scholarly journals Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities

Author(s):  
Huiping Zhu ◽  
Xiayidanmu Abudusaimaiti ◽  
Joe Xiang ◽  
Qi Gao

Background: The aims of this study were to determine the prevalence of deliberate self-harm (DSH) and to compare the risk of self-harm in Chinese children with different types and severity of disabilities. Methods: Participants were 1300 children aged 6–17 years in Beijing, China; 650 children with disabilities and 650 healthy peers matched on age, gender and residence district. Questionnaires were completed anonymously by parents or children if the age or disability made it necessary. The associations between the disability type, severity and DSH were examined using the Chi-square testing and logistic regression models. Results: Children with a single disability or multiple disabilities had statistically higher rates of DSH than children without disabilities (15.6% and 39.7% compared to 10.9%). The prevalence of DSH was associated with the severity of disability, being 36.2% among children with level 1 (the most severe) disability, 19.8% among children with level 2 disability, and 9.2% among children with level 3 + 4 disability. The multivariable odds ratio (OR) of DSH among children with any disability was statistically higher than that among children without a disability (OR = 2.40; 95% CI = 1.71, 3.36; p < 0.05). Children with multiple disabilities (OR = 6.89; 95% CI: 4.24–11.20) and level 1 severity of disability (OR = 6.11; 95% CI: 3.91–9.56) had the highest risk of DSH. Conclusions: This study clearly demonstrated associations between the severity and type of disability and DSH. This finding highlights the importance of DSH in children with disabilities, and underlines the importance of the prevention of DSH among a vulnerable pediatric population in China.

2008 ◽  
Vol 37 (2) ◽  
pp. 363-375 ◽  
Author(s):  
Colleen M. Jacobson ◽  
Jennifer J. Muehlenkamp ◽  
Alec L. Miller ◽  
J. Blake Turner

10.2196/24988 ◽  
2021 ◽  
Vol 4 (1) ◽  
pp. e24988
Author(s):  
Amro Khasawneh ◽  
Kapil Chalil Madathil ◽  
Heidi Zinzow ◽  
Patrick Rosopa ◽  
Gitanjali Natarajan ◽  
...  

Background Web-based challenges, phenomena that are familiar to adolescents and young adults who spend large amounts of time on social media, range from minimally harmful behaviors intended to support philanthropic endeavors to significantly harmful behaviors that may culminate in injury or death. Objective This study aims to investigate the beliefs that lead adolescents and young adults to participate in these activities by analyzing the amyotrophic lateral sclerosis (ALS) ice bucket challenge, representing nonharmful behaviors associated with web-based challenges, and the cinnamon challenge, representing web-based challenges that lead to harmful behaviors. Methods A retrospective quantitative study was conducted with a total of 471 participants aged between 13 and 35 years who either had participated in the ALS ice bucket challenge or the cinnamon challenge, or had never participated in any web-based challenge. Binomial logistic regression models were used to classify those who participated in the ALS ice bucket challenge or cinnamon challenge versus those who did not engage in either challenge using the integrated behavioral model’s beliefs as predictors. Results The findings showed that participants of both the cinnamon challenge and the ALS ice bucket challenge had significantly greater expectations from the public to participate in the challenge they completed in comparison with individuals who never participated in any challenge (P=.01 for the cinnamon challenge and P=.003 for the ALS ice bucket challenge). Cinnamon challenge participants had greater value for the outcomes of the challenge (P<.001) and perceived positive public opinion about the challenge (P<.001), in comparison with individuals who never participated in any challenge. In contrast, ALS ice bucket challenge participants had significantly greater positive emotional responses than individuals who never participated in any challenge (P<.001). Conclusions The constructs that contribute to the spread of web-based challenges vary based on the level of self-harm involved in the challenge and its purpose. Intervention efforts could be tailored to address the beliefs associated with different types of web-based challenges.


