Characteristics of Self-harm Behaviour among Identified Self-harming Youth in Care

Grenville, Jeffrey; Goodman, Deborah; Macpherson, Alison

doi:10.1007/s11469-011-9361-2

Cited by 1 publication

(1 citation statement)

References 34 publications

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“…Similar results have been found among adolescent inpatients (e.g., Bifulco et al, 2014;Kaess et al, 2013;Thomassin et al, 2016). History of foster placement has also been linked to NSSI (Grenville, Goodman, & Macpherson, 2012). Shenk, Noll, and Cassarly (2010) examined data on 129 maltreated and 82 non-maltreated adolescent females aged 14-18 years in the Midwest region of the US and found that adolescents who were sexually abused, neglected, or experienced multiple abuses were significantly more likely to report engaging in NSSI.…”

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confidence: 58%

The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings

Baiden

Stewart

Fallon

2017

Child Abuse & Neglect

106

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The objectives of this study were to examine the prevalence of, and determine the effect of adverse childhood experiences on non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings. Data for this study were obtained from the interRAI Child and Youth Mental Health dataset. A total of 2038 children and adolescents aged 8-18 years (M = 12.49; SD = 2.88, 61.1% males) were analyzed. Binary logistic regression was fitted to identify predictors of non-suicidal self-injury as a function of adverse childhood experiences, depression, and social support while simultaneously controlling for age, gender, type of patient, legal guardianship, marital status of parents/caregivers, history of foster family placement, and mental health diagnoses. Of the 2038 children and adolescents examined, 592 (29%) of this clinical sample engaged in non-suicidal self-injury. In the multivariate logistic regression model, children and adolescents who were physically abused had 49% higher odds of engaging in non-suicidal self-injury and children and adolescents who were sexually abused had 60% higher odds of engaging in non-suicidal self-injury, when compared to their non-abused counterparts. Other predictors of non-suicidal self-injury include: older age, female gender, inpatient status, depression, attention deficit-hyperactivity disorder, disruptive behavior disorder, and mood disorders. Children and adolescents who had some form of social support had a 26% decrease in the odds of engaging in non-suicidal self-injury. Assessment procedures for indicators of mental health, particularly among children and adolescents with a history of adverse childhood experiences, should also take into account non-suicidal self-injury. In addition to bolstering social support networks, addressing depression and related emotion regulation skills in childhood may help prevent future non-suicidal self-injury behaviors.

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