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The pervasive effects of timing of parental mental health disorders on adolescent deliberate self-harm risk

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  • Hu, Nan
  • Taylor, Catherine L.
  • Glauert, Rebecca A.
  • Li, Jianghong

Abstract

Children whose parents have mental health disorders are at increased risk for deliberate self-harm (DSH). However, the effect of timing of parental mental health disorders on adolescent DSH risk remains under-researched. The aim of this study was to investigate how parental hospital admissions for mental health disorders and/or DSH in different developmental periods impact on the child’s DSH risk in adolescence. A nested case-control sample was compiled from a total population cohort sample drawn from administrative health records in Western Australia. The sample comprised 7,151 adolescents who had a DSH-related hospital admission (cases), and 143,020 matched controls who hadn’t had a DSH-related hospital admission. The occurrence of parental hospital admissions related to mental health disorders and/or DSH behaviours was then analysed for the cases and controls. The timing of the parental hospital admissions was partitioned into four stages in the child’s life course: (1) pre-pregnancy, (2) pregnancy and infancy, (3) childhood, and (4) adolescence. We found that adolescents of a parent with mental health and/or DSH-related hospital admissions in all developmental periods except pregnancy and infancy were significantly more likely than controls to have a DSH-related hospital admission. Compared to parental hospital admissions that occurred during childhood and adolescence, those that occurred before pregnancy conferred a higher risk for adolescent DSH: adjusted odds ratio (aOR) = 1.25 for having only one parent hospitalised and 1.66 for having both parents hospitalised for mental health disorders; aOR = 1.97 for having any parent hospitalised for DSH, all being significant at the level of p

Suggested Citation

  • Hu, Nan & Taylor, Catherine L. & Glauert, Rebecca A. & Li, Jianghong, 2019. "The pervasive effects of timing of parental mental health disorders on adolescent deliberate self-harm risk," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 14(8), pages 1-16.
    • Handle: RePEc:zbw:espost:201841
    DOI: 10.1371/journal.pone.0220704
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    1. Hu, Nan & Li, Jianghong & Glauert, Rebecca A. & Taylor, Catherine L., 2017. "Influence of exposure to perinatal risk factors and parental mental health related hospital admission on adolescent deliberate self-harm risk," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 26(7), pages 791-803.
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