{"doi":"10.1016/j.jaacop.2024.06.004","title":"Clinical Profiles Associated With Deliberate Self-Harm in Preadolescent Children","abstract":"Objective: Children who self-harm are at high risk for suicide attempts later in life, yet little is known about the clinical profiles of young children who self-harm. The primary aim of this study is to characterize clinical profiles associated with self-harm in preadolescent children to inform risk recognition and prevention efforts. Method: A retrospective, population-based cohort analysis of children aged 5 to 11 years who presented with self-harm in a medical setting from 2010 to 2020 (N = 878) was conducted using Ohio Medicaid data. Children were followed for 1 year after the initial self-harm event to determine subsequent self-harm events. Results: Of the 878 children with initial self-harm, 116 children (13%) self-harmed again within the following year. Latent class analyses revealed 3 distinct clinical profiles. Children in class 1 tended to be male, typically presented in mental health settings with both externalizing and internalizing disorders, and commonly reported suicidal ideation. Children in class 2 were largely female, presented with internalizing disorders, and often expressed suicidal ideation. Children in class 2 were less likely than those in class 1 to have a history of mental health treatment but were equally at risk for repetitive self-harming behaviors. Children in class 3 tended to be younger and from non-metropolitan areas, with fewer known mental health conditions. Conclusion: Study findings show that children who self-harm have distinct clinical profiles that are associated with elevated risk of future self-harm. Findings underscore the importance of comprehensive risk assessment to guide clinical decision making for young children who self-harm.","journal":"JAACAP Open","year":2024,"id":481159,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7568,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":418475,"name":"John V. Campo","orcid":"0000-0001-7973-1479","position":1,"is_corresponding":false},{"id":741095,"name":"Jennifer L. Hughes","orcid":"0000-0003-2671-8427","position":2,"is_corresponding":false},{"id":266908,"name":"Jeffrey A. Bridge","orcid":"0000-0003-3726-8978","position":3,"is_corresponding":false},{"id":1016250,"name":"Donna A. Ruch","orcid":"0000-0003-4609-6493","position":4,"is_corresponding":false},{"id":927511,"name":"Cynthia A. Fontanella","orcid":"0000-0001-8089-3547","position":5,"is_corresponding":false},{"id":1288945,"name":"Amanda Thompson","orcid":"0000-0003-3195-423X","position":0,"is_corresponding":true}],"reference_count":41,"raw_metadata":null,"created_at":"2026-07-19T02:07:06.225103Z","pmid":"41367982","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}