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Psychological distress, self-harm and attempted suicide in UK 17-year olds: prevalence and sociodemographic inequalities
- Authors:
- PATALAY Praveetha, FITZSIMONS Emla
- Journal article citation:
- British Journal of Psychiatry, 219(2), 2021, pp.437-439.
- Publisher:
- Cambridge University Press
In a large (n = 10 103), nationally representative sample of 17-year-olds 16.1% had experienced high psychological distress in the past 30 days, 24.1% had self-harmed in the previous 12 months and 7.4% had ever attempted suicide. Females, White adolescents, sexual minorities and those from more socioeconomically disadvantaged families had worse mental health outcomes; with the exceptions of no detected differences in attempted suicide by ethnicity and in self-harm by socioeconomic position. Findings include a narrower gender gap in self-harm at age 17 (males 20.1%, females 28.2%) compared with at age 14 (males 8.5%; females 22.8%) and 2–4 times higher prevalence in sexual minority adolescents (39.3% high distress, 55.8% self-harmed, 21.7% attempted suicide compared with 13.4%, 20.5% and 5.8%, respectively, in heterosexual adolescents). (Edited publisher abstract)
A general psychopathology factor in early adolescence
- Authors:
- PATALAY Praveetha, et al
- Journal article citation:
- British Journal of Psychiatry, 207(1), 2015, pp.15-22.
- Publisher:
- Cambridge University Press
Background: Recently, a general psychopathology dimension reflecting common aspects among disorders has been identified in adults. This has not yet been considered in children and adolescents, where the focus has been on externalising and internalising dimensions. Aims: This study aimed to examine whether a general psychopathology could be identified in early in young people. It also sought to evaluate the validity and relevance of a hierarchical model that includes general psychopathology by exploring associations with sociodemographic predictors, educational correlates and social competencies. Method: Alternative factor models were estimated using self-reports of symptoms in a large community-based sample aged 11–13.5 years (N = 23 477) across 210 secondary schools in England, and resulting dimensions were assessed in terms of associations with external correlates and future functioning. Results: Both a traditional two-factor model and a bi-factor model with a general psychopathology bi-factor fitted the data well. The general psychopathology bi-factor best predicted future psychopathology and academic attainment. Associations with correlates and factor loadings are discussed. Conclusions: A general psychopathology factor, which is equal across genders, can be identified in young people. Its associations with correlates and future functioning indicate that investigating this factor can increase our understanding of the aetiology, risk and correlates of psychopathology. (Edited publisher abstract)