Adverse childhood experiences, recent negative life events, and non-suicidal self-injury among Chinese college students: the protective role of self-efficacy

Chen, Zixun; Li, JinWen; Liu, JinMeng; Liu, Xia

doi:10.1186/s13034-022-00535-1

Cited by 10 publications

(6 citation statements)

References 72 publications

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“…This is consistent with the findings of Chen et al, who showed a significant increase in NSSI behavior in individuals with high levels of childhood trauma. 27 This may be because when individuals encounter adverse experiences in childhood, they are not mature in cognition, thinking style, and personality characteristics, lack inner stability, and they are in a critical period of development, so individuals cannot acquire the ability to adapt and solve problems. This has also been confirmed by research that childhood adversity disrupts the ability to regulate or manage negative emotional states, leading to an increased risk of personal emotional problems and extreme distress.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Childhood Trauma and Non-Suicidal Self-Injury Behavior in Adolescents with Depression: The Mediating Role of Rumination

Fu,

Li,

et al. 2024

PRBM

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Objective Non-suicidal self-injury (NSSI) behavior is very common in adolescents with depression, and childhood trauma is considered one of the distal risk factors for its exacerbation. Rumination caused by adverse traumatic experiences, which can be transferred through NSSI behavior, can alleviate symptoms of depression in adolescents. The current research focuses on the relationship between the three, further exploring whether rumination is a mediator in the relationship between childhood trauma and NSSI behavior on the basis of previous studies, and provides some suggestions for future early intervention for adolescents with depression. Methods A total of 833 adolescent patients with depression who met the DSM-5 criteria for depressive episode were recruited from 12 hospitals in China. The Chinese version of the Function Assessment of Self-mutilation, Childhood Trauma Questionnaire, and Rumination Inventory were used as research tools. Results The scores of childhood trauma and rumination in adolescents with depression in the NSSI group were higher than those in the non-NSSI group. A Pearson’s correlation analysis showed that childhood trauma was positively correlated with rumination ( r =0.165, P <0.01), different types of childhood trauma were significantly positively correlated with rumination and its three factors, and these results were statistically significant. Rumination partially mediated the relationship between childhood trauma and NSSI behavior in depressed adolescent patients (effect size=0.002), and the effect in female participants (effect size=0.003), was greater than that in male participants (effect size=0.002). Conclusion Childhood trauma and rumination were key factors for NSSI behavior in adolescents with depression. Childhood trauma not only has a direct effect on NSSI behavior in adolescent depression, but also plays an indirect effect on NSSI behavior through rumination.

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Section: Discussionmentioning

confidence: 99%

The Relationship Between Childhood Trauma and Non-Suicidal Self-Injury Behavior in Adolescents with Depression: The Mediating Role of Rumination

Fu,

Li,

et al. 2024

PRBM

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“…We explored the association between MH, sex, NLEs, and NSSI and derived the following observations. First, patients with major depressive disorder and NSSI had experienced ACEs [ 35 , 37 , 47 ]. The present study clarifies the relationship between NLEs and NSSI and provides insights into how therapeutic interventions targeting NLEs can prevent the occurrence of NSSI [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…First, patients with major depressive disorder and NSSI had experienced ACEs [ 35 , 37 , 47 ]. The present study clarifies the relationship between NLEs and NSSI and provides insights into how therapeutic interventions targeting NLEs can prevent the occurrence of NSSI [ 37 ]. Second, previous studies have established that NLEs and MH are associated with higher NSSI [ 14 , 17 ], and we observed an association between the two in our study.…”

Section: Discussionmentioning

confidence: 99%

Association between negative life events through mental health and non-suicidal self-injury with young adults: evidence for sex moderate correlation

