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Research ArticleOriginal Article
Open Access

Non-suicidal self-injurious behavior in forensic child and adolescent populations

Clinical features and relationship with depression

Koray Kara, Sait Ozsoy, Hacer Teke, M. Ayhan Congologlu, Turker Turker, Tulay Renklidag and Mustafa Karapirli
Neurosciences Journal January 2015, 20 (1) 31-36;
Koray Kara
From the Child and Adolescent Psychiatry Department (Kara, Congologlu), the Forensic Medicine Department (Ozsoy) and the Public Health Department (Turker), Gulhane Military Medical Academy, and the TR Ministry of Justice Forensic Science Department (Teke, Renklidag, Karapirli), Council of Forensic Medicine, Ankara Group Chairmanship, Ankara, Turkey
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  • For correspondence: [email protected]
Sait Ozsoy
From the Child and Adolescent Psychiatry Department (Kara, Congologlu), the Forensic Medicine Department (Ozsoy) and the Public Health Department (Turker), Gulhane Military Medical Academy, and the TR Ministry of Justice Forensic Science Department (Teke, Renklidag, Karapirli), Council of Forensic Medicine, Ankara Group Chairmanship, Ankara, Turkey
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Hacer Teke
From the Child and Adolescent Psychiatry Department (Kara, Congologlu), the Forensic Medicine Department (Ozsoy) and the Public Health Department (Turker), Gulhane Military Medical Academy, and the TR Ministry of Justice Forensic Science Department (Teke, Renklidag, Karapirli), Council of Forensic Medicine, Ankara Group Chairmanship, Ankara, Turkey
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M. Ayhan Congologlu
From the Child and Adolescent Psychiatry Department (Kara, Congologlu), the Forensic Medicine Department (Ozsoy) and the Public Health Department (Turker), Gulhane Military Medical Academy, and the TR Ministry of Justice Forensic Science Department (Teke, Renklidag, Karapirli), Council of Forensic Medicine, Ankara Group Chairmanship, Ankara, Turkey
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Turker Turker
From the Child and Adolescent Psychiatry Department (Kara, Congologlu), the Forensic Medicine Department (Ozsoy) and the Public Health Department (Turker), Gulhane Military Medical Academy, and the TR Ministry of Justice Forensic Science Department (Teke, Renklidag, Karapirli), Council of Forensic Medicine, Ankara Group Chairmanship, Ankara, Turkey
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Tulay Renklidag
From the Child and Adolescent Psychiatry Department (Kara, Congologlu), the Forensic Medicine Department (Ozsoy) and the Public Health Department (Turker), Gulhane Military Medical Academy, and the TR Ministry of Justice Forensic Science Department (Teke, Renklidag, Karapirli), Council of Forensic Medicine, Ankara Group Chairmanship, Ankara, Turkey
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Mustafa Karapirli
From the Child and Adolescent Psychiatry Department (Kara, Congologlu), the Forensic Medicine Department (Ozsoy) and the Public Health Department (Turker), Gulhane Military Medical Academy, and the TR Ministry of Justice Forensic Science Department (Teke, Renklidag, Karapirli), Council of Forensic Medicine, Ankara Group Chairmanship, Ankara, Turkey
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Article Figures & Data

Tables

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    Table 1

    Sociodemographic characteristics of Turkish children and adolescents undergoing judicial examination (N=295).

    VariablesBoys (n=223)Girls (n=72)Total n (%)
    Age
     ≤12 years12-12 (4.1)
     13-15 years19869267 (90.5)
     16-18 years13316 (5.5)
    Education level
     Literate (finished elementary school)15419 (6.4)
     Primary school231336 (12.2)
     Secondary-High school18555240 (81.4)
    Number of siblings
     111213 (5.7)
     2-310138139 (47.1)
     ≥411132143 (48.5)
    Family income
     Below minimum wage421254 (18.3)
     Minimum wage671986 (29.2)
     Above minimum wage11441155 (52.5)
    Health status of parents
     Both parents alive18055235 (79.7)
     Loss of one parent14115 (5.1)
     Loss of both parents10212 (4.1)
     Parents divorced191433 (11.2)
    Employed during non-school hours
     No17360233 (79.0)
     Yes501262 (21.0)
    • View popup
    Table 2

    Reasons for forensic examination referral among Turkish children and adolescents (N=295).

