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Mental health in adolescents: a first study on the prevalence and associated factors of self-injurious thoughts, behaviours, and psychosocial challenges in Paraguay.

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Title: Mental health in adolescents: a first study on the prevalence and associated factors of self-injurious thoughts, behaviours, and psychosocial challenges in Paraguay.
Authors: Torales, Julio (AUTHOR), Almirón-Santacruz, José (AUTHOR), Torres-Romero, Anthon Daniel (AUTHOR), O'Higgins, Marcelo (AUTHOR), Caycho-Rodríguez, Tomás (AUTHOR), Ventriglio, Antonio (AUTHOR), Castaldelli-Maia, João Mauricio (AUTHOR), Tribe, Rachel (AUTHOR), Mahon, Audrey Mc (AUTHOR), Bhugra, Dinesh (AUTHOR), Barrios, Iván (AUTHOR)
Source: International Review of Psychiatry. Sep-Nov2025, Vol. 37 Issue 6/7, p604-615. 12p.
Subjects: Competency assessment (Law), Self-injurious behavior, Risk assessment, Cross-sectional method, High schools, Pearson correlation (Statistics), Suicidal ideation, Sex crimes, At-risk people, Scientific observation, Statistical sampling, Psychology of high school students, Sample size (Statistics), Questionnaires, Sex distribution, Food security, Logistic regression analysis, Anxiety, Disease prevalence, Loneliness, Mann Whitney U Test, Chi-squared test, Multivariate analysis, Descriptive statistics, Emotional trauma, Odds ratio, Research, Bullying, Medical needs assessment, Interpersonal relations, Psychological tests, Confidence intervals, Data analysis software, Mental depression, Sensitivity & specificity (Statistics), Psychosocial factors, Adolescence
Geographic Terms: Paraguay
Abstract: Adolescent mental health remains an underexplored area in Paraguay despite its significant implications for public health. This study investigated the prevalence of self-injurious thoughts and behaviours as well as the associated psychosocial and demographic factors among Paraguayan adolescents. A cross-sectional study was conducted with 535 adolescents aged 12–18 years from Asunción and the Central Department, using validated instruments, including the PHQ-2 for depression, GAD-7 for anxiety, APCTSS for post-traumatic stress, and SDQ for emotional and behavioural issues. The findings revealed alarmingly high prevalence rates of anxiety (40.6%), depression (50.3%), and PTSD (64.5%), with females being disproportionately affected. Non-suicidal self-injury was reported by 30.5% of participants, with significantly higher rates among females. Factors such as bullying, loneliness, and food insecurity were strongly associated with self-harm and suicidal ideation. Logistic regression analysis identified female sex, depression, anxiety, and experiences of bullying as key predictors of self-injurious behaviours. These results highlight the urgent need for school-based mental health interventions, gender-sensitive policies, and trauma-informed care to mitigate the burden of adolescent mental-health disorders in Paraguay. Future studies should explore longitudinal trends and targeted prevention strategies to address this pressing public health concern. [ABSTRACT FROM AUTHOR]
Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Mental health in adolescents: a first study on the prevalence and associated factors of self-injurious thoughts, behaviours, and psychosocial challenges in Paraguay.
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  Data: <searchLink fieldCode="AR" term="%22Torales%2C+Julio%22">Torales, Julio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Almirón-Santacruz%2C+José%22">Almirón-Santacruz, José</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Torres-Romero%2C+Anthon+Daniel%22">Torres-Romero, Anthon Daniel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Higgins%2C+Marcelo%22">O'Higgins, Marcelo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Caycho-Rodríguez%2C+Tomás%22">Caycho-Rodríguez, Tomás</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ventriglio%2C+Antonio%22">Ventriglio, Antonio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Castaldelli-Maia%2C+João+Mauricio%22">Castaldelli-Maia, João Mauricio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tribe%2C+Rachel%22">Tribe, Rachel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mahon%2C+Audrey+Mc%22">Mahon, Audrey Mc</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bhugra%2C+Dinesh%22">Bhugra, Dinesh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barrios%2C+Iván%22">Barrios, Iván</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22International+Review+of+Psychiatry%22">International Review of Psychiatry</searchLink>. Sep-Nov2025, Vol. 37 Issue 6/7, p604-615. 12p.
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  Data: Adolescent mental health remains an underexplored area in Paraguay despite its significant implications for public health. This study investigated the prevalence of self-injurious thoughts and behaviours as well as the associated psychosocial and demographic factors among Paraguayan adolescents. A cross-sectional study was conducted with 535 adolescents aged 12–18 years from Asunción and the Central Department, using validated instruments, including the PHQ-2 for depression, GAD-7 for anxiety, APCTSS for post-traumatic stress, and SDQ for emotional and behavioural issues. The findings revealed alarmingly high prevalence rates of anxiety (40.6%), depression (50.3%), and PTSD (64.5%), with females being disproportionately affected. Non-suicidal self-injury was reported by 30.5% of participants, with significantly higher rates among females. Factors such as bullying, loneliness, and food insecurity were strongly associated with self-harm and suicidal ideation. Logistic regression analysis identified female sex, depression, anxiety, and experiences of bullying as key predictors of self-injurious behaviours. These results highlight the urgent need for school-based mental health interventions, gender-sensitive policies, and trauma-informed care to mitigate the burden of adolescent mental-health disorders in Paraguay. Future studies should explore longitudinal trends and targeted prevention strategies to address this pressing public health concern. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540261.2025.2488766
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      – Code: eng
        Text: English
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        PageCount: 12
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      – SubjectFull: Competency assessment (Law)
        Type: general
      – SubjectFull: Self-injurious behavior
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Cross-sectional method
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      – SubjectFull: High schools
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      – SubjectFull: Pearson correlation (Statistics)
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      – SubjectFull: Suicidal ideation
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      – SubjectFull: Sex crimes
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      – SubjectFull: At-risk people
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      – SubjectFull: Scientific observation
        Type: general
      – SubjectFull: Statistical sampling
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      – SubjectFull: Psychology of high school students
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      – SubjectFull: Interpersonal relations
        Type: general
      – SubjectFull: Psychological tests
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Sensitivity & specificity (Statistics)
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      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Paraguay
        Type: general
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              Text: Sep-Nov2025
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