@article{ref1,
title="Internet addiction among adolescents may predict self-harm/suicidal behavior: a prospective study",
journal="Journal of pediatrics",
year="2018",
author="Pan, Pei-Yin and Yeh, Chin-Bin",
volume="197",
number="",
pages="262-267",
abstract="OBJECTIVE: To explore the role of Internet addiction in the development of self-harm/suicidal behavior among adolescents after 1-year of follow-up. STUDY DESIGN: We conducted this 1-year, prospective cohort study of 1861 adolescents (mean age 15.93 years) attending a senior high school in Taiwan; 1735 respondents (93.2%) were classified as having no history of self-harm/suicidal attempts in the initial assessment and were referred to as the &quot;noncase&quot; cohort. The Chen Internet Addiction Scale was used to identify individuals with Internet addiction. The participants were evaluated for self-harm/suicidal behavior again 1 year later and the &quot;noncase&quot; cohort was selected for statistical analysis. To examine the relationship between Internet addiction and self-harm/suicidal behavior, multivariate logistic regression analysis was performed using Internet addiction at baseline as the predictor for newly developed self-harm/suicidal behavior in the next year, after adjustment for potential confounding variables. <br><br>RESULTS: The prevalence rate of Internet addiction at baseline was 23.0%. There were 59 students (3.9%) who were identified as having developed new self-harm/suicidal behaviors on follow-up assessments. After controlling for the effects of potential confounders, the relative risk of newly emerging self-harm/suicidal behavior for participants who were classified as Internet addicted was 2.41 (95% CI 1.16-4.99, P = .018) when compared with those without Internet addiction. <br><br>CONCLUSIONS: Our findings indicate that Internet addiction is prospectively associated with the incidence of self-harm/suicidal behavior in adolescents.<br><br>Copyright © 2018 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0022-3476",
doi="10.1016/j.jpeds.2018.01.046",
url="http://dx.doi.org/10.1016/j.jpeds.2018.01.046"
}