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Chunk #21 — Discussion

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Early onset alcohol use and self-harm: a discordant twin analysis.
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In terms of the link between EAU and self-harm, the prevalence of EAU was substantially higher among those with a reported history of SA or NSSI, and, even after controlling for other potential early risk factors (e.g., childhood sexual abuse, conduct disorder, anhedonia, early drug use, family history of suicide, etc.), EAU was significantly associated with increased risk for both NSSI (OR=2.71) and SA (OR=2.56). These results confirm previous findings linking EAU to SA (e.g., Bossarte and Swahn 2011;Swahn et al. 2010). Although there is less research examining EAU in relation to NSSI, the current findings are consistent with research in high-risk adolescent samples demonstrating that alcohol use predicts NSSI at a one-year follow-up (Tuisku et al. 2014).