Relationships between Non-Suicidal Self-Injury and Other Maladaptive Behaviors: Beyond Difficulties in Emotion Regulation

Sorgi, Kristen M.; Ammerman, Brooke A.; Cheung, Joey C.; Fahlgren, Martha K.; Puhalla, Alexander A.; McCloskey, Michael S.

doi:10.1080/13811118.2020.1715906

Cited by 17 publications

(12 citation statements)

References 85 publications

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“…They may opt for strategies other than self-injury because of its disadvantages (e.g., visible physical scars). These other strategies may be the types of behaviors that tend to co-occur with self-injury, such as disordered eating (e.g., Cucchi et al, 2016;Sorgi et al, 2021), JOURNAL OF ADOLESCENCE | 449 substance use (e.g., Bresin & Mekawi, 2020;Sorgi et al, 2021), or aggression towards others (e.g., Daukantaitė et al, 2019;Sorgi et al, 2021). These findings suggest the need to carefully consider other maladaptive regulatory and coping strategies in future research to explore why drops in self-injury do not seem to coincide with improvements in interpersonal experiences or gains in regulatory abilities.…”

Section: Discussionmentioning

confidence: 99%

Trajectories of nonsuicidal self‐injury during adolescence

Tilton‐Weaver

Latina

Marshall

2022

Journal of Adolescence

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Objective: Although nonsuicidal self-injury is a public health concern, there is little information on how it changes across adolescence or what contributes to stability or change. We aimed to identify trajectories of stability and change in self-injury from ages 13 to 17 years, and to identify interpersonal and intrapersonal correlates that differentiate between trajectories of stability and change. Method: We used five annual waves of cohort-sequential data, targeting 7th and 8th graders attending all public schools in three municipalities in central Sweden. The data were gathered via questionnaires, using a multi-item measure of non-suicidal self-injury and assessing negative experiences at home, in school, with peers, and in romantic settings, as well as intrapersonal issues (internalizing symptoms and difficulties with emotional, and behavioral regulation). The analytic sample was 3195 adolescents (51.7% boys, 48.3% girls; ages 12-16 years at T1, M = 13.61; SD = 0.66), most of whom were born in Sweden (88.6%) to at least one parent of Swedish origin (77.4%). Results: Latent growth curve modeling revealed three self-injury trajectories: a stablelow, a low-increasing, and an increasing-decreasing trajectory. Adolescents in the stable-low class reported the best overall adjustment at ages 13 and 16. Comparatively, adolescents in the other two classes reported similar levels of difficulty interpersonally and intrapersonally. Where they differed, the increase-decrease class fared worse than the low-increasing class. Conclusions: This study suggests the need to frame self-injury as having multiple directions of development during adolescence and develop theory that aligns with differential patterns of self-injury development.

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Section: Discussionmentioning

confidence: 99%

Trajectories of nonsuicidal self‐injury during adolescence

Tilton‐Weaver

Latina

Marshall

2022

Journal of Adolescence

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“…The questionnaire has been used successfully in prevention studies in this age group [ 54 ]. We will measure eating disorder psychopathology because starving, vomiting, and binge eating are sometimes used as dysfunctional behavior in adolescents with problems in emotion regulation [ 55 ] and are strongly associated with NSSI [ 56 ].…”

Section: Methodsmentioning

confidence: 99%

DUDE - a universal prevention program for non-suicidal self-injurious behavior in adolescence based on effective emotion regulation: study protocol of a cluster-randomized controlled trial

