Direct and indirect forms of childhood maltreatment and nonsuicidal self-injury among clinically-referred children and youth

Abstract

The present study provides evidence that witnessing domestic violence in childhood is an important risk factor for NSSI. Clinical relevance includes implications for clinicians to develop targeted intervention and prevention strategies for NSSI for children who have witnessed domestic violence.

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

“…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. A bourgeoning number of studies have found that children and adolescents exposed to indirect forms of childhood adversities, such as parental addiction or mental health problems or witnessed domestic violence, are at increased risk of engaging in NSSI (Armiento, Hamza, Stewart, & Leschied, 2016). However, some studies have failed to find a significant association between having a history of ACEs, specifically physical abuse and neglect, and NSSI (Auerbach et al, 2014;Glassman et al, 2007).…”

“…For the purposes of this study, those who engaged in self-injurious behavior with the intent to kill themselves were excluded from the analyses since NSSI includes self-injurious behavior with no suicidal intent. A similar method has been used by past studies in measuring NSSI (see e.g., Armiento et al, 2016;Muehlenkamp & Gutierrez, 2004).…”

The mediating effect of depressive symptoms on the relationship between bullying victimization and non-suicidal self-injury among adolescents: Findings from community and inpatient mental health settings in Ontario, Canada

“…Detailed description of the interRAI ChYMH including measurements of variables has been provided elsewhere by the authors , in previous publications (Armiento et al, 2016;Stewart and Hirdes, 2015;Stewart et al, 2015aStewart et al, , 2015b, and is also available from interRAI's website at http://www.interrai.org/ child-and-youth-mental-health.html. In brief, the interRAI ChYMH is a comprehensive instrument comprising approximately 400 clinical elements covering various behavioral and mental state indicators, stress and trauma, child maltreatment history, strength and resilience, family and social support, substance use, medication history, diagnostic information, cognitive and executive functioning, health, nutritional status, and a number of scales that can be used for outcome measurement, as well as care planning protocols that can be used to identify areas of imminent concern or risk.…”

“…For the purposes of this study, those who engaged in self-injurious behavior with the intent to kill themselves were excluded from the analyses since NSSI includes self-injurious behavior with no suicidal intent. A similar method has been used by past studies in measuring NSSI (e.g., Armiento et al, 2016;Muehlenkamp and Gutierrez, 2004).…”

“…Various studies from Asia (You and Leung, 2012), Australia (Tanner et al, 2015), Canada (Armiento et al, 2014), Europe , and the US (Sornberger et al, 2012;Brausch and Gutierrez, 2010) have found lifetime prevalence rates of NSSI among adolescent students ranges between 10-32%. Higher rates have been reported among adolescents from clinical settings ranging from 24% in Canada (Armiento et al, 2016), to 40% in Europe (Kaess et al, 2013), and 63-80% in the US (Auerbach et al, 2014;Victor et al, 2012;Weismoore and Esposito-Smythers, 2010). Swannell et al (2014) conducted a systematic review of published studies on NSSI across the globe and found a pooled lifetime prevalence estimate of NSSI among adolescents to be 17.2%.…”