Clinical Characteristics Associated with Suicidal Attempt and Non-Suicidal Self-Injury in Korean Adolescents

Lee, Hansung; Park, Kee Jeong; Kwon, Yejin; Shon, Seung‐Hyun; Youngstrom, Eric A.; Kim, Hyo-Won

doi:10.30773/pi.2021.0024

Cited by 11 publications

(8 citation statements)

References 52 publications

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“…With respect to psychiatric diagnosis, patients with self-harm were distributed a wide spectrum of diagnoses. The proportion of the disease group is close to that of a recent study with a Korean adolescent clinical sample, where 61.5% of the adolescent with NSSI were diagnosed with depressive disorder and 34.6% were diagnosed with bipolar disorder [21]. In the analysis that divided the self-harm group into three groups, the NSSI-D only and SBD only groups showed a significantly higher proportion of depressive disorder than both NSSI-D and SBD groups.…”

Section: Discussionsupporting

confidence: 81%

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Clinical and psychosocial characteristics related to self-harm in adolescent admitted to psychiatric wards in Korea: a retrospective chart review

Song¹,

Joung²,

Kim³

et al. 2022

J Korean Med Assoc

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Background: Self-harm is an important public health problem with increasing incidences among adolescents for over a decade. This study aimed to identify factors associated with self-harm in adolescent psychiatric inpatients in Korea. We also investigated clinical characteristics associated with nonsuicidal self-injury disorder (NSSI-D) and suicidal behavior disorder (SBD) according to the Diagnostic and Statistical Manual of Mental Disorders 5 criteria.Methods: This retrospective study included 215 adolescents aged between 12 to 18 years, who were admitted to the psychiatric ward of Samsung Medical Center, Seoul, Korea, from January 2014 to February 2021. Participants were divided into three groups according to NSSI-D and SBD diagnostic criteria. Collected data were analyzed using chi-square test and analysis of variance test.Results: Overall, 57.7% of the participants (n=124) reported self-harm at least once in their lives. Patients with self-harm were more likely to have experienced parental conflict, parent-child relational problems, and verbal, physical, or sexual abuse. Among the three groups divided according to NSSI-D and SBD diagnostic criteria, patients with both NSSI-D and SBD were more likely to have experienced parent-child relational problems than those with either NSSI-D only or SBD only.Conclusion: This study shows that parent-child relational problem is associated with high incidences of selfharm. Especially, the parent-child relational problem seemed to be a risk factor for SBD among patients with NSSI-D. These are important findings that provide an understanding of the self-harm characteristics and therefore improve prevention and treatment strategies in psychiatric adolescent patients.

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Section: Discussionsupporting

confidence: 81%

“…Exclusion criteria were intelligence quotient (IQ) scores lower than 80 and acute psychotic symptoms. Since suspected intellectual disability could bias the results of the selfharm characteristics, it was excluded from the scope of this study [20,21].…”

Section: Participantsmentioning

confidence: 99%

Clinical and psychosocial characteristics related to self-harm in adolescent admitted to psychiatric wards in Korea: a retrospective chart review

Song¹,

Joung²,

Kim³

et al. 2022

J Korean Med Assoc

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“…A meta-analysis reported that the overall prevalence of selfharm among Chinese adolescents was 22.37% (4). SAs and NSSI differ in terms of intention and lethality, but they also share many risk factors, including sociodemographic and educational factors, negative life events, family adversities, and mental illness factors; furthermore, NSSI was found to be strongly predictive of SAs (5). Both SAs and NSSI greatly impact the physical and mental health of adolescents and are associated with an increased risk of suicide, which places a greater burden on society.…”

Section: Introductionmentioning

confidence: 99%

Influence of academic stress and school bullying on self-harm behaviors among Chinese middle school students: The mediation effect of depression and anxiety