Bürger¹,

Emser²,

Seidel³

et al. 2022

Trials

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Background Non-suicidal self-injury (NSSI) has become a substantial public health problem. NSSI is a high-risk marker for the development and persistence of mental health problems, shows high rates of morbidity and mortality, and causes substantial health care costs. Thus, there is an urgent need for action to develop universal prevention programs for NSSI before adolescents begin to show this dangerous behavior. Currently, however, universal prevention programs are lacking. Methods The main objective of the present study is to evaluate a newly developed universal prevention program (“DUDE – Du und deine Emotionen / You and your emotions”), based on a skills-based approach in schools, in 3200 young adolescents (age 11–14 years). The effectiveness of DUDE will be investigated in a cluster-randomized controlled trial (RCT) in schools (N = 16). All groups will receive a minimal intervention called “Stress-free through the school day” as a mental health literacy program to prevent burnout in school. The treatment group (N = 1600; 8 schools) will additionally undergo the universal prevention program DUDE and will be divided into treatment group 1 (DUDE conducted by trained clinical psychologists; N = 800; 4 schools) and treatment group 2 (DUDE conducted by trained teachers; N = 800; 4 schools). The active control group (N = 1600; 8 schools) will only receive the mental health literacy prevention. Besides baseline assessment (T0), measurements will occur at the end of the treatment (T1) and at 6- (T2) and 12-month (T3) follow-up evaluations. The main outcome is the occurrence of NSSI within the last 6 months assessed by a short version of the Deliberate Self-Harm Inventory (DSHI-9) at the 1-year follow-up (primary endpoint; T3). Secondary outcomes are emotion regulation, suicidality, health-related quality of life, self-esteem, and comorbid psychopathology and willingness to change. Discussion DUDE is tailored to diminish the incidence of NSSI and to prevent its possible long-term consequences (e.g., suicidality) in adolescents. It is easy to access in the school environment. Furthermore, DUDE is a comprehensive approach to improve mental health via improved emotion regulation. Trial registration German Clinical Trials Register (DRKS) DRKS00018945. Registered on 01 April 2020, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00018945

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“…As such, NSSI may be used as a coping strategy for regulating negative emotions, perhaps particularly among impulsive individuals (19). This is further supported by the fact that individuals with NSSI report greater di culties with emotion regulation (20,21) and have high levels of emotion dysregulation (22).…”

Section: Introductionmentioning

confidence: 93%

Zero Self-Harm app – a mobile phone application to reduce non-suicidal self-injury: Study protocol for a randomized controlled trial

Andreasson

Larsen

Buus

et al. 2022

Preprint

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Background: Non-suicidal self-injury (NSSI) is a growing healthcare problem. Individuals with NSSI have an increased risk of suicidality. Because of stigma, they may self-injure in secret, which means they often seek help when events have escalated to suicidal ideation or a mental disorder. Previous studies have shown that interventions delivered via mobile phone applications have the potential to reduce self-injury. This protocol outlines a trial, which examines whether the Zero Self Harm-intervention, which is based on an app created for people with NSSI, can reduce the number of NSSI-episodes, suicide ideation, and depressive symptoms. Methods: The trial will be conducted as a 6-month 2-arm, parallel-group, multicentre, pragmatic, randomized clinical superiority trial. The intervention group will receive the app and instructions on how to use it, while the control group will be allocated to a waitlist and allowed to download the app after 6 months. Participants will be asked to complete questionnaires at 3- and 6 months after date of inclusion and the primary outcome is the number of NSSI-episodes during the last month, as measured at the 3 months follow-up with the Deliberate Self-Harm Inventory. A total of 280 participants, 140 in each arm, will be included.Discussion: This trial will assess the effectiveness of the Zero Self Harm-intervention to reduce the number of NSSI episodes. If effective, the app will have the potential to support to large group of people with NSSI. NSSI is stigmatised and often done in secret. Being both discreet and anonymous, the app might be an appealing option for support. In addition, people with current or former NSSI were involved in the development of the app. The app was developed with a focus on minimizing harm, not to end NSSI, which might also make the app appealing for a broader group of users.Trial registration: ClinicalTrials.gov, NCT04463654. Registered on 7 June 2020

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Relationships between Non-Suicidal Self-Injury and Other Maladaptive Behaviors: Beyond Difficulties in Emotion Regulation

Cited by 17 publications

References 85 publications

Trajectories of nonsuicidal self‐injury during adolescence

Trajectories of nonsuicidal self‐injury during adolescence

DUDE - a universal prevention program for non-suicidal self-injurious behavior in adolescence based on effective emotion regulation: study protocol of a cluster-randomized controlled trial

Zero Self-Harm app – a mobile phone application to reduce non-suicidal self-injury: Study protocol for a randomized controlled trial

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