Patient selection: adolescents (students ages 15 and 16)
Major risk factors for deliberate self-harm:
(1) female gender
(2) self harm or suicide in friends
(3) self-harm or suicide in family members
(4) drug or alcohol misuse
(5) low self-esteem
Additional risk factors seen in females:
(6) anxiety and/or depression
(7) impulsivity
Associations that may help identify a person to screen for risk:
(1) trouble at home (parental divorce, etc)
(2) in trouble with police
(3) cigarette smoking
(4) alcohol use
(5) bullying
(6) physical and/or sexual abuse
(7) worries about sexual orientation
