Nonsuicidal Self-Injury Among a Representative Sample of US Adolescents, 2015

Monto, Martin A.; McRee, Nick; Deryck, Frank Samuel

doi:10.2105/ajph.2018.304470

Cited by 134 publications

(111 citation statements)

References 27 publications

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“…Our study is not without limitations. First, it is not ideal to assess self-injury with one survey item only and a limited list of example behaviors, although the use of single-item measures is common in self-injury research (2). The exclusion of some male-typical self-injurious behaviors (e.g., punching a fist into a wall) may have led to underestimations of the associations between stressful life events and self-injury among males.…”

Section: Limitationsmentioning

confidence: 99%

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Stressful Life Events in Different Social Contexts Are Associated With Self-Injury From Early Adolescence to Early Adulthood

et al. 2020

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Self-injury often arises as a maladaptive coping strategy used to alleviate distress. Past research has typically examined how chronic stressors in a specific context are associated with self-injury. Little is known about the unique and cumulative associations between acute stressful life events that occur in different social contexts and self-injury among adolescents. This is especially the case for males, for whom the etiology of self-injury is understudied. We examine the unique and cumulative contributions of stressful life events in the contexts of adolescents' school life, peer networks, intimate relationships, and family life to self-injurious behavior in males and females from the community. Our data comes from a prospective-longitudinal community-representative study, the Zurich Project on the Social Development from Childhood to Adulthood (z-proso). Our sample consists of 1,482 adolescents (52% male) assessed at ages 13, 15, 17, and 20. At each age, adolescents reported whether they had engaged in self-injury during the previous month. They also reported stressful life events in the school, peer, intimate relationships, and family contexts, typically since the last assessment. Stressful life events in the peer context were consistently associated with self-injury. In the contexts of school, intimate relationships, and family, some associations were age-or sex-specific. For example, mid-adolescent females were more likely than mid-adolescent males to use self-injury when faced with stressful events in school and intimate relationships. With respect to risk accumulation, females' risk of self-injury increased with each additional life event between the ages of 13 and 17, beginning at 2+ events. This pattern did not hold for males. In early adulthood, 4+ life events were associated with an increased risk of self-injury, which suggests that the thresholds for the number of life events needed to trigger self-injury increased from adolescence to young adulthood. Our findings suggest that reducing risk of stressful events in different social contexts, and improving young people's coping skills could help reduce their risk of self-injury. New or revised theoretical models may be needed to better understand the emergence of self-injury in males.

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Section: Limitationsmentioning

confidence: 99%

“…Adolescent self-harm, including self-injury, is a serious public health issue across the globe (1,2). In recent years, several theories have emerged to explain why adolescents engage in this behavior (3,4).…”

Section: Introductionmentioning

confidence: 99%

Stressful Life Events in Different Social Contexts Are Associated With Self-Injury From Early Adolescence to Early Adulthood

et al. 2020

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“…The data show that self-harm among adolescents is common, and they have a higher incidence rate of this behavior than any other age group [5]. In the United States, 17.58% of teenagers engaged in self-harm [6]; and in China, that statistic was even higher. Among middle school and high school students, the incidence of non-suicidal self-injury (NSSI) was 20.6% for males and 21.9% for females [7].…”

Section: Introductionmentioning

confidence: 88%

Parents' and medical staff's experience of adolescents with suicide-related behaviors admitted to a general hospital in China: qualitative study

Yang

Liao

et al. 2020

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Background: Currently, there is increasing awareness of suicide-related behaviors. Mental health services are a key location for assisting people with suicide-related behaviors. However, few studies focused on the evaluation and experience of the mental health care system from families and the medical staff’s perspective in China. The study is aim to explore parents' and the front-line medical staff's experience of an adolescent with suicide-related behaviors admitted to the psychiatry department of a general hospital in China.Design: Qualitative study was employed in the study. Participants were recruited from a general hospital in China characterized by high levels in the Chinese mental health system.Methods: Semi-structured in-depth interviews were conducted exploring their experience and perceptions when an adolescent admitted to the hospital. The theme analysis method is used for data analysis.Results: Participants expressed dissatisfaction in the psychiatric department. Other barriers in their work were identified, such as the shortage of staff and difficulties in caring or communicating with patients. Besides, the imperfect treatment system also contributes to the low satisfaction of patients and their families. Four themes were identified for medical staff’s experience:1) Perception of working in psychiatry; 2) The challenges of working in psychiatry; 3) The advice to the health care service. Two themes for parents: 1) The evaluation for hospitalization treatment; 2) The advice to the health care service.Conclusion: This study found that insufficient staffing and lacking of systematic professional treatment models are the major challenges. We suggest increasing the input of mental health resources to expand and train the mental health service team and establish a complete set of a treatment model for SRBs.

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“…The data show that self-harm among adolescents is common, and they have a higher incidence rate of this behavior than any other age group [7]. In the United States, 17.58% of teenagers engaged in self-harm [8]; and in China, that statistic was even higher.…”

Section: Introductionmentioning

confidence: 88%

Parents' and medical staff's experience of adolescents with suicide-related behaviors admitted to a general hospital in China: qualitative study

Yang

Liao

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Currently, there is increasing awareness of suicide-related behaviors. Mental health services are a key location for assisting people with suicide-related behaviors. However, few studies focused on the evaluation and experience of the mental health care system from families and the medical staff’s perspective in China. The study aims to explore parents' and the front-line medical staff's experience of an adolescent with suicide-related behaviors admitted to the psychiatry department of a general hospital in China.Design: Qualitative study was employed in the study. Participants were recruited from a general hospital in China characterized by high levels in the Chinese mental health system.Methods: Semi-structured in-depth interviews were conducted exploring their experience and perceptions when an adolescent was admitted to the hospital. The theme analysis method is used for data analysis.Results: Participants expressed dissatisfaction in the psychiatric department. Other barriers in their work were identified, such as the shortage of staff and difficulties in caring or communicating with patients. Besides, the imperfect treatment system also contributes to the low satisfaction of patients and their families. Two themes and six subthemes were identified: 1) staff perceives difficult to engage SRBs patients (feelings of helplessness, the need for compassion, challenges of professional self-efficacy, the recommendations to the health care service); 2) parents not satisfied with the existing hospital services (doubt the hospitalization treatment and the advice to the health care service).Conclusion: This study found that insufficient staffing and lacking of systematic professional treatment models are the major challenges. We suggest increasing the input of mental health resources to expand and train the mental health service team and establish a complete set of a treatment model for SRBs.

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Nonsuicidal Self-Injury Among a Representative Sample of US Adolescents, 2015

Abstract: Nonclinical populations of adolescents are at high risk for self-injury. Nonsuicidal self-injury was higher among girls than among boys, but patterns of association with other health risks were similar.

Cited by 134 publications

References 27 publications

Stressful Life Events in Different Social Contexts Are Associated With Self-Injury From Early Adolescence to Early Adulthood

Stressful Life Events in Different Social Contexts Are Associated With Self-Injury From Early Adolescence to Early Adulthood

Parents' and medical staff's experience of adolescents with suicide-related behaviors admitted to a general hospital in China: qualitative study

Parents' and medical staff's experience of adolescents with suicide-related behaviors admitted to a general hospital in China: qualitative study

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