one in twelve teens self harm, study finds

1 December 2011

One in twelve teens self-harm during their adolescent years, with 15 years of age identified as the most likely age for self harm, a new study from the Murdoch Childrens Research Institute and Kings College in London has found.   

However, the study found most young people give up self-harming behaviour as they enter into adulthood; attributed to the fact they develop different ways of dealing with difficult emotions.

The study, which was published inThe Lancet, found 10% of females reported self-harm at least once during adolescence, compared with 6% of males, translating to a 60% increased risk of self-harm in girls compared with boys. 

As part of the study, almost 2,000 Victorian students were asked about recent self-harm on four occasions during their teenage years, and were followed up from early adolescence through to their late 20's. At each follow up, females were more likely to self-harm than males.

Of the students questioned, the great majority only reported self-harm in adolescence.  Of those who self-harmed as teenagers, 90% had ceased harming by their twenties. All forms of self harm including taking overdoses and cutting become less common in the late teens and twenties

The study found during adolescence, self-harm was independently associated with symptoms of depression and anxiety (3.7 times increased risk compared with no depression or anxiety), anti-social behaviour (doubling of risk), high risk alcohol use (doubling of risk) and cigarette smoke (2.4 times increased risk). Adolescent symptoms of depression and anxiety also predicted later self-harm in young adulthood, even in those who had not harmed as a teenager.     

Professor George Patton from the Murdoch Childrens Research Institute said the findings should offer some reassurance to parents of adolescents who self harm, but it's important to recognise when treatment is needed. 

"The study found most of this self-harming that happens during adolescence resolves without medical intervention, probably as young people learn new strategies for avoiding or dealing with distressing emotions. However, associated mental health problems did not always resolve in the same way," he said.

"Although many young people work out ways of dealing with emotional problems, there is need for treatment when these problems are persisting.  We found that adolescents with high levels of depression and anxiety continued to have high risks for self harm into young adulthood.  It's important to recognise and treat persisting depression and anxiety, as this will continue to be an important part of suicide prevention in young adults."

The study is the first population-based study to examine the incidence and prevalence of self harm during the transition from late adolescence through to adulthood.