Deliberate Self‐Harm in Adolescents Aged 12–18: A Cross‐Sectional Survey of 18,104 Students

Little is known about accurate prevalence and associated factors of deliberate self‐harm (DSH) among adolescents in Asian countries. In this study, the prevalence and associated factors of DSH among adolescents in Japan were examined. Data were derived from a cross‐sectional survey using an anonymous self‐report questionnaire and enrolling 8,620 adolescents aged 12–15 and 9,484 aged 15–18. DSH in the previous 12 months was reported by 3.3% (95% CI, 2.9–3.7) of junior and 4.3% (3.9%–4.7%) of senior high school respondents. The prevalence was more than four times as high among girls as among boys for both age groups. DSH was further strongly associated with having suicidal thoughts, having depression/anxiety symptoms, and having used recreational drugs. These associated factors were similar for both sexes and for both older and younger teenagers. A substantial minority of adolescents present with DSH, even among those aged 12–15. The prevalence of DSH in Japan was in the lower ranges of those reported for Western countries. The identified associated factors were not dissimilar from those reported in the West.     

Can Deflationism Allow For Hidden Indeterminacy?

Field (2000) claims that both inflationists and deflationists can and should accept the existence of linguistic indeterminacy in their own language. This paper shows that inflationists and deflationists consider the nature of indeterminacy quite differently; in particular, deflationists' notion of indeterminacy lacks the kind of objectivity inflationists' notion has; as a result, whileboth inflationists and deflationists can and should accept the existence of manifest indeterminacy such as vagueness, only inflationists can accept the existence of hidden indeterminacy such as the yet–to–be–discovered indeterminacy thought to be involved in terms of our current scientific theories. The paper also considers the question how well deflationists can do without hidden indeterminacy.     

Results of the healthy body healthy spirit trial.

Healthy Body Healthy Spirit was a multicomponent intervention to increase fruit and vegetable (F & V) consumption and physical activity (PA) delivered through Black churches. Sixteen churches were randomly assigned to 3 intervention conditions. At baseline, 1,056 individuals were recruited across the 16 churches, of which 906 (86%) were assessed at 1-year follow-up. Group 1 received standard educational materials, Group 2 received culturally targeted self-help nutrition and PA materials, and Group 3 received the same intervention as did Group 2 as well as 4 telephone counseling calls based on motivational interviewing (MI) delivered over the course of 1 year. At 1-year follow-up, Groups 2 and 3 showed significant changes in both F & V intake and PA. Changes were somewhat larger for F & V. For F & V, but not PA, there was a clear additive effect for the MI intervention.     

Table talk: inviting students to share the feast

This account describes part of the first morning of the AFT accredited South Yorkshire Foundation Course in Family Therapy and Systemic Practice. The course committee members join together in a reflective conversation about the course. We share with the students our ‘kitchen table’ discussions, the history of our involvement, and how it has affected our lives. We aim to introduce social constructionist practice in which we present the context of the course and address the power relationships in the room by being transparent about our own experiences. We hope to create an atmosphere in which learning can flourish.