Clinical Correlates of Deliberate Self-Harm Among Migrant Trauma-Affected Subgroups

Baralla, Francesca; Ventura, Martina; Negay, Nikolay; Napoli, Anteo Di; Petrelli, Alessio; Mirisola, Concetta; Sarchiapone, Marco

doi:10.3389/fpsyt.2021.529361

Cited by 5 publications

(5 citation statements)

References 77 publications

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“…Research shows that refugees face a higher risk of self-harm due to a mix of pre-migration trauma, like violence and persecution, and post-migration challenges, such as asylum uncertainty, cultural adjustment issues, and economic instability [ 15 , 16 ]. A study in Italy showed the prevalence of self-harm in this demographic to be 26.6% [ 17 ]. Common mental health problems among refugees, including depression, anxiety, and PTSD, increase the likelihood of self-harm.…”

Section: Introductionmentioning

confidence: 99%

“…Common mental health problems among refugees, including depression, anxiety, and PTSD, increase the likelihood of self-harm. Additionally, difficulties in accessing mental health care, including language barriers, stigma, and the absence of culturally sensitive services, further heighten their vulnerability [ 17 – 19 ]. In addition, the refugee populations are encompassed in severe economic challenges, like limited job opportunities and financial instability that increase their chances of despair and having chronic thoughts of preferring to die [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Chronicity of self-harming behaviors among adolescent teenage girls living in refugee settlements in Northern Uganda

Kaggwa,

Abaatyo,

Otika

et al. 2024

BMC Psychol

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Background Self-harming ideations demand targeted research due to their persistent nature, especially among female adolescents within refugee populations who face unique challenges that can exacerbate self-harming tendencies. This study aimed to assess the factors associated with self-harming ideations chronicity among female teenagers living in refugee settlement in Northern Uganda. Method This cross-sectional study used a pretested questionnaire to assess self-harming ideations and other demographic characteristics. Ordinal logistic regression was used to determine factors associated with chronicity of self-harm ideations. Results Of 385 participants, the prevalence of self-harming ideations was 4.2% (n = 16) for acute, 8% (n = 31) for subacute, and 3.1% (n = 12) for chronic. The likelihood of having more chronic self-harming ideations increased with having ever been pregnant (adjusted odds ratio [aOR] = 3.78, 95% Confidence Interval [CI] = 1.57–9.08). However, having a spouse as the family head reduced the likelihood of having more chronic self-harming ideations (aOR = 0.19, 95% CI = 0.04–0.95). Conclusions The persistence of self-harming thoughts among female teenagers in Northern Ugandan refugee settlements varies. Pregnancy history is associated with a higher chance of prolonged self-harming thoughts while having a spouse as the family’s head is linked with a lower likelihood. Examining different demographic and familial elements when addressing the mental well-being of female teenage refugees is vital. It stresses the necessity for customized interventions and support networks targeting the reduction of self-harm behaviors among this vulnerable group.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Chronicity of self-harming behaviors among adolescent teenage girls living in refugee settlements in Northern Uganda

Kaggwa,

Abaatyo,

Otika

et al. 2024

BMC Psychol

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“…PTSD is prone to comorbid with many mental problems, such as sleep disorders, depressive disorders, and anxiety disorders ( 10 ). Timely interventions for patients with PTSD can reduce distress, which can help to reduce the occurrence of NSSI ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of BPD tendencies and subjective well-being on NSSI in adolescents with PTSD

