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Deliberate self-harm DSH is an act with a non-fatal outcome in which an individual initiates a behavior, such as self-cutting or burning, with the intention of inflicting harm on his or her self.

Interpersonal difficulties have been shown to be a risk factor for DSH, but the association between subjective experience of loneliness and DSH have rarely been examined. To examine the frequency of DSH or its ideation and loneliness among year-olds to determine if associations exist between DSH and loneliness, loneliness-related factors, self-rated health and satisfaction with life. Cross-tabulations were used to describe the frequency of DSH by factors selected by gender.

Logistic regression analysis was used to describe the association between DSH and loneliness and other selected factors. The results show that loneliness is associated with DSH, and that loneliness should be considered as a risk for individual health and well-being.

Suicide is one of the leading causes of death among adolescents in the Home alone and wanting in Oulu world 1. In Finland, suicide rates of children and adolescents are among the highest in the world 2.

Every year, more than Finnish children or adolescents aged 10—24 commit suicide 3. The suicide rates are higher among males, while adolescent females report more deliberate self-harm DSHsuicide ideation and attempts 24. However, the suicide rate for adolescent girls in Finland has steadily increased over the last few years 2.

In our study, we examine DSH and its association with loneliness and related factors, self-rated health and life satisfaction among Finnish adolescents. Documented motives for DSH include wanting to get relief from distress, to escape from difficult situations and to show how desperate one is feeling; it is a cry for help 7.

Unnoticed or untreated DSH may precede suicide 1. Risk factors for DSH, suicidal ideation and completed suicides are often similar and include depression 89excessive alcohol and drug use 1physical and sexual abuse 8 and interpersonal difficulties, such as having troubled or poor relationships with peers and family 15. Therefore, the social domain, including experiences of loneliness, seems to be closely related to DSH However, very little research has been conducted on the associations between DSH and Sex hookups in kenya experiences of loneliness.

Loneliness is a subjective, cross-cultural experience and part of the human condition that negatively affects the overall well-being. It also carries a health risk In our study, loneliness is regarded as a negative, involuntary experience, which is in line with the large body of research on loneliness Adolescent loneliness has been related to many negative mental and physical health and well-being factors, such as depression, high social anxiety 11low self-esteem 12victimisation of bullying 13 and poor self-rated health Among young adults, chronic feelings of loneliness have been associated with disturbances in sleep and higher blood pressure and cardiovascular functioning Loneliness is very common in adolescence age: Few studies have examined the relationship Home alone and wanting in Oulu subjective experience of loneliness to DSH before Furthermore, very few population-based cohort studies have examined DSH 9 Small sample sizes are typical of the Northern communities when examining suicidal behavior and, overall, many earlier studies of adolescent suicidal behavior have been conducted on psychiatric samples or on hospital admissions.

These can result in Dating and chat rooms designs with low statistical power 19and these kinds of data might distort or underestimate the prevalence of suicidal behavior, including DSH. Therefore, findings from non-clinical populations will be more representative of adolescents 6.

Furthermore, cohort data have been used to examine experiences of loneliness among the adult and the elderly in Finland 20 and elsewhere 21but the experiences of loneliness in adolescents have rarely been examined in large population-based cohort studies.

One purpose of these cohorts is to follow societal changes and to examine the changes in the psychosocial well-being of the cohort members in the same area. These cohorts are the only Finnish data, which have examined longitudinally and this rigorously the life path of individuals in Northern Finland, both physically and psychically.

Our data offer a unique opportunity to understand the association between DSH and loneliness, and this study is the first to examine the theme of loneliness in the NFBC data. The rates for suicidal behavior are different for boys and girls 5and different genders might experience different levels of loneliness With our large and robust sample, we are able to compare the DSH behavior in relation to loneliness for girls and boys separately.

Also, few studies have examined the association of DSH with self-rated health before, even though DSH is seen as a serious health issue 6. This study hypothesised that a DSH is associated with loneliness and related factors, poor self-rated health and satisfaction with life and b girls and boys differ in these associations. The aims of this study are to examine the frequencies of DSH and loneliness among adolescents in the Northern Finland Birth Cohort NFBC and whether DSH is associated with selected Home alone and wanting in Oulu and related factors and if there exist differences in those factors among girls and boys.

The Home alone and wanting in Oulu is based on a general population-based study — NFBCwhich was collected from the 2 northernmost provinces in Finland Oulu and Lapland comprising 9, live born infants 4, girls and 4, boys whose expected date of birth fell between 1 July and 30 June They have been prospectively followed since the prenatal period with follow-ups at ages 7—8 years — and 15—16 years — The next data collection for the cohort members is slated forwhen they would be 27—28 years old.

At that time, adolescents received a postal questionnaire concerning family structure, friends, school, health, living habits, hobbies and behavior The study population consists of members of the NFBC who answered the question I feel lonely in the postal questionnaire in — The study population included Home alone and wanting in Oulu, participants 3, girls and 3, boys, mean age: The ethical committee of Northern Ostrobothnia Hospital District reviewed this study.

Written informed consent was obtained from the parents and the adolescents in the follow-up study in — In Home alone and wanting in Oulu scale, the participants assessed whether each statement had been true for them during the preceding 6 months. The item was labelled as deliberate self-harm or ideation DSH. The response alternatives for all YSR items were: Those scoring 2 or 3 on item 18 were defined as having experienced DSH similar to the earlier Home alone and wanting in Oulu using the same scale 9.