Zhang,

Gong,

Feng

et al. 2024

BMC Psychiatry

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Background Non-suicidal self-injury (NSSI) has exhibited an increasing trend in recent years and is now globally recognized as a major public health problem among adolescents and young adults. Negative life events (NLEs) are positively associated with NSSI. We sought to explore (1) whether sex plays a role in the risk of NLEs leading to NSSI and (2) the role played by mental health (MH). Methods We adopted a multi-stage cluster sampling method to select college students across four grades from May to June 2022. Generalized linear models were used to evaluate the relationships between NLEs, sex, MH and NSSI, presented as incidence-rate ratios (RRs) with 95% confidence intervals (CIs). We examined the complex relationship between these variables using the PROCESS method for moderation analysis. Results Following the exclusion of data that did not meet the study requirements, data from 3,578 students (mean age: 20.53 [± 1.65] years) were included. Poisson regression results indicate that high-level NLEs (RR = 0.110, 95%CI: 0.047–0.173) are associated with increased NSSI. Furthermore, interaction effects were observed among sex, NLEs and NSSI. MH and sex moderated the relationship between NLEs and NSSI. Conclusion Identifying risk factors for NSSI is also important when exploring the interaction between NLEs and MH given the potential for NSSI to significantly increase the risk of later psychopathological symptoms and substance abuse problems. In addition, the significance of sex differences in risk factors for NSSI should be determined. This study evaluated how the impact of NLEs on NSSI can be reduced among adolescents from multiple perspectives.

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“…Siobhan O’Neill et al conducted a small sample sized study in UK (N = 739), and their results indicated a significant relationship between high levels of ACEs and NSSI ( 39 ). Chen et al showed that individuals with high levels of ACEs had significantly higher prevalence of NSSI among Chinese college students (N = 1,036) ( 40 ). The present study found significant accumulated effects of the number of ACEs on the odds of NSSI in the past 1 month, 6 months, and 12 months, extending the limited available evidence on the association between childhood adversities and NSSI.…”

Section: Discussionmentioning

confidence: 99%

Adverse childhood experiences, unhealthy lifestyle, and nonsuicidal self-injury: findings from six universities in Shaanxi province, China

Zhang,

Wang,

Chen

et al. 2023

Front. Public Health

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BackgroundNonsuicidal self-injury (NSSI) is a serious public health problem. The role of adverse childhood experiences (ACEs) and lifestyle on the risk for NSSI is still underexplored, especially among college students. We aimed to investigate the association of ACEs with the risk of NSSI, and effect modifications by lifestyle among college students.MethodsA total of 18,723 college students from six universities were recruited through a multistage, random cluster sampling method in Shaanxi province, China. The Adverse Childhood Experiences International Questionnaire was used to assess ACEs for each participant, and the Chinese version of the Ottawa Self-injury Inventory was used to assess the presence or absence of NSSI behaviors. Information about lifestyle was collected by a self-designed questionnaire. The associations of NSSI with ACEs and lifestyle were analyzed using logistic regression models. Furthermore, we constructed a combination score of multiple lifestyles and evaluated whether lifestyle modified the effect of ACEs on the risk of NSSI.ResultsThe prevalence of NSSI for the past 1 month, 6 months, and 12 months was 3.8, 5.3, and 6.5%, respectively. 82.6% of participants have reported experiencing at least one type of ACEs, and participants with higher levels of ACEs (≥4) were more likely to have higher odds of developing NSSI during the past 1 month (OR, 4.10; 95%CI, 3.38–4.97), 6 months (OR, 4.76; 95%CI, 4.03–5.62), and 12 months (OR, 5.62; 95%CI, 4.83–6.55), as compared with participants with low levels of ACEs (0–1). There were additive interactions between ACEs and lifestyle. Compared with participants with low levels of ACEs and healthy lifestyle, participants with high levels of ACEs and unhealthy lifestyle had the highest odds of NSSI during the past 1 month (OR, 5.56; 95%CI, 3.80–8.31), 6 months (OR, 6.62; 95%CI, 4.73–9.42), and 12 months (OR, 7.62; 95%CI, 5.59–10.52).ConclusionThese results suggest that ACEs play an important role in the occurrence of NSSI among college students, especially in those with unhealthy lifestyle. Our findings may help develop targeted intervention strategies for the prevention of NSSI.

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Adverse childhood experiences, recent negative life events, and non-suicidal self-injury among Chinese college students: the protective role of self-efficacy

Cited by 10 publications

References 72 publications

The Relationship Between Childhood Trauma and Non-Suicidal Self-Injury Behavior in Adolescents with Depression: The Mediating Role of Rumination

The Relationship Between Childhood Trauma and Non-Suicidal Self-Injury Behavior in Adolescents with Depression: The Mediating Role of Rumination

Association between negative life events through mental health and non-suicidal self-injury with young adults: evidence for sex moderate correlation

Adverse childhood experiences, unhealthy lifestyle, and nonsuicidal self-injury: findings from six universities in Shaanxi province, China

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