Non-suicidal self-injury among psychiatric outpatient adolescent offspring of Croatian posttraumatic stress disorder male war veterans: Prevalence and psychosocial correlates

Abstract

NSSI is a significant clinical problem in outpatient adolescent offspring of PTSD male veterans, which may be influenced by clinical and family factors. Interventions aimed at reducing internalizing symptoms and improving family functioning and parental behaviors are needed in the treatment of adolescent offspring of male PTSD veterans engaging in NSSI.

Parenting behaviors, parenting styles, and non-suicidal self-injury in young people: a systematic review

“…cohort in Belgium (Baetens, Claes, Onghena, et al, 2014, 2015), two studies from the Pittsburgh Girls study (Keenan et al, 2014; Victor et al, 2019), and another two from the same high school student cohort in Hong Kong (Wang et al, 2017; You et al, 2017). While most of the cross-sectional studies sampled from schools (middle school to university), two studies sampled from inpatient or outpatient psychiatric population (Boričević Maršanić et al, 2015; Depestele et al, 2017) and another used cross-sectional data from the JOnG! cohort (Baetens, Claes, Martin, et al, 2014).…”

“…To assess for NSSI, the majority ( n = 24) relied on participants’ self-report, of which six used a single-item measure (Baetens, Claes, Martin, et al, 2014; Baetens, Claes, Onghena, et al, 2014; 2015; Hay & Meldrum, 2010; Keenan et al, 2014; Victor et al, 2019), four used the Deliberate Self-Harm Inventory (Ammerman & Brown, 2018; Boričević Maršanić et al, 2015; Flett et al, 2012; Gratz, 2001; Kim & Yu, 2017), while the Inventory of Statements About Self-Injury (Daly & Willoughby, 2019; Klonsky & Glenn, 2009; Mahtani et al, 2019) and Ottawa Self-Injury Inventory (Cloutier & Nixon, 2003; Martin et al, 2011, 2016) were each used twice. Additionally, NSSI was assessed in one study by the participant’s attending psychiatrist (Tan et al, 2014) and in another using a structured interview based on DSM-5’s criteria (Tschan et al, 2015).…”

“…Of the 13 cross-sectional and case-control studies that examined parental support, nine (69%) found an association between low parental support and NSSI (Ammerman & Brown, 2018; Baetens, Claes, Hasking, et al, 2015; Boričević Maršanić et al, 2015; Brausch & Gutierrez, 2010; Claes et al, 2015; Emery et al, 2017; Martin et al, 2011; Martin et al, 2016; Tschan et al, 2015). In particular, low parental support was associated with increased likelihood of NSSI (Boričević Maršanić et al, 2015) and increased NSSI frequency (Baetens, Claes, Hasking, et al, 2015).…”

“…Of the 13 cross-sectional and case-control studies that examined parental support, nine (69%) found an association between low parental support and NSSI (Ammerman & Brown, 2018; Baetens, Claes, Hasking, et al, 2015; Boričević Maršanić et al, 2015; Brausch & Gutierrez, 2010; Claes et al, 2015; Emery et al, 2017; Martin et al, 2011; Martin et al, 2016; Tschan et al, 2015). In particular, low parental support was associated with increased likelihood of NSSI (Boričević Maršanić et al, 2015) and increased NSSI frequency (Baetens, Claes, Hasking, et al, 2015). Further, one of the studies found this significant difference on parental support only between NSSI and non-clinical controls, but not between NSSI and clinical controls with other mental disorders (Tschan et al, 2015), and in another, further analysis by gender revealed that the overall negative association did not hold for paternal support and male participants, suggesting a gender difference (Martin et al, 2011).…”

Comportamientos de autolesión en jóvenes con medida de internamiento en medio cerrado

“…Atrás quedan los clásicos trabajos (Emerson 1913) que hacían referencia a los primeros casos clínicos de autolesiones, o los que narraban competiciones entre pacientes por ver quién era capaz de realizarse más cortes, o mujeres cortadoras (Graff y Mallin 1967) que tuvieron toda una corriente de estudio en Japón hasta llegar a Favazza (1987) que es el autor que reorganiza el interés investigador por este tipo de conductas. Desde finales del siglo XX y hasta la actualidad, el campo de investigación de la autolesión se ha ampliado cuantitativamente en el número de proyectos investigadores, pero también ha diversificado y especializado la población objeto de investigación, pudiéndose encontrar trabajos que centran su foco de interés en población general (Riley 2010;Sacarcelik et al 2011), en pacientes ingresados en áreas psiquiátricas (Darche 1990;Hawton et al 2000), en población universitaria (Whitlock 2006; Kharsati y Bhola 2014), en personal militar o víctimas de guerras (Klonsky et al 2003;Boričević 2014). Particularmente el estudio de las autolesiones en población adolescente ha sido un tema cada vez más recurrente en las sociedades actuales, tanto por su repercusión sanitaria, como por el cariz de alarma social.…”