Psychiatric Impairment Among Adolescents Engaging in Different Types of Deliberate Self-Harm

Jacobson, Colleen M.; Muehlenkamp, Jennifer J.; Miller, Alison L.; Turner, J. Blake

doi:10.1080/15374410801955771

Cited by 319 publications

(318 citation statements)

References 25 publications

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“…This is consistent with another psychological autopsy study, which also reported a large proportion of PDs among suicide completers; notably the investigators found that borderline PD was present in 33% of the cases (132). PD during adolescence is also associated with non-suicidal selfinjurious behavior such as cutting and burning (133)(134)(135).…”

Section: Adverse Outcomes and Adaptive Functioningsupporting

confidence: 78%

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

Kongerslev

Chanen

Simonsen

2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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In this article, the authors provide a narrative review of the mounting evidence base on personality disorder in childhood and adolescence. Topics covered include diagnostic validity, prevalence, developmental issues, comorbidity, risk and protective factors, and treatment. Novel indicated prevention and early intervention programs for borderline personality disorder in adolescence are given special priority. To conclude, directions for future research are provided.

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Section: Adverse Outcomes and Adaptive Functioningsupporting

confidence: 78%

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

Kongerslev

Chanen

Simonsen

2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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“…2 Research with clinical samples shows even higher rates of ∼40%. 5 Engaging in NSSI is a risk factor for suicidal thoughts and behaviors and a precursor to more serious psychopathology. 6 In fact, as publication of the new Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) approaches, it seems likely that NSSI will become a new psychiatric diagnosis.…”

Section: Resultsmentioning

confidence: 99%

Rates of Nonsuicidal Self-Injury in Youth: Age, Sex, and Behavioral Methods in a Community Sample

Barrocas

Hankin

Young³

et al. 2012

Pediatrics

207

134

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WHAT'S KNOWN ON THIS SUBJECT: Known rates of nonsuicidal self-injury, hurting oneself without the intent to die, are between ∼7% and 24% in samples of early adolescents and older adolescents, yet research has not reported rates for youth younger than 11 years old. WHAT THIS STUDY ADDS:Children as young as 7 years old report engaging in nonsuicidal self-injury. There is a grade by gender interaction for nonsuicidal self-injury, such that ninth-grade girls report the greatest rates of engagement and do so by cutting themselves.abstract OBJECTIVE: The goal was to assess the rate and behavioral methods of nonsuicidal self-injury (NSSI) in a community sample of youth and examine effects of age and sex.METHODS: Youth in the third, sixth, and ninth grades (ages 7-16) at schools in the community were invited to participate in a laboratory study. A total of 665 youth (of 1108 contacted; 60% participation rate) were interviewed about NSSI over their lifetime via the Self-Injurious Thoughts and Behaviors Interview. RESULTS:Overall, 53 (8.0%) of the 665 youth reported engaging in NSSI; 9.0% of girls and 6.7% of boys reported NSSI engagement; 7.6% of thirdgraders, 4.0% of sixth-graders, and 12.7% of ninth-graders reported NSSI engagement. There was a significant grade by gender interaction; girls in the ninth grade (19%) reported significantly greater rates of NSSI than ninth-grade boys (5%). Behavioral methods of NSSI differed by gender. Girls reported cutting and carving skin most often, whereas boys reported hitting themselves most often. Finally, 1.5% of youth met some criteria for the proposed fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis of NSSI.CONCLUSIONS: Children and adolescents engage in NSSI. Ninth-grade girls seem most at risk, as they engage in NSSI at 3 times the rate of boys. Behavioral methods of NSSI also vary by grade and gender. As possible inclusion of an NSSI diagnosis in the fifth edition of the DSM-5 draws near, it is essential to better understand NSSI engagement across development and gender. Pediatrics 2012;130:39-45 AUTHORS:

