title: Cutting to cope - a modern adolescent phenomenon.
abstract: BACKGROUND
  The frequency of young people cutting themselves appears to be increasing, with one review estimating the current prevalence across the UK to be between 1 in 12 and 1 in 15.
  
  
  OBJECTIVE
  To identify factors that are associated with self-harm by cutting, and more especially coping strategies that if encouraged might reduce such behaviour.
  
  
  METHODS
  Multivariate and exploratory factor analysis were used to analyse the results from a survey of the pupils attending four large comprehensive schools in the North of England where the frequency of cutting behaviour was causing concern.
  
  
  RESULTS
  Three factors were identified from the analysis - Social & Active Coping, Seeking External Solutions and Non-Productive Coping. The Social & Active Coping was the only factor that significantly correlated with non-cutting behaviour.
  
  
  CONCLUSIONS
  The fostering of the elements that make up Social & Active Coping - namely working successfully and feeling a sense of achievement, together with positive friendship networks and positive diversions, including physical recreation, will help to minimize young people's sense of needing to cope by cutting themselves.
authors.affiliation: Tees Esk & Wear Valleys NHS Foundation Trust, Hartlepool, UK.
authors.forename: B
authors.initials: B
authors.lastname: Hall
authors.forename: M
authors.initials: M
authors.lastname: Place
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D015995:Prevalence; D012649:Self Concept; D012652:Self Mutilation / Q000453:epidemiology / Q000523:psychology*; D012944:Social Support; D011795:Surveys and Questionnaires