Self‐injury in young bisexual people: A microlongitudinal investigation (SIBL) of thwarted belongingness and self‐esteem on non‐suicidal self‐injury

Dunlop, Brendan J; Coleman, Sophie Elizabeth; Hartley, Samantha; Carter, Lesley‐Anne; Taylor, Peter

doi:10.1111/sltb.12823

Cited by 6 publications

(2 citation statements)

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“…First and foremost, our study revealed a significant association between low self-esteem scores and the incidence of NSSI among adolescents with depression, which is consistent with previous findings (27,28). Low self-esteem is a clinical manifestation of depression, and higher levels of low self-esteem tend to mean higher levels of depression (29).…”

Section: Discussionsupporting

confidence: 91%

Unveiling a novel clinical risk assessment model for identifying non-suicidal self-injury risks in depressed Chinese adolescents amidst the COVID-19 pandemic: insights from low self-esteem, internet use, and sleep disturbance

Liu,

Wei,

Yang

et al. 2024

Front. Psychiatry

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BackgroundNon-suicidal self-injury (NSSI) is a highly prevalent behavioral problem among depression adolescent patients that can result in numerous adverse outcomes. This study endeavors to bridge this knowledge gap by creating a comprehensive model that incorporates multiple aspects of NSSI to accurately evaluate its risk in adolescents with depression, thereby enhancing our ability to prevent and address this challenging issue.MethodUsing a cross-sectional design, we recruited 302 adolescents with depressive disorders who visited or were hospitalized at Shandong Mental Health Center from December 2021 to June 2022. The participants completed several self-report questionnaires, including the Chinese version of the Internet Addiction Test, the Pittsburgh Sleep Quality Index questionnaire, the Defeat Scale, the Social Avoidance and Distress Scale and the Children’s Depression Inventory. Logistic regression analysis was performed to identify the diagnostic factors, which were further used to establish clinical risk assessment models. A receiver operating characteristic curve (ROC) to identify the best model. An external validating team was introduced to verify the assessing efficiency.ResultsBased on a logistic regression analysis, three variables have been identified as significant risk factors. Specifically, adolescents with depression who experience low self-esteem, internet use, or suffer from sleep disturbance face an increased risk of NSSI. An integrated risk index for NSSI exhibits excellent accuracy in identifying depressed adolescents at risk of NSSI (area under the curve = 0.86, sensitivity = 0.88, specificity = 0.69). In the validation cohort, the identification performance remains strong (area under the curve = 0.84, sensitivity = 0.72, specificity = 0.81).ConclusionThis study highlighted the role of self-esteem, internet use and sleep disturbance in the development of NSSI. The risk index diagnosing NSSI onset may help to guide the design and application of novel interventions to minimize this risky behavior in future depressed adolescents.

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Section: Discussionsupporting

confidence: 91%

Unveiling a novel clinical risk assessment model for identifying non-suicidal self-injury risks in depressed Chinese adolescents amidst the COVID-19 pandemic: insights from low self-esteem, internet use, and sleep disturbance

Liu,

Wei,

Yang

et al. 2024

Front. Psychiatry

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“…The authors believe that the Intersectional, Social and Systems‐based (InSoS) framework in GSD provides a unique psychological model and therapy approach that explicitly focuses on intersectionality, social and systemic factors as integral to clinical assessment, formulation and an integral agent of change for GSD people experiencing distress. The InSoS framework provides practitioners with a framework to think about and act in prevention and intervention at multiple levels, including individual, systemic and societal (Dunlop et al, 2020 , 2021 ), by helping both client and practitioner to understand broader and more distal factors involved in the development and maintenance of difficulties. By using such a framework and considering their difficulties through this particular lens, clients may feel less self‐blame and a deeper awareness of the role of context in the formation and maintenance of their difficulties.…”

Section: Discussionmentioning

confidence: 99%

It's not just in my head: An intersectional, social and systems‐based framework in gender and sexuality diversity

Dunlop

Lea

2022

Psychol Psychother

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Background:The mental health and well-being of gender and sexuality diverse (GSD) people needs to be understood within a socio-political and cultural context. Aims: In this paper, an intersectional, social and system-based framework for understanding the mental health and well-being of GSD people is presented, for practitioners within this field to consider GSD mental health experiences and challenges within context. Materials and Methods: Starting with a consideration of the current landscape of understanding, pivotal theories and understandings within the field are outlined. The need for a framework that centralises intersectionality and broader systemic considerations is presented. Results:The framework provided has an explicit focus on four key features: (1) intersectionality, (2) institutions, policies and laws, (3) people and groups and (4) social stories. Discussion: Consideration of each of these 'circles of influence' can help practitioners to understand the multi-layered and intersectional experience of GSD folk and allows for an understanding of potential intervention at both an individual and systemic and societal level. Conclusion: Use of such a framework in practice goes above and beyond what is currently available by centralising the role and impact of such wider systemic variables through an intersectional lens. The framework can be applicable worldwide given its flexibility to consider and apply pertinent policies, laws, people, groups and social stories within a particular country or culture.

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Same sex-attraction as a predictor of suicide and self-harm behaviours: The role of bullying and social support

Tetkovic,

Parsons,

White

et al. 2024

Journal of Affective Disorders

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Self‐injury in young bisexual people: A microlongitudinal investigation (SIBL) of thwarted belongingness and self‐esteem on non‐suicidal self‐injury

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 6 publications

References 54 publications

Unveiling a novel clinical risk assessment model for identifying non-suicidal self-injury risks in depressed Chinese adolescents amidst the COVID-19 pandemic: insights from low self-esteem, internet use, and sleep disturbance

Unveiling a novel clinical risk assessment model for identifying non-suicidal self-injury risks in depressed Chinese adolescents amidst the COVID-19 pandemic: insights from low self-esteem, internet use, and sleep disturbance

It's not just in my head: An intersectional, social and systems‐based framework in gender and sexuality diversity

Same sex-attraction as a predictor of suicide and self-harm behaviours: The role of bullying and social support

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