دورية أكاديمية
The association between adverse childhood experiences and self-harm among South Korean children and adolescents: a cross-sectional study
| العنوان: | The association between adverse childhood experiences and self-harm among South Korean children and adolescents: a cross-sectional study |
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| المؤلفون: | Scott Seung W. Choi, Jeong-Kyu Sakong, Hyo Ju Woo, Sang-Kyu Lee, Boung Chul Lee, Hyung-Jun Yoon, Jong-Chul Yang, Min Sohn |
| المصدر: | Child Health Nursing Research, Vol 29, Iss 4, Pp 271-279 (2023) |
| بيانات النشر: | Korean Academy of Child Health Nursing, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | self-injurious behavior, adverse childhood experiences, child, adolescent, korea, Medicine |
| الوصف: | Purpose Adolescent self-harm is a public health problem. Research suggests a link between adverse childhood experiences (ACEs) and self-destructive behaviors. Few studies, however, have examined the effects of ACEs on self-harm among Asian adolescents. This study explored the association between lifetime ACEs and a history of self-harm among Korean children and adolescents in elementary, middle, and high schools. Methods A cross-sectional, retrospective medical record review was conducted on a dataset of a national psychiatrist advisory service for school counselors who participated in the Wee Doctor Service from January 1 to December 31, 2020. The data were analyzed using multiple logistic regression to predict self-harm. Results Student cases (n=171) were referred to psychiatrists by school counselors for remote consultation. Multiple logistic regression analyses revealed that the odds of self-harm were higher among high school students (adjusted odds ratio [aOR]=4.97; 95% confidence interval [CI]=1.94-12.76), those with two or more ACEs (aOR=3.27; 95% CI=1.43-7.47), and those with depression (aOR=3.06; 95% CI=1.32-7.10). Conclusion The study's findings provide compelling evidence that exposure to ACEs can increase vulnerability to self-harm among Korean students. Students with a history of ACEs and depression, as well as high school students, require increased attention during counseling. School counselors can benefit from incorporating screening assessment tools that include questions related to ACEs and depression. Establishing a systematic referral system to connect students with experts can enhance the likelihood of identifying self-harm tendencies and offering the essential support to prevent self-harm. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2287-9110 2287-9129 |
| Relation: | http://www.e-chnr.org/upload/pdf/chnr-29-4-271.pdf; https://doaj.org/toc/2287-9110; https://doaj.org/toc/2287-9129 |
| DOI: | 10.4094/chnr.2023.29.4.271 |
| URL الوصول: | https://doaj.org/article/a256eb3634f94669a198b6f530aac2ab |
| رقم الأكسشن: | edsdoj.256eb3634f94669a198b6f530aac2ab |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22879110 22879129 |
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| DOI: | 10.4094/chnr.2023.29.4.271 |