@article{PlenerZohselHohmetal.2017,
  author    = {Plener, Paul L. and Zohsel, Katrin and Hohm, Erika and Buchmann, Arlette F. and Banaschewski, T. and Zimmermann, Ulrich S. and Laucht, Manfred},
  title     = {Lower cortisol level in response to a psychosocial stressor in young females with self-harm},
  series = {Psychoneuroendocrinology},
  volume    = {76},
  journal   = {Psychoneuroendocrinology},
  publisher = {Elsevier},
  address   = {Oxford},
  issn      = {0306-4530},
  doi       = {10.1016/j.psyneuen.2016.11.009},
  pages     = {84 -- 87},
  year      = {2017},
  abstract  = {Background: Self-harm is highly prevalent in adolescence, often serving an emotion regulation function. Social stressors such as bullying are associated with self-harm. The neurobiological background of the relationship between social stressors and self-harm needs to be further understood to inform prevention and therapy. Methods: Participants were members of an epidemiological cohort study. 130 female participants underwent the Trier Social Stress Test (TSST) at age 19. Of them, 21 reported a history of self-harm as assessed by the Youth Self Report. Psychiatric diagnoses were recorded. Results: Participants with a history of self-harm showed significantly lower blood cortisol levels throughout the TSST. Early psychosocial adversity did not significantly differ between groups with and without self-harm, with self-harming participants reporting more childhood adversities. Conclusion: These results add to the limited field of studies showing an altered HPA axis activity in females with self-harm. Future studies need to address the causal mechanisms behind this association.},
  language  = {en}
}