    ReasonsBoys (n=223)Girls (n=72)Total n (%)
    Violence (assault, threat, insult, etc.)15965224 (75.9)
    Theft34539 (13.2)
    Sexual assault22-22 (7.4)
    Substance use-11 (0.3)
    Arranging forged documents for school2-2 (0.6)
    Motor vehicle accident4-4 (1.3)
    Child kidnapping1-1 (0.3)
    Damage to public property112 (0.6)
    • View popup
    Table 3

    Frequency of cigarette, alcohol, and substance use of all cases referred to forensic examination among Turkish children and adolescents (N=295).

    ReasonsBoys (n=223)Girls (n=72)Total n (%)
    None14653199 (67.5)
    Cigarette56965 (22.0)
    Alcohol516 (2.0)
    Substance use16925 (8.5)
    • View popup
    Table 4

    Sociodemographic characteristics of the NSSI and non-NNSI groups among Turkish children and adolescents undergoing judicial examination (N=295).

    Sociodemographic characteristicsNSSI (n=67)Non-NSSI (n=228)X2P
    n(%)n(%)
    Age (years ± SD)14.14 ± 1.0214.72 ± 1.06t=-4.001<0.001
    Gender3.340.068
     Boys22(30.6)50(69.4)
     Girls45(20.2)178(79.8)
    Education level0.830.67
     Literate5(7.5)14(6.1)
     Primary School10(14.9)26(11.4)
     Secondary-High52(77.6)188(82.5)
    Income level2.610.27
     Low16(23.9)38(16.7)
     Average21(31.3)65(28.5)
     High30(44.8)125(54.8)
    Working5.570.018
     Yes21(31.3)41(18.0)
     No46(68.7)187(82.0)
    Number of siblings12.110.002
     1--13(5.7)
     2-323(34.3)116(50.9)
     ≥444(65.7)99(43.4)
    Health status of parents14.960.002
     Parents alive47(70.1188(82.9)
     Loss of one parent3(4.5)11(4.8)
     Loss of both parent1(1.5)11(4.8)
     Parents divorced16(23.9)17(7.5)
      • View popup
      Table 5

      Comparisons of rates of incidents between NSSI and non-NSSI groups among Turkish children and adolescents undergoing judicial examination (N=295).

      VariableNSSI (n=67)Non-NSSI (n=228)X2P
      n(%)n(%)
      Multiple crimes19(28.4)18(7.9)19.768<0.001
      Cigarette/alcohol/ substance abuse39(58.2)57(25.0)26.015<0.001
      Sexual abuse6(9.0)5(2.2)6.5960.01
      Suicide attempts8(11.9)0(0.0)27.983<0.001
      BDI >1728(41.8)43(18.9)14.900<0.001
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      Neurosciences Journal: 20 (1)
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      1 Jan 2015
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      Non-suicidal self-injurious behavior in forensic child and adolescent populations
      Koray Kara, Sait Ozsoy, Hacer Teke, M. Ayhan Congologlu, Turker Turker, Tulay Renklidag, Mustafa Karapirli
      Neurosciences Journal Jan 2015, 20 (1) 31-36;

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      Non-suicidal self-injurious behavior in forensic child and adolescent populations
      Koray Kara, Sait Ozsoy, Hacer Teke, M. Ayhan Congologlu, Turker Turker, Tulay Renklidag, Mustafa Karapirli
      Neurosciences Journal Jan 2015, 20 (1) 31-36;
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