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“…According Nock (2009), adolescents may exhibit NSSI to cope with elevated levels of general psychological distress, conceptualized as a wide variety of psychological symptoms (Jacobson, Muehlenkamp, Miller, & Turner, 2008;Nock, Joiner, Gordon, Lloyd-Richardson, & Prinstein, 2006) including both elevated rates of internalizing (e.g., anxiety, depression; e.g., Andover, Pepper, Ryabchencko, Orrico, & Gibb, 2005) and externalizing symptoms (e.g., conduct behavioral problems; e.g., Baetens, Claes, Muehlenkamp, Grietens, & Onghena, 2012;Brunner, Parzer, Haffner, Steen, & Roos, 2007). In line with Baetens et al (2012) and Klonsky and Olino (2008), it has been suggested that NSSI in community adolescents is a reflection of a general psychological distress and is not always accompanied by a diagnosable psychopathological condition.…”

Section: Intrapersonal Correlates Of Nssimentioning

confidence: 99%

Non‐suicidal self‐injury in adolescence: A longitudinal study of the relationship between NSSI, psychological distress and perceived parenting

Baetens

Claes

Onghena

et al. 2014

Journal of Adolescence

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Objective: The present study investigates whether either adolescents' psychological distress and/or perceived parenting predicted the occurrence of NSSI. Furthermore, the consequences of NSSI are examined in a three-wave longitudinal study. Design: The sample at time 1 (age 12) consisted of 1396 adolescent reports and 1438 parent reports. At time 2 (age 13), 827 adolescent reports and 936 parent reports were obtained. Time 3 (age 14) included 754 adolescent reports and 790 parent reports.Psychological distress of adolescents was measured using the Strengths and Difficulties Questionnaire.Perceived parenting behaviors were examined by the Parental Behavior Scale and the Psychological Control Scale. Results: A total of 10% of the adolescents engaged in NSSI at least once before age 15.Higher psychological distress of adolescents at time 1 was associated with the presence of NSSI at time 2 or 3. The association between psychological distress at time 1 and perception of decreased parental rule setting at time 3 was mediated by the presence of NSSI at time 2. Conclusions: The present study showed that psychological distress at age 12 predicts NSSI over time and that parental awareness of NSSI changes the perception of parenting behaviors. Keywords:Non-suicidal self-injury, adolescence, psychological distress, parenting, longitudinal. According to the dominant theories (e.g., Nock, 2009), NSSI is related to both (1) adolescent (intrapersonal) and (2) caregivers (interpersonal) factors which shape and maintain NSSI. Several intrapersonal correlates (most importantly emotion regulation and psychological distress) are hypothesized to be interwoven with interpersonal correlates (e.g., parenting, attachment, peer influences). With regard to caregivers characteristics, parenting behaviors may play an important role in both onset of NSSI (e.g., modulating physiological arousal/regulation, invalidating emotions, stressful life events such as abuse) and in maintaining NSSI (e.g., controlling behavior of parents). Although both intrapersonal and interpersonal correlates are hypothesized as exerting influences on onset of and maintaining NSSI, until now no longitudinal studies have examined these hypotheses. Furthermore, current dominant theoretical model (e.g., Nock) lack insight into consequences of NSSI over time. This large-scale, three-wave longitudinal study examined (1) the interaction between intrapersonal and interpersonal vulnerability factors for the NSSI, and (2) the consequences of NSSI over time. The present study focuses on the interplay between psychological distress as a potential intrapersonal correlate of NSSI (i.e., levels of internalizing and externalizing Running title: Longitudinal study of NSSI

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Psychiatric Impairment Among Adolescents Engaging in Different Types of Deliberate Self-Harm

Cited by 319 publications

References 25 publications

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

Rates of Nonsuicidal Self-Injury in Youth: Age, Sex, and Behavioral Methods in a Community Sample

Non‐suicidal self‐injury in adolescence: A longitudinal study of the relationship between NSSI, psychological distress and perceived parenting

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