Deliberate self-harm in an incarcerated population of youth: an examination of prevalence rates, risk, and protective factors
Notice bibliographique
Résumé
Deliberate self-harm (DSH) is a major health concern, especially for high-risk populations such as incarcerated youth. DSH refers to socially unacceptable, deliberate behaviour that causes harm to the body regardless of intent to die. There is limited research concerning prevalence rates as well as risk and protective factors for high-risk, adolescent groups. Participants were recruited from a correctional facility for youth aged 12-18. Male (n = 36) and female (n = 51) incarcerated adolescents (N = 87; mean age = 15.9) completed a survey that measured social-demographic characteristics, current depressed mood, lifetime alcohol and drug use, perceptions of social support (availability and satisfaction), approach-avoidance coping, problem-solving confidence, and DSH. The prevalence rates (81% lifetime, 74% annual, and 51% while incarcerated) for this mainly Aboriginal and Métis population were much higher than previous offender, community, and hospital findings. Youth reported much higher rates of DSH on a checklist than in response to a general question previously used in such research, suggesting that previously reported prevalence rates are likely grossly underestimated. Hypotheses regarding risk and protective factors were only partially supported. Depressed mood and drug use were positively, directly related to annual DSH frequency. Depressed mood proved to be a significant risk factor as well for incarcerated DSH. Overall, protective factors did not predict DSH well for this group of offenders. Only approach coping was inversely related to DSH frequency. Participants in this study reported very low levels of protective factors, which likely affected the outcome of statistical analyses. In general, youth reported high rates of risk factors and low rates of protective factors. Rates of DSH warranting medical attention increased with duration and frequency of such behaviour, as did actually receiving medical attention. Although 74% of offenders indicated that medical attention had been warranted at least once, only 50% actually received medical attention. Offenders were equally likely to receive medical attention whether they had engaged in DSH once or repetitively. It is likely that offenders prefer to keep their behaviour private, which affects how often they seek medical attention, even if they believe it is warranted. Recommendations are advanced for detecting and responding to DSH in incarcerated youth.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».