Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/109179
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dc.contributorSchool of Nursingen_US
dc.creatorLiu, Hen_US
dc.creatorHo, GWKen_US
dc.creatorKaratzias, Ten_US
dc.creatorShevlin, Men_US
dc.creatorWong, KHen_US
dc.creatorHyland, Pen_US
dc.date.accessioned2024-09-20T02:05:04Z-
dc.date.available2024-09-20T02:05:04Z-
dc.identifier.issn1936-1521en_US
dc.identifier.urihttp://hdl.handle.net/10397/109179-
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.rights© The Author(s) 2024en_US
dc.rightsThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.en_US
dc.rightsThe following publication Liu, H., Ho, G.W., Karatzias, T. et al. Self-harm, Suicide, and ICD-11 Complex Posttraumatic Stress Disorder in Treatment-Seeking Adolescents with Major Depression. Journ Child Adol Trauma (2024) is available at https://doi.org/10.1007/s40653-024-00655-0.en_US
dc.subjectAdolescentsen_US
dc.subjectCPTSDen_US
dc.subjectICD-11en_US
dc.subjectSelf-harmen_US
dc.subjectSuicideen_US
dc.subjectYouthsen_US
dc.titleSelf-harm, suicide, and ICD-11 complex posttraumatic stress disorder in treatment-seeking adolescents with major depressionen_US
dc.typeJournal/Magazine Articleen_US
dc.identifier.doi10.1007/s40653-024-00655-0en_US
dcterms.abstractPosttraumatic stress disorder (PTSD) is linked with self-harm and suicide, but few studies have examined these severe outcomes in relation to complex trauma. This study examined the associations between self-harm and suicide-related phenomena with ICD-11 complex PTSD (CPTSD) among treatment-seeking youths. A convenience sample of 109 adolescents with major depression (69.7% female; mean age = 15.24) were recruited from an outpatient psychiatric clinic. Participants completed measures for ICD-11 CPTSD, adverse childhood experiences (ACEs), self-harm behaviors, and past-year history of four suicide-related phenomena. Relationships between each self-harm and suicide-related variable with CPTSD were assessed at the symptom and diagnostic levels. Participants reported an average of three ACEs; 33.9% met diagnostic requirements for ICD-11 CPTSD. Past-year suicidal thought and attempt, but not self-harm, significantly associated with CPTSD status. At the symptom level, self-harm associated with CPTSD total symptom and all symptom clusters scores, with strongest associations found with symptoms of negative self-concept. CPTSD total symptom scores also associated strongly with past-year history of suicidal thought, plan, and attempt; the three core PTSD symptom clusters scores consistently and strongly linked with these suicide-related phenomena. For symptoms of complex trauma, relationship disturbances associated with having a suicide attempt, and negative self-concept associated with both having a plan and an attempt. Assessing and targeting ICD-11 CPTSD symptoms have potential to reduce self-harm and suicidality in young people experiencing mental distress, particularly for those with a trauma history and regardless of whether they meet criteria for a diagnosable trauma response.en_US
dcterms.accessRightsopen accessen_US
dcterms.bibliographicCitationJournal of child & adolescent trauma, Latest articles, Published: 21 August 2024, https://doi.org/10.1007/s40653-024-00655-0en_US
dcterms.isPartOfJournal of child & adolescent traumaen_US
dcterms.issued2024-
dc.identifier.scopus2-s2.0-85201642665-
dc.identifier.eissn1936-153Xen_US
dc.description.validate202409 bcchen_US
dc.description.oaVersion of Recorden_US
dc.identifier.FolderNumberOA_TA-
dc.description.fundingSourceSelf-fundeden_US
dc.description.pubStatusEarly releaseen_US
dc.description.TASpringer Nature (2024)en_US
dc.description.oaCategoryTAen_US
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