Chen

Guo

Chen

et al. 2023

Front. Public Health

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ObjectiveThe purpose of this study was to explore the relationship between academic stress, school bullying and self-harm behaviors among Chinese middle school students and to further explore the impact of anxiety and depression on this relationship.MethodsThe students (aged 12–16 years) in a middle school in Changsha city were invited to respond to a questionnaire through an online platform. The Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) were used to assess the severity of anxiety and depressive symptoms, respectively. The experience of being bullied, academic stress, and self-harm behaviors were assessed using several questions on the basis of previous studies.ResultsA total of 1,313 middle school students completed the study, and 3.40% and 4.10% of them reported suicide attempts (SAs) and non-suicidal self-injury (NSSI), respectively. Univariate logistic regression analysis revealed that anxiety symptoms (OR = 1.23, 95% CI: 1.18–1.28; OR = 1.25, 95% CI: 1.19–1.31), depressive symptoms (OR = 1.20, 95% CI: 1.16–1.25; OR = 1.26, 95% CI: 1.20–1.31), school bullying (OR = 3.8, 95% CI: 2.11–6.89; OR = 2.76, 95% CI: 1.39–5.47), and academic stress (OR = 2.20, 95% CI: 1.27–3.80; OR = 3.80, 95% CI: 1.20–7.25) were common factors of NSSI and SAs. In addition, depressive symptoms showed a mediating effect on the association of school bullying and academic stress with SAs or NSSI, and anxiety symptoms showed a mediating effect on the association of school bullying and academic stress with NSSI only.ConclusionAppropriate strategies are needed to reduce academic pressure and prevent school bullying. Meanwhile, negative emotions such as depression and anxiety should be evaluated and intervened in to prevent self-harm behaviors among middle school students.

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“…Non-suicidal self-injury (NSSI) is one of the most important mental health problems of adolescents worldwide and is defined as the deliberate, direct, and socially unacceptable destruction of body tissue, but without suicidal intent (1,2). It represents some of the strongest and most consistent predictors of future suicidal behavior across both inpatient and general populations (3)(4)(5). The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) lists NSSI as an independent symptom that "needs further study", suggesting that it may be an independent mental disorder that requires more attention (6).…”

Section: Introductionmentioning

confidence: 99%

Influencing factors of non-suicidal self-injury according to DSM-5 in adolescents admitted to the psychiatric department: a cross-sectional study

Song¹,

Huang²,

Hou³

et al. 2022

Transl Pediatr

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Background: Non-suicidal self-injury (NSSI) is being increasingly recognized as a prominent mental health concern, especially among adolescents. In psychiatric clinical samples, its incidence is high and difficult to identify. However, few studies have explored the NSSI behavior of psychiatric hospitalized adolescents. This study aimed to explore the influencing factors of NSSI according to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) in adolescents admitted to the psychiatric department.Methods: In this cross-sectional study, by convenient sampling, a total of 505 psychiatric adolescent inpatients aged 10-19 years completed questionnaires to record details of sociodemographic characteristics, the NSSI questionnaire, the Child Psychological Abuse and Neglect Scale (CPANS), the self-report version of the Strengths and Difficulties Questionnaire (self-report SDQ), the Coping Style Scale for Middle School Students (CSSMSS), which were compared between NSSI inpatients and non-NSSI inpatients. This study used the diagnostic criteria for NSSI disorder in DSM-5: adolescent patients who have NSSI behaviors for more than 5 times in the past 1 year are called NSSI. A multiple logistic regression model was built to explore the relationships among general information, CPANS, SDQ, CSSMSS, and NSSI. Risk for NSSI is quantified by odds ratio (OR) with 95% confidence interval (CI). Results:The results showed that 77.82% (n=393) of adolescent inpatients had NSSI, and 80.0% were female (n=404). NSSI adolescent inpatients experienced more family scolding, psychological abuse, and neglect and showed more positive attitudes toward NSSI than non-NSSI adolescent inpatients. However, after controlling for covariables, the difference disappeared. NSSI behavior was significantly associated with female (OR =2.391, 95% CI: 1.396-4.097, P=0.002), younger age (10-14 years old) (OR =1.876, 95%

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Clinical Characteristics Associated with Suicidal Attempt and Non-Suicidal Self-Injury in Korean Adolescents

Cited by 11 publications

References 52 publications

Clinical and psychosocial characteristics related to self-harm in adolescent admitted to psychiatric wards in Korea: a retrospective chart review

Clinical and psychosocial characteristics related to self-harm in adolescent admitted to psychiatric wards in Korea: a retrospective chart review

Influence of academic stress and school bullying on self-harm behaviors among Chinese middle school students: The mediation effect of depression and anxiety

Influencing factors of non-suicidal self-injury according to DSM-5 in adolescents admitted to the psychiatric department: a cross-sectional study

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