Frustration with feeling: Latent classes of non-suicidal self-injury and emotion regulation difficulties

Peterson, Amanda L.; Chen, Jason I.; Karver, Marc S.; Labouliere, Christa D.

doi:10.1016/j.psychres.2019.03.014

Cited by 34 publications

(27 citation statements)

References 79 publications

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“…Building on our earlier study, we observed that two particular components of difficulties in emotion regulation difficulties were associated with Class 3: lack of emotional awareness and a tendency to lose control in the face of negative emotions. This is congruent with past literature that emotion regulation difficulties are positively associated with NSSI frequency and diversity (Peterson, Chen, Karver, & Labouliere, 2019).…”

Section: Correlates Of Three Classes Of Self-injurious Behaviourssupporting

confidence: 92%

A typology of nonsuicidal self‐injury in a clinical sample: A latent class analysis

Shahwan

Lau

Abdin

et al. 2020

Clin Psychology and Psychoth

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Nonsuicidal self-injury(NSSI) is a behavioural concern and can present in diverse ways, varying by method, frequency, severity, function and so forth. The possible combinations of these features of NSSI produce an array of profiles that makes evaluation and management of this behaviour challenging. The aim of this study was to build upon previous work that reduces the heterogeneity of NSSI patterns by using latent class analysis (LCA) to identify a typology of NSSI. Participants consisted of 235 outpatients aged 14-35 years attending a tertiary psychiatric hospital in Singapore who had reported at least one NSSI behaviour within the last year. Eight indicators captured using the Functional Assessment of Self-Mutilation were used in the LCA: frequency of NSSI, length of contemplation before engaging in NSSI, usage of more than three NSSI methods, suicidal ideation and four psychological functions of NSSI, that is, social-positive, social-negative, automatic-positive and automatic-negative. The LCA revealed three distinct groups: Class 1-Experimental/Mild NSSI, Class 2-Multiple functions NSSI/Low Suicide Ideation and Class 3-Multiplefunctions NSSI/Possible Suicide Ideation. Multinomial logistic regression analyses were conducted to examine the associations between class membership and sociodemographic variables as well as measures of emotion dysregulation, childhood trauma, depression and quality of life. Females were overrepresented in Class 3. In general, Class 3 had the poorest scores followed by Class 2. Our analyses suggest that different NSSI subtypes require different treatment indications. Profiling patterns of NSSI may be a potentially useful step in guiding treatment plans and strategies.

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Section: Correlates Of Three Classes Of Self-injurious Behaviourssupporting

confidence: 92%

A typology of nonsuicidal self‐injury in a clinical sample: A latent class analysis

Shahwan

Lau

Abdin

et al. 2020

Clin Psychology and Psychoth

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“…As a group, university students commonly experience stress and depression as they transition from adolescence to early adulthood, which often requires them to adapt to a new social role and identity, to maintain interpersonal relationships, to manage their own finances, and to strive for academic success [1]. People during this period of life are more likely to face challenges such as emotional dysregulation, maladaptive behaviour, poor impulse control, drug or substance abuse, and even self-harm [2]. Studies verify that university students have high levels of stress [3,4] and a systematic review reported that the prevalence of depression among university students ranged from 10 to 85% (with a weighted mean prevalence of 30.6%) [5].…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a screening instrument for borderline personality disorder (SI-Bord) for use among university students

