|dc.description.abstract||Background - Adolescent self-harm is a major public health concern, yet little is known about the factors that distinguish adolescents who think about self-harm but do not act on these thoughts from those who act on such thoughts.
Aims - Within a new theoretical model, the integrated motivational-volitional model, we investigated factors associated with adolescents having thoughts of self-harm (ideators) v. those associated with self-harm enaction (enactors).
Method - Observational study of school pupils employing an anonymous self-report survey to compare three groups of adolescents: self-harm enactors (n = 628) v. self-harm ideators (n = 675) v. those without any self-harm history (n = 4219).
Results - Enactors differed from ideators on all of the volitional factors. Relative to ideators, enactors were more likely to have a family member/close friend who had self-harmed, more likely to think that their peers engaged in self-harm and they were more impulsive than the ideators. Enactors also reported more life stress than ideators. Conversely, the two self-harm groups did not differ on any of the variables associated with the development of self-harm thoughts.
Conclusions - As more adolescents think about self-harm than engage in it, a better understanding of the factors that govern behavioural enaction is crucial in the effective assessment of the risk of self-harm.||en_UK|
|dc.publisher||The Royal College of Psychiatrists||-|
|dc.relation||O'Connor R, Rasmussen S & Hawton K (2012) Distinguishing adolescents who think about self-harm from those who engage in self-harm, British Journal of Psychiatry, 200 (4), pp. 330-335.||-|
|dc.rights||The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.||-|
|dc.title||Distinguishing adolescents who think about self-harm from those who engage in self-harm||en_UK|
|dc.rights.embargoreason||The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.||-|
|dc.citation.jtitle||British Journal of Psychiatry||-|
|dc.type.status||Publisher version (final published refereed version)||-|
|dc.contributor.affiliation||University of Oxford||-|
|Appears in Collections:||Psychology Journal Articles|