Specificity of childhood maltreatment and emotion deficit in nonsuicidal self-injury in an inpatient sample of youth

Thomassin, Kristel; Shaffer, Anne; Madden, Amber R.; Londino, Donna L.

doi:10.1016/j.psychres.2016.07.050

Cited by 90 publications

(73 citation statements)

References 29 publications

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“…This proportion is fairly consistent with that found by Preyde et al (2012) among children and adolescents accessing mental health services in southwestern Ontario but much higher than that found among college students in Canada (e.g., Duggan et al, 2015;Heath et al, 2008). The proportion of adolescents who experienced ACEs and engaged in NSSI may be underestimated and appears to be relatively lower than what has been found in other clinical samples (see e.g., Kaess et al, 2013;Thomassin et al, 2016). The fact that our sample was made up of younger adolescents (mean age = 12.49)could play a role in the proportion of individuals reporting NSSI.…”

Section: Discussionsupporting

confidence: 88%

“…With respect to the association between ACEs and NSSI, various systematic reviews and meta-analyses (Ford & Gómez, 2015;Lang & Sharma-Patel, 2011;Maniglio, 2011;Smith, Kouros, & Meuret, 2014) have shown that adolescents with a history of ACEs are more likely to engage in NSSI, even after adjusting for demographic and known mental health factors. Similar results have been found among adolescent inpatients (e.g., Bifulco et al, 2014;Kaess et al, 2013;Thomassin et al, 2016). History of foster placement has also been linked to NSSI (Grenville, Goodman, & Macpherson, 2012).…”

Section: U N C O R R E C T E D P R O O Fsupporting

confidence: 77%

“…The non-significant findings relating to witnessing domestic violence, neglect, emotional abuse, and parental addiction appears to contradict some past studies (e.g., Bifulco et al, 2014;Kaess et al, 2013;Thomassin et al, 2016). A recent study by Armiento et al (2016) found exposure to indirect child maltreatment was the only predictor of NSSI after controlling for participants' age and gender.…”

Section: Discussionmentioning

confidence: 66%

“…Whereas studies from other countries have investigated the effect of ACEs on NSSI among adolescent inpatients (see e.g., Kaess et al, 2013;Thomassin et al, 2016), to date, few studies within the Canadian context have examined the effect of ACEs on NSSI among clinical samples of children and adolescents with mental health problems. Most of the existing studies on NSSI among children and adolescents in Canada are from the general population or relied on student samples where the proportion of individuals with a history of ACEs is much lower than that found in clinical samples or child welfare samples (Heath et al, 2008).…”

Section: Study Objectivementioning

confidence: 99%

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The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings

Baiden

Stewart

Fallon

2017

Child Abuse & Neglect

106

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The objectives of this study were to examine the prevalence of, and determine the effect of adverse childhood experiences on non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings. Data for this study were obtained from the interRAI Child and Youth Mental Health dataset. A total of 2038 children and adolescents aged 8-18 years (M = 12.49; SD = 2.88, 61.1% males) were analyzed. Binary logistic regression was fitted to identify predictors of non-suicidal self-injury as a function of adverse childhood experiences, depression, and social support while simultaneously controlling for age, gender, type of patient, legal guardianship, marital status of parents/caregivers, history of foster family placement, and mental health diagnoses. Of the 2038 children and adolescents examined, 592 (29%) of this clinical sample engaged in non-suicidal self-injury. In the multivariate logistic regression model, children and adolescents who were physically abused had 49% higher odds of engaging in non-suicidal self-injury and children and adolescents who were sexually abused had 60% higher odds of engaging in non-suicidal self-injury, when compared to their non-abused counterparts. Other predictors of non-suicidal self-injury include: older age, female gender, inpatient status, depression, attention deficit-hyperactivity disorder, disruptive behavior disorder, and mood disorders. Children and adolescents who had some form of social support had a 26% decrease in the odds of engaging in non-suicidal self-injury. Assessment procedures for indicators of mental health, particularly among children and adolescents with a history of adverse childhood experiences, should also take into account non-suicidal self-injury. In addition to bolstering social support networks, addressing depression and related emotion regulation skills in childhood may help prevent future non-suicidal self-injury behaviors.

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Section: Discussionsupporting

confidence: 88%

Section: U N C O R R E C T E D P R O O Fsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 66%

Section: Study Objectivementioning

confidence: 99%

See 2 more Smart Citations

The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings

Baiden

Stewart

Fallon

2017

Child Abuse & Neglect

106

View full text Add to dashboard Cite

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“…However, recent research provides more differentiated findings on the experience of adverse childhood events. In a study by Thomassin et al [38], only child emotional abuse remained significantly associated with NSSI, when different types of adverse childhood experiences were analyzed simultaneously. This is in line with a review and a meta-analysis, finding the experience of sexual abuse to be only moderately linked to the development of NSSI [39, 40].…”

Section: Etiology and Risk Factorsmentioning

confidence: 99%

Non-suicidal Self-Injury in Adolescence

Brown

Plener

2017

Curr Psychiatry Rep

327

187

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Purpose of ReviewNon-suicidal self-injury (NSSI) is a common mental health threat among adolescents. This review aims to present the current literature on epidemiology, etiology, and therapeutic approaches with a focus on the period of adolescence.Recent FindingsNSSI is widespread among adolescents both in community as well as in clinical settings with lifetime prevalence rates between 17 and 60% in recent studies. It is influenced by multiple factors including social contagion, interpersonal stressors, neurobiological background, as well as emotional dysregulation and adverse experiences in childhood.SummaryThere is still a lack of studies regarding the psychotherapeutic as well as the psychopharmacological treatment of NSSI in adolescence. Furthermore, sufficient evidence for prevention programs is missing.

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Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression

Zhang

et al. 2022

Brain and Behavior

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Objective: This study was performed to explore the effect of childhood trauma on nonsuicidal self-injury (NSSI) in adolescents with bipolar II (BD II) depression. Methods:Based on the diagnostic criteria of the DSM-5 and structured interviews to assess the presence or absence of NSSI, 184 adolescent patients with BD II depression were divided into the NSSI (n = 112) and non-NSSI (n = 72) groups. The Adolescent Nonsuicidal Self-Injury Assessment Questionnaire (ANSAQ), Childhood Trauma Questionnaire-Short Form (CTQ-SF), Toronto Alexithymia Scale (TAS-20), Hamilton Depression Scale (HAMD), and Hamilton Anxiety Scale (HAMA) were used to assess the subjects. Result:The CTQ-SF, HAMD, HAMA, and TAS-20 scores were significantly higher in the NSSI group than in the non-NSSI group (p < .01). Logistic regression analysis showed emotional abuse (p = .028, OR = 1.14, 95% CI = 1.01-1.28) and age of onset (p = .009) as risk factors for NSSI. Adolescents with onset age 12-13 years (OR = 6.30, 95% CI = 1.72-23.10) and 14-15 years (OR = 2.24, 95% CI = 1.04-4.84) had a higher risk of self-injury relative to adolescents aged 16-18 years. Conclusion:Childhood trauma and alexithymia were important influencing factors in adolescent patients with BD II depression. Emotional abuse and age of onset as risk factors for NSSI, and difficulties in emotion recognition were positively associated with the patients' NSSI.

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Specificity of childhood maltreatment and emotion deficit in nonsuicidal self-injury in an inpatient sample of youth

Cited by 90 publications

References 29 publications

The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings

The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings

Non-suicidal Self-Injury in Adolescence

Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression

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