# The association of self-harm with adverse childhood experiences and coping mechanisms among young adults attending public psychiatric and mental health services in Malaysia

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- Page title: The association of self-harm with adverse childhood experiences and coping mechanisms among young adults attending public psychiatric and mental health services in Malaysia | WCP 2026 Summary

> Self-harm was associated with multiple domains of adverse childhood experiences, particularly peer bullying, while the ability to cope with stress and social c…

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SO263

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# The association of self-harm with adverse childhood experiences and coping mechanisms among young adults attending public psychiatric and mental health services in Malaysia

ASSOCIATION OF SELF-HARM WITH ADVERSE CHILDHOOD EXPERIENCES, COPING MECHANISM AMONG YOUNG ADULT ATTENDING PUBLIC PSYCHIATRY AND MENTAL HEALTH SERVICES IN MALAYSIA

Sunan: Nor Asiah Muhamad

Ülke: Malaysia

Kurum: National Institutes of Health, Ministry of Health Malaysia, Sector for Evidence-based Healthcare

Oturum: 3640 - PARALLEL SHORT ORAL POSTER SESSIONS: PUBLIC HEALTH & EPIDEMIOLOGY - Part IV

Tarih: Fri, 25.09.2026

Self-harm was associated with multiple domains of adverse childhood experiences, particularly peer bullying, while the ability to cope with stress and social connectedness were found to be protective.

The aim was to determine the association of adverse childhood experiences (ACEs) and coping mechanisms with self-harm among young adults attending psychiatric and mental health services in Malaysia. This cross-sectional study involved 1,164 young adults aged 10 to 24 attending public psychiatric and mental health services. Participants were selected through simple random sampling, and data were collected between October 2023 and October 2024 using a structured questionnaire covering sociodemographic characteristics, ACEs, and coping-related domains, together with an assessment of self-harm based on clinician interviews. Multivariable logistic regression was used for the analysis. A history of self-harm was reported by 71.0% of participants. Among the adverse childhood experience domains, emotional abuse (adjusted odds ratio, aOR = 1.82; 95% CI 1.03 to 2.23; p < 0.001), sexual abuse (aOR = 1.51; 95% CI 1.03 to 2.23; p = 0.036), witnessing violence against household members (aOR = 1.46; 95% CI 1.01 to 2.10; p = 0.043), experiencing peer bullying (aOR = 2.00; 95% CI 1.46 to 2.75; p < 0.001), and witnessing community violence (aOR = 1.69; 95% CI 1.22 to 2.36; p = 0.002) independently predicted a higher risk of self-harm; the poster identifies peer bullying as the strongest ACE-related predictor. Three coping-related factors were found to be protective: a greater ability to cope with stress (aOR = 0.33; 95% CI 0.24 to 0.46; p < 0.001), a sense of responsibility toward loved ones or pets (aOR = 0.71; 95% CI 0.51 to 0.97; p = 0.035), and perceived social support (aOR = 0.64; 95% CI 0.41 to 0.99; p = 0.048). The ability to cope with stress showed the strongest protective association. The findings support trauma-informed assessment and interventions that strengthen coping skills and social connectedness among young people attending mental health services.

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APA 7: Muhamad, N. A., et al. (2026, September 25). Association of self-harm with adverse childhood experiences, coping mechanism among young adult attending public psychiatry and mental health services in malaysia [Poster presentation]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1313

Vancouver: Muhamad NA, et al. Association of self-harm with adverse childhood experiences, coping mechanism among young adult attending public psychiatry and mental health services in malaysia [poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1313

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