Correlates of Non-suicidal Self-Injury in Adolescent Psychiatric Patients in China

Zhang, Jijie; Liu, Yin-Du; Zhang, Hua; Huang, Zhuo-Hui; Wang, Fei; Yang, Jiabin; Wang, Shibin; Jia, Fu‐Jun; Hou, Cai‐Lan

doi:10.3389/fpsyt.2022.864150

Cited by 17 publications

(11 citation statements)

References 48 publications

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“…We need additional clarification that NSSI behavior in adolescent is likely to remain an "undifferentiated" form of mental disorder or simply one of the accompanying symptoms of other psychiatric disorders. The available reports also confirm that studies with adolescents with NSSI often correspond to more than a dozen diagnostic names (25,42). It is the variability and uncertainty of the diagnostic names that has created some obstacles to our study.…”

Section: Discussionsupporting

confidence: 72%

Factors influencing the addiction characteristics of non-suicidal self-injurious behaviors in adolescents: A case-control study

Zhu¹,

Qu²,

Zhong³

et al. 2022

Front. Psychiatry

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BackgroundMany studies have shown that in the context of public health emergencies, the incidence rate of adolescent non-suicidal self-injury (NSSI) patients increased dramatically. This paper aims to characterize the behavioral characteristics of adolescent NSSI and analyze the influencing factors of NSSI behavior addiction characteristics.MethodsOur research was a case-control study which included 84 adolescents with NSSI (female vs. male: 59 vs. 25) and 84 healthy controls (female vs. male: 53 vs. 31). All the participants enrolled were aged 12-18 years. The differences in the scores of the following five scales were compared between the case and control groups: Egna Minnen Barndoms Uppfostran (EMBU), Perceived Social Support Scale (PSSS), Perceived Stress Scale (PSS); Bergen Social Media Addiction Scale (BSMAS) and Video Game Dependence Scale (VDG-S). The characteristics of NSSI behavior of the study group were evaluated using the Ottawa Self Inventory Chinese Revised Edition (OSIC). And a binary logistic regression model was developed to analyze the factors that influence adolescent NSSI behavioral addiction characteristics.ResultsIn the study group, the emotional warmth scores in the father’s and mother’s rearing style scores in the EMBU were significantly lower than the controls. The BSMAS and VDG-S scores were significantly higher than those in the control group. 38 cases of NSSI with addiction characteristics accounted for 45.24% in the study group. The risk factors for NSSI addiction traits were as follows: female, single-child, high level of VDG-S scores, high scores of excessive interferences in father’s rearing style, and high scores of punishments and excessive interferences in mother’s rearing style score.ConclusionFemale, only child, internet addiction, and negative parenting styles were predictors of NSSI behavioral addiction characteristics in adolescents. Targeted coping strategies should be developed to reduce the occurrence and development of self-injurious behavior, especially for female adolescents with Internet dependence in one-child families with negative parenting styles.

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Section: Discussionsupporting

confidence: 72%

Factors influencing the addiction characteristics of non-suicidal self-injurious behaviors in adolescents: A case-control study

Zhu¹,

Qu²,

Zhong³

et al. 2022

Front. Psychiatry

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“…Subjects' trauma experience in childhood was assessed by childhood trauma questionnaire-short form (CTQ-SF), which was developed by Bernstein et al ( 47 ) and translated into Chinese by Fu et al ( 48 ). The scale represents a 28-item retrospective self-report questionnaire which contains five subscales: emotional (EN) and physical neglect (PN), emotional (EA), sexual (SA) and physical abuse (PA) ( 49 ). Each item is scored on a five-point Likert scale from 1 (never true) to 5 (very often true).…”

Section: Methodsmentioning

confidence: 99%

Key factors selection on adolescents with non-suicidal self-injury: A support vector machine based approach

Yang

Chen²,

Yao

et al. 2022

Front. Public Health

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Comparing a family structure to a company, one can often think of parents as leaders and adolescents as employees. Stressful family environments and anxiety levels, depression levels, personality disorders, emotional regulation difficulties, and childhood trauma may all contribute to non-suicidal self-injury (NSSI) behaviors. We presented a support vector machine (SVM) based method for discovering the key factors among mazy candidates that affected NSSI in adolescents. Using SVM as the base learner, and the binary dragonfly algorithm was used to find the feature combination that minimized the objective function, which took into account both the prediction error and the number of selected variables. Unlike univariate model analysis, we used a multivariate model to explore the risk factors, which better revealed the interactions between factors. Our research showed that adolescent education level, anxiety and depression level, borderline and avoidant personality traits, as well as emotional abuse and physical neglect in childhood, were associated with mood disorders in adolescents. Furthermore, gender, adolescent education level, physical abuse in childhood, non-acceptance of emotional responses, as well as paranoid, borderline, and histrionic personality traits, were associated with an increased risk of NSSI. These findings can help us make better use of artificial intelligence technology to extract potential factors leading to NSSI in adolescents from massive data, and provide theoretical support for the prevention and intervention of NSSI in adolescents.

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“…The survey was conducted face-to-face by trained researchers on randomly recruited patients after receiving complete consent (or from their guardians) and a series of questionnaires consisting of demographics, clinical information, and psychological assessments were implemented. Further information on the survey can be found in our previous study (Zhang et al, 2022).…”

Section: Methodsmentioning

confidence: 99%

Symptoms mediate the relationship between childhood trauma and non‐suicidal self‐injury: A hospital‐based study of adolescents with mood disorder

Zhou

Zhang

et al. 2023

Asia-Pacific Psychiatry

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BackgroundChildhood trauma has a significant impact on the development of adolescents, which may lead to interpersonal and psychological problems. Determining the incidence and consequences of childhood trauma in psychiatric clinical practice is of great significance.MethodsA survey was conducted among adolescents with mood disorders. Childhood Trauma Questionnaire (CTQ), the Adolescent Non‐Suicidal‐Self‐Injury Behavior Function Assessment Scale (ANBFAS) and a series of psychological scales were filled face to face. Path analysis was used to examine the causation structure of childhood trauma‐related symptoms.ResultsA total of 117 participants (74.5%) had experienced at least one type of trauma. Interpersonal and psychological features of adolescent patients with childhood trauma were detailed in this study. The path analysis model showed that the relationships between childhood trauma and NSSI were mediated by depressive symptoms and thinking disorders, respectively, whereas depressive symptoms individually mediated the correlation between childhood trauma and sleep disturbances in adolescent patients with psychiatric disorders (χ2/df = 1.23).ConclusionFor adolescent patients with childhood trauma, psychological counseling for interpersonal relationships should start with families and peers. It is important to treat their depressive symptoms and thinking disorders and alleviate NSSI behavior and sleep disorders.

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Correlates of Non-suicidal Self-Injury in Adolescent Psychiatric Patients in China

Cited by 17 publications

References 48 publications

Factors influencing the addiction characteristics of non-suicidal self-injurious behaviors in adolescents: A case-control study

Factors influencing the addiction characteristics of non-suicidal self-injurious behaviors in adolescents: A case-control study

Key factors selection on adolescents with non-suicidal self-injury: A support vector machine based approach

Symptoms mediate the relationship between childhood trauma and non‐suicidal self‐injury: A hospital‐based study of adolescents with mood disorder

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