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September 3, 2026Child and Adolescent Psychiatry and Mental HealthOpen Access

Early adolescent self-harm: examining prevalence and risk factors in a multi-ethnic Asian birth cohort

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Authors

JRJohanna E.M. RuessGTGermaine Y. Q. TngYCYap Seng Chong

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Overview

Cohort study reveals high self-harm prevalence in thirteen-year-olds, indicating depression and social exposure as vital intervention targets.

Key Points

  • To investigate the prevalence and psychosocial correlates of self-harm in a multi-ethnic Asian birth cohort at 13 years of age.
  • Assessed 666 participants at age 13 within the Growing Up in Singapore Towards healthy Outcomes (GUSTO) birth cohort in Singapore.
  • Measured self-harm history and peer exposure using the Risk-taking and Self-harm Inventory for Adolescents alongside prospective assessments via the Child Behaviour Checklist, Children’s Depression Inventory, and Multidimensional Anxiety Scale for Children.
  • Evaluated associations between psychosocial risk factors and adolescent self-harm using logistic regression models.
  • By age 13, 20% of participants had engaged in repeated self-harm.
  • Self-harm was strongly associated with suicidal ideation, suicide attempts, elevated depression scores, and exposure to peers' self-harm behaviours in logistic regression analyses.
  • No significant sex differences in self-harm prevalence were observed within the cohort.

Cite This Study

Ruess et al. (2026) studied this question.

synapsesocial.com/papers/6a993487636c6408cfa7c415https://doi.org/10.1186/s13034-026-01167-5
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Depressive and Anxiety Symptoms in Relation to Self-harming Behaviour in Adolescence2025
  2. 2Suicidal Behaviour, Self-Harm and Related Factors: A Retrospective Study from the Adolescent Psychiatric Unit2026
  3. 3Multilevel risk and protective factors for self‐harm, suicidal ideation and suicide attempt in adolescents2025 · 2 citations
  4. 4Social environmental risk factors for persistent self-harm in early-to-middle adolescence: data from the Tokyo Teen Cohort study2026
  5. 5Young adult self‐harm: The role of victimisation and polygenic risk in a population‐based longitudinal study2026