@article{ref1,
title="Thoughts of self-harm in late adolescence as a risk indicator for mental disorders in early adulthood",
journal="World psychiatry",
year="2023",
author="Mongan, David and Healy, Colm and Power, Emmet and Byrne, Jonah F. and Zammit, Stan and Kelleher, Ian and Cannon, Mary and Cotter, David R.",
volume="22",
number="3",
pages="481-483",
abstract="Early intervention for youth mental disorders has received increasing attention in recent decades. For psychosis, this is exemplified by the clinical high-risk (CHR) paradigm, which has been highly successful in defining a subpopulation at enhanced risk. However, the subpopulation captured by CHR services represents a small proportion of all psychosis cases1, highlighting the need for additional approaches to early detection of at-risk individuals.   Thoughts of self-harm are common in youth populations and are associated with several psychiatric outcomes. A recent Finnish registry study found that 18% of young people in Finland who presented to hospital with self-harm were diagnosed with a psychotic disorder by age 282, suggesting that hospital presentation with self-harm may be a system-based risk marker for psychosis. However, most individuals with self-injurious thoughts or behaviours do not present to hospital, and only a small proportion (4%) of future psychosis cases were captured in that study.   Expanding on this approach, we examined whether having thoughts of self-harm in late adolescence (irrespective of hospital presentation) was a risk indicator for development of psychotic disorder, as well as depressive disorder and generalized anxiety disorder (GAD), in early adulthood. In exploratory secondary analyses, we also examined whether telling a general practitioner (GP) about thoughts of self-harm was a risk marker for these disorders...<p /> <p>Language: en</p>",
language="en",
issn="1723-8617",
doi="10.1002/wps.21125",
url="http://dx.doi.org/10.1002/wps.21125"
}