et al. 2020

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Background The screening instrument for borderline personality disorder (SI-Bord) consists of a 5-item self-reported questionnaire on the key features of BPD from the DSM-5 using a 5-point Likert scale. This study investigated its validity and reliability in screening for BPD in university students. Methods A cross-sectional study was conducted on a sample of university students in Thailand between November and December 2019. An online assessment gathered demographic data and results from the SI-Bord, the Perceived Stress Scale-10 (PSS-10) and the Patient Health Questionnaire-9 (PHQ-9). Participants whose SI-Bord scores were ≥ 1 were randomly selected to be interviewed and assessed for a BPD diagnosis by four psychiatrists using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) as a reference point. An intraclass correlation coefficient (ICC) of 0.925 (95% CI, 0.805–0.979) ensured inter-rater reliability between the four psychiatrists. The diagnostic sensitivity and specificity of the SI-Bord, as compared to that of the SCID-II, were determined to indicate the cut-off score. The Receiver Operating Characteristics (ROC) was analyzed to evaluate its diagnostic accuracy. Results The study included 342 students aged 18–25 years (the mean age was 20.25 ± 1.4 years), 80.4% of whom were female. Among the 68 participants selected for an online interview, 16 were diagnosed with BPD. The cut-off score of the SI-Bord was > 9, as suggested by the Youden index, yielding a sensitivity of 56.3% and a specificity of 92.3%. It had a positive predictive value of 69.2% and negative predictive value of 87.3%. The SI-Bord had adequate discriminative power between cases and non-cases of BPD, with the area under the ROC curve being 0.83. Cronbach’s alpha for the SI-Bord was 0.76, indicating acceptable internal consistency. The SI-Bord score was positively correlated to PHQ-9 and PSS-10 scores (r = 0.67 and r = 0.69, p < 0.001, respectively) and negatively correlated to MSPSS (r = − 0.50, p < 0.001). The prevalence of BPD in the sample was 6.4%, according to the cut-off score > 9. Conclusion The SI-Bord demonstrated good reliability and validity for screening BPD in university students. However, a study in non-Thai and other population groups should be warranted.

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“…Person-centered methodological approaches have emerged as a useful tool for disentangling patterns of SITB and associated risk factors (Martin, LaCroix, Novak, & Ghahramanlou-Hollowy, 2019). Model based approaches such as Latent Class Analysis (LCA), which leverages heterogeneity among individuals, have been used to distinguish patterns of NSSI based on frequency and severity (Klonsky & Olino, 2008;Peterson, Chen, Karver, & Labouliere, 2019) and to better understand individuals engaging in NSSI most at risk for suicidal behavior (Hamza and Willoughby, 2013). Research conducted by Hamza and Willoughby (2013) suggests that compared to individuals classified by NSSI without suicidal thoughts and behaviors, individuals classified by NSSI and suicidal thoughts and behaviors experience more severe emotion dysregulation, depression, and behavioral disinhibition.…”

mentioning

confidence: 99%

Self-Injurious Thoughts and Behaviors Among College Students: A Latent Class Analysis

Marraccini¹,

Brick

O’Neill

et al. 2020

Archives of Suicide Research

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This study explored emerging typologies of self-injurious thoughts and behaviors and how they relate to known psychological and cognitive correlates. Latent class analysis was employed to identify subgroups of college students (n=626, mean age=20, 73% female, and 83% White) based on history of self-injurious thoughts and behaviors. Differences among classes were tested to examine their associations with suicidal ideation, fearlessness of death, depression/hopelessness, thwarted belongingness, problems with alcohol or drugs, behavioral inhibition, and emotional control. Results of the latent class analysis supported a 3-class solution, with students classified as being likely to have (1) no history of any self-injurious thoughts and behaviors (78%); (2) a history of all self-injurious thoughts and behaviors (8%); or (3) a history of suicidal ideation, plan, and non-suicidal self-injurious thoughts and behaviors, but not suicide attempt (13%). Findings examining correlates of self-injurious thoughts and behaviors highlight the importance of fearlessness of death for distinguishing suicide attempters from nonattempters. Attention to mental health and suicide prevention initiatives should remain a critical priority across college campuses.

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Frustration with feeling: Latent classes of non-suicidal self-injury and emotion regulation difficulties

Cited by 34 publications

References 79 publications

A typology of nonsuicidal self‐injury in a clinical sample: A latent class analysis

A typology of nonsuicidal self‐injury in a clinical sample: A latent class analysis

Development and validation of a screening instrument for borderline personality disorder (SI-Bord) for use among university students

Self-Injurious Thoughts and Behaviors Among College Students: A Latent Class Analysis

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