Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/115640
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Type: Journal article
Title: The continuity and duration of depression and its relationship to non-suicidal self-harm and suicidal ideation and behavior in adolescents 12–17
Author: Zubrick, S.
Hafekost, J.
Johnson, S.
Sawyer, M.
Patton, G.
Lawrence, D.
Citation: Journal of Affective Disorders, 2017; 220:49-56
Publisher: Elsevier
Issue Date: 2017
ISSN: 0165-0327
1573-2517
Statement of
Responsibility: 
Stephen R. Zubrick, Jennifer Hafekost, Sarah E. Johnson, Michael G. Sawyer George Patton, David Lawrence
Abstract: Background: There is a significant overlap between non-suicidal self-harm and suicidal ideation and behavior in young people with both symptom continuity and symptom duration implicated in this association. Methods: A population sample of Australian 12–17 year olds. Interviewers collected measures for DSM disorders, symptom duration and continuity, and background information from their parents, while young people self-reported symptoms of depression, non-suicidal self-harm and suicidal ideation and behaviors. This report focusses on the 265 young people who met the DSM criteria for Major Depressive Disorder based on their own self-reports. Results: Relative to young people who had at least one period 2 months or longer without symptoms since first onset, young people who had the continuous presence of depressive symptoms since their first onset had significantly higher odds for life-time self-harm, 12-month self-harm, multiple self-harm, suicidal ideation and suicide attempt within the past 12 months. The duration of depressive symptoms and the continuity of these symptoms each independently contribute to elevating the risks of non-suicidal self-harming and suicidal ideation and behaviors. Limitations: Reliance on self-report from the young people and time constraints prohibiting administering diagnostic modules other than the Major Depressive Disorder and estimating self-reported co-morbidity. Conclusions: Among young people with a Major Depressive Disorder, self-reports about duration of depressive symptoms as well as the continuity of symptoms, each independently contributes to elevated risks of non-suicidal self-harming and suicidal ideation and behaviors. As well, un-remitting as opposed to episodic symptoms in this group of young people are common and are a powerful indicator of suffering associated with both self-harm and suicidal behavior.
Keywords: Adolescents; depression; severity; self-harm; suicidal behavior
Rights: © 2017 Elsevier B.V. All rights reserved.
RMID: 0030071310
DOI: 10.1016/j.jad.2017.05.050
Grant ID: http://purl.org/au-research/grants/arc/CE140100027
http://purl.org/au-research/grants/nhmrc/1117873
Appears in Collections:Psychology publications

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