2002 ◽  
Vol 19 (4) ◽  
pp. 453-471 ◽  
Author(s):  
Cindy H.P. Sit ◽  
Koenraad J. Lindner ◽  
Claudine Sherrill

The purpose was to examine sport participation (excluding physical education classes) of school-aged Chinese children with disabilities attending special schools in Hong Kong. A sample of 237 children, ages 9 to 19, attending 10 special schools in Hong Kong, responded to a sport participation questionnaire in individual interviews. Data were analyzed by gender, two school levels, and five disability types. Results relating to participation frequency and extent indicated that girls were significantly less active than boys. Children with physical disability, visual impairment, and mental disability were less active than children with hearing impairment and maladjustment. Children with different types of disabilities varied in their participation patterns and choices of physical activities as well as their motives for sport participation, nonparticipation, and withdrawal. We concluded that disability type is more related to children’s participation behaviors in sport and physical activities than to gender and school level.


2020 ◽  
Author(s):  
Amro Khasawneh ◽  
Kapil Chalil Madathil ◽  
Heidi Zinzow ◽  
Patrick Rosopa ◽  
Gitanjali Natarajan ◽  
...  

BACKGROUND Web-based challenges, phenomena that are familiar to adolescents and young adults who spend large amounts of time on social media, range from minimally harmful behaviors intended to support philanthropic endeavors to significantly harmful behaviors that may culminate in injury or death. OBJECTIVE This study aims to investigate the beliefs that lead adolescents and young adults to participate in these activities by analyzing the amyotrophic lateral sclerosis (ALS) ice bucket challenge, representing nonharmful behaviors associated with web-based challenges, and the cinnamon challenge, representing web-based challenges that lead to harmful behaviors. METHODS A retrospective quantitative study was conducted with a total of 471 participants aged between 13 and 35 years who either had participated in the ALS ice bucket challenge or the cinnamon challenge, or had never participated in any web-based challenge. Binomial logistic regression models were used to classify those who participated in the ALS ice bucket challenge or cinnamon challenge versus those who did not engage in either challenge using the integrated behavioral model’s beliefs as predictors. RESULTS The findings showed that participants of both the cinnamon challenge and the ALS ice bucket challenge had significantly greater expectations from the public to participate in the challenge they completed in comparison with individuals who never participated in any challenge (<i>P</i>=.01 for the cinnamon challenge and <i>P</i>=.003 for the ALS ice bucket challenge). Cinnamon challenge participants had greater value for the outcomes of the challenge (<i>P</i>&lt;.001) and perceived positive public opinion about the challenge (<i>P</i>&lt;.001), in comparison with individuals who never participated in any challenge. In contrast, ALS ice bucket challenge participants had significantly greater positive emotional responses than individuals who never participated in any challenge (<i>P</i>&lt;.001). CONCLUSIONS The constructs that contribute to the spread of web-based challenges vary based on the level of self-harm involved in the challenge and its purpose. Intervention efforts could be tailored to address the beliefs associated with different types of web-based challenges.


2014 ◽  
Vol 24 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Huiping Zhu ◽  
Huiyun Xiang ◽  
Xin Xia ◽  
Xia Yang ◽  
Dan Li ◽  
...  

2020 ◽  
Author(s):  
Sihui Peng ◽  
Weifang Zhang ◽  
Tingzhong Yang ◽  
Randall R. Cottrell ◽  
Ian R.H. Rockett

Abstract Background: Numerous studies have identified factors associated with deliberate self-harm (DSH), but environmental influences have been largely neglected. This study explored regional and university contextual factors impacting DSH among undergraduate students in China. Methods: In this observational cross-sectional study, subjects were 5,016 undergraduate students, who were identified through multistage survey sampling in 22 Chinese universities. Individual-level data were obtained through a self-administered questionnaire, and environmental variables were extracted from the National Bureau of Statistics database. Multilevel logistic regression models were used to examine regional correlates of DSH.Results: The overall prevalence of self-reported DSH in the study sample was 7.5% (95% CI: 4.1%, 10.9%). The full multilevel logistic model showed university rank and city size were inversely associated with DSH prevalence (OR: 0.24 and 0.55). Regional unemployment rates were positively associated with DSH prevalence (OR: 1.98).Conclusion: Results yield important insights on the role of context in DSH among Chinese undergraduates, and indicate the need to consider environmental factors in order to ameliorate the problem.


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