Parental socio-economic position during childhood as a determinant of self-harm in adolescence

Page, Andrew, Lewis, Glyn, Kidger, Judi, Heron, Jon, Chittleborough, Catherine, Evans, Jonathan and Gunnell, David (2014) Parental socio-economic position during childhood as a determinant of self-harm in adolescence. Social Psychiatry and Psychiatric Epidemiology, 49 2: 193-203. doi:10.1007/s00127-013-0722-y

Author Page, Andrew
Lewis, Glyn
Kidger, Judi
Heron, Jon
Chittleborough, Catherine
Evans, Jonathan
Gunnell, David
Title Parental socio-economic position during childhood as a determinant of self-harm in adolescence
Journal name Social Psychiatry and Psychiatric Epidemiology   Check publisher's open access policy
ISSN 0933-7954
Publication date 2014-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1007/s00127-013-0722-y
Volume 49
Issue 2
Start page 193
End page 203
Total pages 11
Place of publication Heidelberg, Germany
Publisher Springer Medizin
Collection year 2014
Language eng
Formatted abstract
Purpose: Socio-economic position (SEP) during childhood and parental social mobility have been associated with subsequent health outcomes in adolescence and adulthood. This study investigates whether parental SEP during childhood is associated with subsequent self-harm in adolescence.

Methods: This study uses data from a prospective birth-cohort study (the Avon Longitudinal Study of Parents and Children) which followed 14,610 births in 1991-1992 to age 16-18 years (n = 4,810). The association of parental SEP recorded pre-birth and throughout childhood with self-harm was investigated using logistic regression models, with analyses conducted separately for those reporting self-harm (a) with and (b) without suicidal intent. The impact of missing data was investigated using multiple imputation methods.

Results: Lower parental SEP was associated with increased risk of offspring self-harm with suicidal intent, with less consistent associations evident for self-harm without suicidal intent. Associations were somewhat stronger in relation to measures of SEP in later childhood. Depressive symptoms appeared to partially mediate the associations. Adolescents of parents reporting consistently low income levels during childhood were approximately 1.5 times more likely to engage in SH than those never to report low income.

Conclusions: Lower SEP during childhood is associated with the subsequent risk of self-harm with suicidal intent in adolescence. This association is stronger in those experiencing consistently lower SEP. 
Keyword Adolescents
Social class
Socio-economic factors
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
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