Beschreibung:
<jats:title>Abstract</jats:title><jats:sec id="S0033291722000666_sec_a1"><jats:title>Background</jats:title><jats:p>Little is known about the childhood antecedents and adult correlates of adolescent dual-harm (i.e. co-occurring self- and other-harm). We examine the longitudinal associations between (a) social and psychological risk factors in childhood and adolescent dual-harm and (b) adolescent dual-harm and social and mental health impairments in early adulthood.</jats:p></jats:sec><jats:sec id="S0033291722000666_sec_a2" sec-type="methods"><jats:title>Methods</jats:title><jats:p>Participants (<jats:italic>N</jats:italic> = 1482) are from a prospective longitudinal community-representative study. Dual-, self-, and other-harm were self-reported at ages 13, 15, and 17. Social and psychological risk factors in childhood were assessed between 7 and 11; early adult correlates at age 20. Groups with dual-harm, self-harm only, other-harm only, and no harm were compared.</jats:p></jats:sec><jats:sec id="S0033291722000666_sec_a3" sec-type="results"><jats:title>Results</jats:title><jats:p>Between 13 and 17, 7.2% of adolescents reported dual-harm (self-harm only: 16.2%; other-harm only: 13.3%). Some childhood risk factors (e.g. sensation-seeking, parental divorce, victimization by peers) characterized all harm groups; others were common to the dual- and self-harm (anxiety/depressive symptoms, relational aggression) or dual- and other-harm groups only (low self-control, substance use, delinquency). Adolescents with dual-harm had reported more physical aggression and harsh parenting, and lower school bonding in childhood than any other group. In early adulthood, they reported more anxiety/depressive symptoms, psychopathy symptoms, homicidal ideations, delinquency, and victimization experiences than any other group.</jats:p></jats:sec><jats:sec id="S0033291722000666_sec_a4" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>Adolescent dual-harm follows psychological problems and social disconnection in childhood and signals risk of psychopathology and isolation in early adulthood. To curb the burden from dual-harm, interventions must target adolescents, families, peer networks, and school environments. Differentiating youth with dual-harm from those with single-harm is important for developing personalized treatments.</jats:p></jats:sec>