Longitudinal Associations Between Nonsuicidal Self-Injury, Depressive Symptoms, Hopelessness, and Emotional Dysregulation in Adolescents

Faura‐Garcia, Juan; Calvete, Esther; Orue, Izaskun

doi:10.1080/13811118.2023.2237075

Cited by 5 publications

(2 citation statements)

References 70 publications

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“…A longitudinal study suggests that depression and NSSI may be intertwined in a cycle of reciprocal associations over time. 14 Depression was a predictor of risk for NSSI, and NSSI also predicted more depression in the future. 15 , 16 Therefore, understanding the relationship between adolescent NSSI and depression can provide a clearer understanding of the occurrence and development process of NSSI.…”

Section: Introductionmentioning

confidence: 93%

Understanding Comorbidity Between Non-Suicidal Self-Injury and Depressive Symptoms in a Clinical Sample of Adolescents: A Network Analysis

Niu,

Yin,

Pan

et al. 2024

NDT

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Background Non-suicidal self-injury (NSSI) and depression often co-occur among adolescents with more severe clinical symptoms. This study examined the network structures of NSSI and depressive symptoms in adolescents. Methods Participants were recruited in the psychiatric outpatient clinics of three tertiary hospitals between April 10 and July 10, 2023. All participants been already found with self-injury behaviors in outpatient when enrolled. NSSI diagnostic criteria and Patient Health Questionnaire-9 (PHQ-9) were utilized to collect NSSI and depressive symptoms separately. We performed a network analysis to visualize the correlation between each symptom and to identify core and bridging symptoms in comorbidities. Results A total of 248 patients were enrolled in the study, with a mean age of 15.48 (SD = 1.62). Based on the PHQ-9 scores and grades, our results showed that the incidence of depression in adolescents with non-suicidal self-injury behavior was relatively high (N=235, 94.76%), with the majority having severe depression. The network analysis revealed that nodes D-6 “feeling bad, failing or letting yourself or your family down”, D-1 “little interest or pleasure” and D-4 “feeling tired” were the most vital and most central symptoms. The most crucial bridging symptom is the node NSSI-8 “frequent thinking about self-injury”, which connects the NSSI to the depression comorbid network. Conclusion This study offers a significant symptom-level conceptualization of the association between NSSI and depressive symptoms in a clinical sample of adolescents, which not only enhances our understanding of the comorbid but also identifies potential treatment targets to prevent and treat comorbidity between adolescent NSSI and depression.

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Section: Introductionmentioning

confidence: 93%

Understanding Comorbidity Between Non-Suicidal Self-Injury and Depressive Symptoms in a Clinical Sample of Adolescents: A Network Analysis

Niu,

Yin,

Pan

et al. 2024

NDT

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“…In fact, literature seems to point out several areas that could underlie both phenomena, including depressive symptomatology ( 28 – 30 ), dissociative symptoms ( 31 ), impulsiveness ( 31 – 34 ), emotion identification ( 35 , 36 ), expression ( 37 , 38 ) and dysregulation ( 39 – 41 ), aggressivity and anger pervasiveness ( 42 ), feelings of worthlessness ( 43 ), and social reactivity (e.g., sensitivity to interpersonal rejection) ( 44 , 45 ). Despite that, data on possible differences between NSSI and SA relative to these factors is relatively scarce, particularly in youths.…”

Section: Introductionmentioning

confidence: 99%

The role of Theory of Mind in the transition towards suicidal attempts in youth NSSI: an exploratory pilot study

Orsolini,

Corona,

Cervelli

et al. 2024

Front. Psychiatry

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Non-suicidal self-injury (NSSI) can both precede and co-occur with suicidal attempts (SA). Underlying mechanisms/factors leading to the transition to SA in NSSI youths have been proposed (including the role of social cognition), despite they should be yet confirmed. Therefore, the study aims at exploring the role of the Theory of Mind in the differentiation of a sample of NSSI youngsters (aged 15-24) according to the presence of SA. We divided the sample into 4 groups using the Deliberate Self Harm Inventory (DSHI) and Columbia Suicide Severity Rating Scale (C-SSRS): control group (notNSSInotSA), NSSI without SA (NSSInotSA), NSSI with SA (NSSIplusSA), and SA without NSSI (SAonly). NSSIplusSA patients displayed higher Reading the Mind in the Eyes Test (RMET) scores (indicative of ToM abilities) than both the NSSInotSA (p=0.0016) and SAonly groups (p=0.0198), while SAonly patients showed lower RMET scores compared to the control group (p=0.0214). Multiple regression models used to differentiate NSSInotSA and NSSIplusSA found a significant association between RMET and LOSCS-CSC (Level Of Self-Criticism Scale-Comparative Self-Criticism) (pC=0.0802, pD=0.0016, pG=0.0053). Our findings supported the hypothesis that a hypertrophic affective ToM may possibly be associated with the occurrence of SA in youth NSSI. Further larger and longitudinal studies should confirm these preliminary findings, by exploring all social cognition dimensions.

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Attention deficit/Hyperactivity disorder

Antshel,

McBride

2024

Encyclopedia of Adolescence

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Longitudinal Associations Between Nonsuicidal Self-Injury, Depressive Symptoms, Hopelessness, and Emotional Dysregulation in Adolescents

Cited by 5 publications

References 70 publications

Understanding Comorbidity Between Non-Suicidal Self-Injury and Depressive Symptoms in a Clinical Sample of Adolescents: A Network Analysis

Understanding Comorbidity Between Non-Suicidal Self-Injury and Depressive Symptoms in a Clinical Sample of Adolescents: A Network Analysis

The role of Theory of Mind in the transition towards suicidal attempts in youth NSSI: an exploratory pilot study

Attention deficit/Hyperactivity disorder

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