036-5.
  • Morgan, C., Webb, R. T., Carr, M. J., Kontopantelis, E., Green, J., Chew-Graham, C. A., … Ashcroft, D. M. (2017). Incidence, clinical management, and mortality risk following self-harm among children and adolescents: cohort study in primary care. British Medical Journal, 359, j4351. doi:10.1136/bmj.j4351.
  • Muehlenkamp, J. J., Claes, L., Havertape, L. y Plener, P. L. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 6, 10. doi:10.1186/1753-2000-6-10.
  • Nock, M. K. (2010). Self-injury. Annual Review of Clinical Psychology, 6, 339-363. doi:10.1146/annurev.clinpsy.121208.131258.
  • Pattison, E. M. y Kahan, J. (1983). The deliberate self-harm syndrome. The American Journal of Psychiatry, 140, 867-872. doi:10.1176/ajp.140.7.867.
  • Pisinger, V. S. C., Hawton, K. y Tolstrup, J. S. (2018). Self-injury and suicide behavior among young people with perceived parental alcohol problems in Denmark: a school-based survey. European Child & Adolescent Psychiatry, 27, 201-208. doi:10.1007/s00787-017-1031-x.
  • Portzky, G. y van Heeringen, K. (2007). Deliberate self-harm in adolescents. Current Opinion in Psychiatry, 20, 337-342. doi:10.1097/YCO.0b013e3281c49ff1.
  • Romero, E., Rodríguez, C., Villar, P. y Gómez-Fraguela, X. A. (2017). Intervention on early-onset conduct problems as indicated prevention for substance use: A seven-year follow up. Adicciones, 29, 150-162. doi:10.20882/adicciones.722.
  • Ruchkin, V., Sukhodolsky, D. G., Vermeiren, R., Koposov, R. A. y Schwab-Stone, M. (2006). Depressive symptoms and associated psychopathology in urban adolescents: A cross-cultural study of three countries. Journal of Nervous and Mental Disease, 194, 106-113. doi:10.1097/01.nmd.0000198142.26754.18.
  • Silverman, M. M., Berman, A. L., Sanddal, N. D., O’Carroll, P. W. y Joiner, T. E. (2007). Rebuilding the tower of Babel: a revised nomenclature for the study of suicide and suicidal behaviors. Part 2: Suicide-related ideations, communications, and behaviors. Suicide & Life-Threatening Behavior, 37, 264-277. doi:10.1521/suli.2007.37.3.264.
  • Skegg, K. (2005). Self-harm. Lancet, 366, 1471-1483. doi:10.1016/S0140-6736(05)67600-3.
  • Somerville, L. H., Hare, T. y Casey, B. J. (2011). Frontostriatal maturation predicts cognitive control failure to appetitive cues in adolescents. Journal of Cognitive Neuroscience, 23, 2123-2134. doi:10.1162/jocn.2010.21572.
  • Sornberger, M. J., Heath, N. L., Toste, J. R. y McLouth, R. (2012). Nonsuicidal self-injury and gender: patterns of prevalence, methods, and locations among adolescents. Suicide & Life-Threatening Behavior, 42, 266-278. doi:10.1111/j.1943-278X.2012.0088.x.
  • Stewart, S. L., Baiden, P. y Theall-Honey, L. (2014). Examining non-suicidal self-injury among adolescents with mental health needs, in Ontario, Canada. Archives of Suicide Research, 18, 392-409. doi:10.1080/13811118.2013.824838.
  • Strittmatter, E., Kaess, M., Parzer, P., Fischer, G., Carli, V., Hoven, C.W., … Wasserman D. (2015). Pathological Internet use among adolescents: Comparing gamers and non-gamers. Psychiatry Research, 228, 128-135. doi:10.1016/j.psychres.2015.04.029.
  • Swahn, M. H., Ali, B., Bossarte, R. M., Van Dulmen, M., Crosby, A., Jones, A. C. y Schinka, K. C. (2012). Self-harm and suicide attempts among high-risk, urban youth in the U.S.: shared and unique risk and protective factors. International Journal of Environmental Research and Public Health, 9, 178-191. doi:10.3390/ijerph9010178.
  • Taliaferro, L. A. y Muehlenkamp, J. J. (2015). Risk factors associated with self-injurious behavior among a national sample of undergraduate college students. Journal of American College Health, 63, 40-48. doi:10.1080/07448481.2014.953166.
  • Vajani, M., Annest, J. L., Crosby, A. E., Alexander, J. D. y Millet, L. M. (2007). Nonfatal and fatal self-harm injuries among children aged 10-14 years--United States and Oregon, 2001-2003. Suicide & Life-Threatening Behavior, 37, 493-506. doi:10.1521/suli.2007.37.5.493.
  • Valencia-Agudo, F., Burcher, G. C., Ezpeleta, L. y Kramer, T. (2018). Nonsuicidal self-injury in community adolescents: A systematic review of prospective predictors, mediators and moderators. Journal of Adolescence, 65, 25-38. doi:10.1016/j.adolescence.2018.02.012.
  • Vargas-Martínez, A. M., Trapero-Bertran, M., Gil-García, E. y Lima-Serrano, M. (2018). Impact of the Binge Drinking (BD) in Adolescence. Are we doing it right? Adicciones, 30, 152-154. doi:10.20882/adicciones.1033.
  • Villar, F., Letemendia, E. E., Blasco, T., Toribio, T. P., Verge, M., Grifoll, M. del M. V., … Tejedor, C. C. (2018). Análisis dimensional de la personalidad del adolescente con conducta suicida. Actas Españolas de Psiquiatría, 46, 104-111.
  • Wasserman, D., Carli, V., Wasserman, C., Apter, A., Balazs, J., Bobes, J., … Hoven, C. W. (2010). Saving and Empowering Young Lives in Europe (SEYLE): A randomized controlled trial. BMC Public Health, 10, 192. doi:10.1186/1471-2458-10-192.
  • Whitlock, J., Muehlenkamp, J., Purington, A., Eckenrode, J., Barreira, P., Baral Abrams, G., … Knox, K. (2011). Nonsuicidal self-injury in a college population: general trends and sex differences. Journal of American College Health, 59, 691-698. doi:10.1080/07448481.2010.529626.
  • World Health Organization. (2015). Global School-Based Student Health Survey. Recuperado de http://www.who.int/chp/gshs/GSHS_Questionnaire_Core_2009_Spanish.pdf.
  • Yang, X. y Feldman, M. W. (2017). A reversed gender pattern? A meta-analysis of gender differences in the prevalence of non-suicidal self-injurious behaviour among Chinese adolescents. BMC Public Health, 18, 66. doi:10.1186/s12889-017-4614-z.
  • Zetterqvist, M. (2015). The DSM-5 diagnosis of nonsuicidal self-injury disorder: a review of the empirical literature. Child and Adolescent Psychiatry and Mental Health, 9, 31. doi:10.1186/s13034-015-0062-7.