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Eur Psychiatry ; 41: 95-101, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28142107

RESUMO

BACKGROUND: Recent studies regarding non-suicidal self-injury (NSSI) among adolescents have focused primarily on individual characteristics (e.g., depressive symptoms) and background factors (e.g., parental relationship), whereas less emphasis has been given to the role of school-related factors in NSSI. Therefore, the purpose of the current study was to explore the relationships between teachers' support, peer climate, and NSSI within the school context. METHODS: The sample consisted of 594 high school students nested within 27 regular classes (54.4% boys; mean age 14.96, SD=1.33 years). The students were evaluated for NSSI behaviors, perception of teacher support, peer climate, relationships with mothers, and depressive symptoms using validated scales. RESULTS: The primary analysis used hierarchical linear modeling (HLM), controlling for gender and age. The main findings indicated that teacher support was positively associated with NSSI at the classroom-level (OR=6.15, 95% CI=2.05-18.5) but negatively associated at the student-level (OR=0.66, 95% CI=0.49-0.89). There was a trend toward an association between positive peer climate and NSSI at the classroom-level (OR=0.43, 95% CI=0.18-1.05), while negative peer climate was associated with NSSI at the student-level (OR=1.37, 95% CI=1.00-1.87). CONCLUSIONS: School-related factors are associated with NSSI behaviors among students. Teachers and educators should focus on both individual-level and classroom-level perceptions of school context. Students who feel supported by their teachers and who are exposed to a positive peer climate are less likely to engage in NSSI.


Assuntos
Comportamento do Adolescente/psicologia , Docentes/estatística & dados numéricos , Comportamento Autodestrutivo/psicologia , Estudantes/psicologia , Adolescente , Docentes/psicologia , Feminino , Humanos , Israel , Masculino , Análise Multinível , Grupo Associado , Instituições Acadêmicas , Comportamento Autodestrutivo/epidemiologia , Apoio Social , Estudantes/estatística & dados numéricos , Ideação Suicida
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