Deng

Yan²,

et al. 2023

Front. Psychiatry

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BackgroundSevere posttraumatic stress disorder (PTSD) may lead to non-suicidal self-injury (NSSI), and borderline personality disorder (BPD) tendencies may play a role in this process. Secondary vocational students experience more social, familial and other pressures and are more vulnerable to psychological problems. Thus, we explored the effect of BPD tendencies and subjective well-being (SWB) on NSSI in secondary vocational students with PTSD.MethodsA total of 2,160 Chinese secondary vocational students in Wuhan participated in our cross-sectional investigation. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for PTSD, NSSI Questionnaire, Personality Diagnostic Questionnaire-4+, subjective well-being scale, and family adaptation, partnership, growth, affection, and resolve (APGAR) Index were used. We conducted a binary logistic regression model and linear regression analysis.ResultsSex (odds ratio [OR] = 0.354, 95% confidence interval [CI] = 0.171–0.733), BPD tendencies (OR = 1.192, 95% CI = 1.066–1.333) and SWB (OR = 0.652, 95% CI = 0.516–0.824) were independent factors that predicted NSSI in secondary vocational students with PTSD. Spearman’s correlation analysis showed that BPD tendencies were positively correlated with NSSI frequency (r = 0.282, P < 0.01). SWB was negatively correlated with NSSI frequency (r = −0.301, P < 0.01). The linear regression showed that BPD tendencies (β = 0.137, P < 0.05 and β = −0.230, P < 0.001) were significantly correlated with NSSI frequency. Spearman’s correlation analysis showed that family functioning was positively correlated with SWB (r = 0.486, P < 0.01) and negatively correlated with BPD tendencies (r = −0.296, P < 0.01).ConclusionIn adolescents, PTSD in response to stressful events could lead to NSSI, and BPD tendencies promote the intensity of NSSI, while SWB diminishes its intensity. Improvement in family functioning may actively guide the development of mental health and improve SWB; such steps may constitute interventions to prevent or treat NSSI.

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“…elf-harm or self-injury is seen as a way for dealing with emotional problems, anger, depression, and distress [1]. Deliberate selfharm is defined as the intentional direct and indirect harm the self [2]. It is a behavior that causes minor or severe physical injury.…”

Section: Introductionmentioning

confidence: 99%

“…It is a behavior that causes minor or severe physical injury. For example, trying to burn oneself, head banging, jumping from high places, poisoning oneself without attempting suicide [1], cuting/scratching the skin, and preventing wounds from healing [2]. Self-harm behavior is a wrong way to cope with psychological distress.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress

Abdollahi

Kousha²,

Bozorgchenani³

et al. 2022

Holist Nurs Midwifery

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Introduction: Self-harm has increased among adolescents in recent years, turning it to one of the major public and mental health concerns. Objective: The present study aims to investigate the prevalence of self-harm and deliberate self-cutting in high school students in northern Iran, and its relationship with anxiety, depression, and stress. Materials and Methods: In this analytical cross-sectional study, participants were 617 high school students in Rasht, Iran in 2018 who were selected through multistage cluster random sampling. Data collection tools were a demographic form, the Self-Harm Inventory (SHI), and the 21-item Depression, Anxiety, and Stress Scale (DASS-21). Data analysis was done by independent t-test, Kruskal–Wallis test, one-way analysis of variance, chi-square test, Fisher’s Exact test, and linear and logistic regression. Results: The mean age of students was 16.11±1.35 years, and the majority of them were male (64.2%). The prevalence of self-harm behaviors was 54.9% (n=339), 20.3% in females and 79.7% in males. Deliberate self-cutting was found in 11% of students. The score of SHI was significantly higher in boys than in girls, while the prevalence of deliberate self-cutting was more in girls (P=0.001). Self-harm behaviors increased with increasing depression, anxiety, and stress (P=0.001). Gender (B=0.704, 95%CI; 0.149-1.258, P=0.013), grade (B=-1.011, 95%CI;-1.517- -0.504, P=0.001), family size (B=0.620, 95%CI; 0.344-0.895, P=0.001), age (B=0.624, 95%CI; 0.286-0.962, P=0.001), and the grade point average in the past year (B=-0.945, 95%CI; -1.197- -0.693, P= 0.001) had significant relationship with self-harm behaviors (R2= 0.145). Moreover, gender (OR=4.874, 95%CI; 2.297-10.344, P=0.001), grade point average in the past year (OR=0.727, 95%CI; 0.567-0.932, P=0.012), substance abuse (OR=7.972, 95%CI; 3.424-18.564, P=0.001), depression (OR=1.163, 95%CI; 1.065-1.271, P=0.001), stress (OR=1.105, 95%CI; 1.006-1.213, P=0.036), and father’s educational level (OR=7.897, 95%CI; 1.138-54.807, P=0.001) had significant relationship with deliberate self-cutting. Conclusion: Self-harm behaviors in adolescents are associated with anxiety, depression, and stress.

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Clinical Correlates of Deliberate Self-Harm Among Migrant Trauma-Affected Subgroups

Cited by 5 publications

References 77 publications

Chronicity of self-harming behaviors among adolescent teenage girls living in refugee settlements in Northern Uganda

Chronicity of self-harming behaviors among adolescent teenage girls living in refugee settlements in Northern Uganda

Effects of BPD tendencies and subjective well-being on NSSI in adolescents with PTSD

Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress

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