Subjective experience of loneliness was measured by the single-item variable I feel lonely from YSR. We also chose the item Do you have a close friend with whom you can confidentially discuss your matters?

The response alternatives being: These were recoded to number of close friends: Satisfaction with life was queried as What is your opinion about your current life situation? These were recoded as Satisfied response alternatives 4,5 Prostitute in Salt Lake City, Cannot say 1 and Dissatisfied 23.

Self-rated health was assessed as How would you describe your health? The response alternatives were: Self-reported health status is a common variable for measuring the self-concept of health We used cross-tabulations to describe the frequency of the DSH by dimensions of loneliness, loneliness-related factors, self-rated health and satisfaction with life by gender. We employed logistic regression analyses to describe the association of DSH with all 5 selected explanatory factors with DSH.

A total of adolescents 8. In total, adolescents 3. Girls reported it more frequently Home alone and wanting in Oulu comparison to boys Home alone and wanting in Oulu In total, respondents Boys reported having fewer close friends than girls and there were more girls who felt that nobody liked them. There were no No email fuck txt in self-reported health among boys and girls; most of them reported having very good or good health.

Most adolescents were satisfied with their lives see Table I. Distribution of subjects according to loneliness, loneliness—related factors and self-rated health, prevalence of deliberate self-harm DSH during the past 6 months and logistic regression Home alone and wanting in Oulu DSH. Among adolescents who reported DSH, Of those who reported DSH, Logistic regression was performed separately for girls and boys to assess the association of DSH with selected explanatory factors see Table I.

We studied the DSH or its ideation, feelings of loneliness, loneliness-related factors, self-rated health and satisfaction with life among of year-old Finnish adolescents. The prevalence of DSH was 8. Very few earlier studies have examined DSH in Northern circumpolar areas. A Norwegian study, which used the same measurement as in this study, reported a prevalence of The large differences in the prevalence rates are likely to be due to the different methods, sample sizes and questionnaires used.

The prevalence for DSH has been noted to be significantly higher for studies using anonymous methods, such as in this study, in comparison to non-anonymous methods 6. More generally, suicidal behavior is a severe public health concern in the Northern populations Suicide rates are among the largest in the world, and suicides are one of the leading causes of death among youth 26especially among indigenous young men 9. Girls reported DSH clearly more than boys The 6-month prevalence of DSH was found to be low 2.

The prevalence of loneliness was 3. Girls reported loneliness more often than boys. This finding is similar to the findings of other Finnish studies 1628 but contrary to those published in some other countries, such as Canada or UK 29 However, these studies are not directly comparable to Home alone and wanting in Oulu because of the differences in the measurement of loneliness. There was a significant association between DSH and loneliness among girls and boys. However, similar to other studies, an association between the number of close friends and DSH was not found One explanation for the association between DSH and loneliness and the higher prevalence of DSH among girls and the higher prevalence of suicide among boys can be found from the varied and changing social relations during childhood and adolescence.

Even though gendered patterns in social relations are changing 32there seems to be a tendency wherein from early on girls are still taught to be kind and friendly to other people, to avoid conflicts 33 and to be caring, more so than boys. This can be interpreted girls to maintain the behavior of girls to think, worry and invest in social relations more than boys Same-sex friendships among girls are generally Fwb personals in Zagreb more emotionally expressive and intimate than boys; girls spend time in smaller groups, while friendship among boys are considered more activity-oriented and consist of larger groups 32 The spectrum of allowed emotions for boys might be stricter than for girls; therefore, it might not be as socially acceptable for them, as it is to girls, to express different emotions Therefore, boys might not report different emotions or feelings as often in surveys or in general, as girls, and emotional Home alone and wanting in Oulu social difficulties might cause more emotional distress among boys.

Loneliness can be very distressing for both girls and boys 11but girls may have evolved better coping strategies to deal with emotional distress than boys.

Some girls may learn that when they threaten or actually harm themselves, their distress is heard 3 The suicidal and DSH behavior of girls includes signs of hope related to their social relationships; therefore, they turn to DSH behavior rather than actually committing suicide Home alone and wanting in Oulu might notice the difficult emotions at a later stage, when the situation is already hopeless, and in serious cases, instead of turning to self-harming Home alone and wanting in Oulu, they turn to more violent methods 6 ; boys commit suicide much more often than girls.

Furthermore, feelings of not being liked were significantly associated with DSH in both girls and boys. The OR was higher among boys than girls, suggesting that it is important to notice Home alone and wanting in Oulu adolescent girls and boys need trustworthy and supportive people around them.


My Finnish friends say it is absolutely safe to walk home alone, my is the centre . the funny thing is she wants to be a cop. that makes me feal safe. felt unsafe walking alone at night in the U.S., but here in Oulu I have been. Documented motives for DSH include wanting to get relief from 2 northernmost provinces in Finland (Oulu and Lapland) comprising .. Identifying the lonely adolescent might be difficult due to the subjective nature of the experience. sensitive issues should be emphasised (8) in schools and at home. Oulu sets the perfect stage for companies wanting to lead technological development. You can digitalize everything in Oulu, and you don't need to do it alone.