A cross-sectional study of non-suicidal self-injury in a Chinese adolescent inpatient cohort

Sun, Kai; Li, Anni; Li, Yichen; Xie, Jun; Tong, Yan; Ma, Jiameng; Wu, Yue

doi:10.3389/fpsyt.2023.1109334

Cited by 3 publications

(1 citation statement)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to Xie et al (2018) , 55.5% of adolescents with depression had suffered at least one form of child abuse. Several studies have suggested that childhood trauma is a risk factor for NSSI in adolescents ( Brown and Plener, 2017 ; Sun et al, 2023 ). Nock’s (2010) comprehensive theoretical model of self-injury also supports this.…”

Section: Introductionmentioning

confidence: 99%

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Cao,

Peng,

Yuan

et al. 2024

Front. Psychol.

View full text Add to dashboard Cite

PurposeThis study analyzes the relationship of alexithymia, childhood trauma, and body investment to non-suicidal self-injury (NSSI) behaviors in adolescents with depressive disorder and whether they have predictive and diagnostic value for non-suicidal self-injury (NSSI) behaviors in adolescents with depressive disorder.Patients and methodsA total of 225 patients with a diagnosis of adolescent depressive disorder were included in the study and were divided into two groups according to the DSM-5 criteria: 98 cases without NSSI and 127 cases with NSSI. Compare the demographic data, 24-item Hamilton Depression Scale (HAMD-24), 20-item Toronto Alexithymia Scale (TAS-20), Childhood Trauma Questionnaire-Short Form (CTQ-SF), and Body Investment Scale (BIS) scores between two groups. Binary logistic regression was used to analyze the independent risk factors contributing to NSSI behaviors in adolescents with depression, and establish four predictive models. Based on the models’ predictive probability, the ROC curves were plotted to calculate the value of the predictive diagnostic effect.ResultsThe group without NSSI had lower scores than the group with NSSI on HAMD-24 total score, TAS-20 total score, difficulty identifying feelings, difficulty describing feelings, and externally focused thinking, as well as lower scores on CTQ-SF total score, physical neglect, emotional neglect, physical abuse, and emotional abuse. In contrast, the BIS total score, body image feelings and attitudes, body care, and body protection factor scores were higher for the group without NSSI. The BIS body care factor score and the CTQ-SF emotional abuse factor score were significantly linked with adolescents diagnosed with depressive disorder who exhibited NSSI behaviors. These results provide a good diagnostic model for adolescents with depressive disorder.ConclusionLow levels of body care and childhood emotional abuse may independently contribute to the implementation of NSSI in adolescents with depressive disorder. Body investment and childhood trauma are valuable in diagnosing and predicting NSSI behaviors and should be considered as potentially important factors in clinical treatment.

show abstract

Section: Introductionmentioning

confidence: 99%

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Cao,

Peng,

Yuan

et al. 2024

Front. Psychol.

View full text Add to dashboard Cite

show abstract

Moderators and predictors of treatment outcome following adjunctive internet‐delivered emotion regulation therapy relative to treatment as usual alone for adolescents with nonsuicidal self‐injury disorder: Randomized controlled trial

Ojala,

Hesser,

Gratz

et al. 2024

JCPP Advances

View full text Add to dashboard Cite

BackgroundDespite the wide‐ranging negative consequences of nonsuicidal self‐injury (NSSI), there are few evidence‐based treatments for NSSI among adolescents and little is known about what treatments that work best for whom. The objective of this study was to investigate moderators (i.e., for whom a specific treatment works) and predictors (i.e., factors associated with treatment outcome independent of treatment type) of treatment outcome in a randomized clinical trial comparing internet‐delivered emotion regulation individual therapy for adolescents (IERITA) plus treatment as usual (TAU) to TAU alone.MethodsAdolescents (N = 166; mean [SD] age = 15.0 [1.2] years) with NSSI disorder were randomized to IERITA plus TAU (n = 84) or TAU‐only (n = 82). Adolescent emotion regulation difficulties, suicidality, NSSI frequency, depressive symptoms, sleep difficulties, global functioning, and age, and parental invalidation, were measured pre‐treatment and investigated as moderators and predictors of treatment outcome (i.e., NSSI frequency during treatment and for 4 weeks post‐treatment). A zero‐inflated negative binomial generalized linear mixed effects regression model was used to estimate the rate of NSSI change as a function of both treatment condition and moderator/predictor.ResultsNo significant moderators of treatment outcome were found. Parental invalidation was a significant predictor of treatment outcome regardless of treatment condition, such that high levels of parental invalidation pre‐treatment were associated with a less favorable NSSI frequency.ConclusionsWe did not find evidence of a differential treatment effect as a function of any of the examined client factors. Future research should investigate moderation in larger samples and with sufficient statistical power to detect moderation effects of smaller magnitude. Results suggest that parental invalidation may have a negative impact on treatment response and highlight the importance of further investigating parental invalidation in the context of NSSI treatments.

show abstract

Mechanisms and intervention strategies of emotional dysregulation in individuals with nonsuicidal self-injury

Li,

2023

Interdisciplinary Nursing Research

View full text Add to dashboard Cite

Non-suicidal self-injury (NSSI) is a deliberate, direct, socially unacceptable, and nonsuicidal form of self-hurt, with a high incidence rate among adolescents. NSSI harms people’s bodies and minds, dampening their social function and increasing the risk of suicide. The Benefit and Barrier Model of NSSI proposes that the core benefit of NSSI is emotional gain, in other words, the emotion regulation effect of the NSSI behaviors. The purpose of this study was to elucidate the relationship between NSSI and emotional dysregulation, analyze the possible behavioral and neural mechanisms underlying emotional dysregulation in NSSI, and summarize the application of emotion regulation strategies in the intervention for NSSI. This review provides evidence and implications for further research on the mechanisms and interventions related to emotional dysregulation in people with NSSI.

show abstract

A cross-sectional study of non-suicidal self-injury in a Chinese adolescent inpatient cohort

Cited by 3 publications

References 63 publications

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Moderators and predictors of treatment outcome following adjunctive internet‐delivered emotion regulation therapy relative to treatment as usual alone for adolescents with nonsuicidal self‐injury disorder: Randomized controlled trial

Mechanisms and intervention strategies of emotional dysregulation in individuals with nonsuicidal self-injury

Contact Info

Product

Resources

About