@article{ref1,
title="Suicidality and self-harm behavior of adolescents during the early phase of the war in Ukraine",
journal="Journal of the American Academy of Child and Adolescent Psychiatry",
year="2024",
author="Sourander, Andre and Silwal, Sanju and Osokina, Olga and Hinkka-Yli-Salomäki, Susanna and Hodes, Matthew and Skokauskas, Norbert",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: War profoundly impacts people's lives, causing death, displacement and psychological trauma but limited research has investigated adolescents' suicidality in this context. We compared suicidality or self-harm behavior among adolescents in regions that were, and were not, affected by Russia's initial invasion of Ukraine in 2014. <br><br>METHOD: This cross-sectional study comprised 2,752 school students aged 11-17 years from war-affected Donetsk region and non-war Kirovograd region. Data collection occurred from 2016-17 using self-report tools to assess suicidality or self-harm behavior, psychopathology including post-traumatic stress disorder (PTSD), depression and anxiety, and war trauma exposure. <br><br>RESULTS: Adolescent girls in war-affected region reported more suicide attempts (9.5% vs 5.1%, adjusted odds ratio [aOR] 1.8, 95% confidence interval [CI] 1.2-2.8), suicidal ideation (39.3% vs 19.6%, aOR 2.6, 95% CI 2.01-3.3) or self-harm behavior (19.6% vs 13.1%, aOR 1.6, 95% CI 1.2-2.1) and boys reported more suicidal ideation (17.0% vs 9.8%, aOR 1.7, 95% CI 1.2-2.4). Boys and girls with PTSD, depression or anxiety showed increased risks for any suicidality or self-harm. A dose-effect relationship was observed in the relationship between war trauma exposure and suicidality or self-harm. The association was strongest for those who had been exposed to 5 or more different war trauma exposures (aOR 3.2, 95% CI 2.2-4.8). <br><br>CONCLUSION: War trauma exposure and psychopathology were strongly associated with suicidality or self-harm behavior, with a greater impact in girls than boys. The high prevalence of suicidality found in this study emphasizes the need for intervention at large scale for adolescents living in war situations.<p /> <p>Language: en</p>",
language="en",
issn="0890-8567",
doi="10.1016/j.jaac.2024.03.015",
url="http://dx.doi.org/10.1016/j.jaac.2024.03.015"
}