A longitudinal study of adolescents engaged in Non-Suicidal Self Injury (NSSI): clinical follow-up from adolescence to young adulthood

Rodríguez-Blanco, Lucía; Carballo, Juan J.; León, Santiago; Baca‐García, Enrique

doi:10.1016/j.psychres.2021.113711

Cited by 13 publications

(11 citation statements)

References 34 publications

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“…Determining core variables that predict suicidal behaviour seems crucial not only for designing prevention strategies but also when intervening with adolescents under treatment (e.g., to prevent clinical intervention abandonment; Rodríguez‐Blanco et al, 2021). Our results showed that PB was relevant within the follow‐up study.…”

Section: Discussionmentioning

confidence: 99%

Interpersonal theory of suicide and stressful life events in a clinical sample of adolescents in Spain

Caro-Cañizares

Vila

Pacheco

et al. 2023

Early Intervention Psych

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AimsThe interpersonal theory of suicide (ITPS) provides a theoretical model for suicidal behaviour. It includes two interpersonal variables, thwarted belongingness (TB) and perceived burdensomeness (PB). This study tested the relationship between ITPS interpersonal variables and suicide risk (presence/absence of suicidal ideation and suicide attempts throughout life) in a clinical sample of Spanish adolescents. We also assessed the potential mediation effect of these variables in the well‐established relationship between stressful life events (SLE) and suicide risk.MethodsWe recruited 147 adolescents aged 11–17 from the Child and Adolescent Mental Health Outpatient Services of the Jiménez Díaz Foundation (Madrid, Spain). Different questionnaires were administered to assess suicidal behaviour and SLE (SITBI, The Stressful Life Events Scale) and to calculate proxy measures for ITPS interpersonal factors (SDQ, STAXI‐NA, CDI).ResultsTB and PB significantly correlated with suicide risk. PB played a mediating role in the relationship between SLE and suicide risk: adolescents reporting SLE were more likely to enact suicide behaviours when they experienced higher PB. Patients scoring higher PB were more likely to receive more intense treatment but tended to abandon intervention promptly.ConclusionsITPS seems useful for predicting suicide risk in an adolescent clinical sample. The results suggest an important role for PB in the SLE‐suicide risk relationship and may impact the treatment process. Our exploratory findings should be addressed in future studies.

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Section: Discussionmentioning

confidence: 99%

Interpersonal theory of suicide and stressful life events in a clinical sample of adolescents in Spain

Caro-Cañizares

Vila

Pacheco

et al. 2023

Early Intervention Psych

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“…The clinical relevance of NSSI has received growing recognition (e.g., Gratz et al, 2015). Indeed, NSSI lifetime prevalence was found to be high in both epidemiological samples and clinical samples (Rodríguez-Blanco et al, 2021), ranging from 3% to 6% (e.g., Christoffersen et al, 2015; Klonsky, 2011) in adulthood. Notably, a recent, nationally representative, face-to-face survey study ( N = 7,192) suggested an estimated lifetime prevalence rate of NSSI of 4.86% in England (Liu, 2023), with a high percentage (63.82%) of participants showing lifetime NSSI meeting criteria for at least one current psychiatric disorder, and 13.84% of respondents with at least one psychiatric disorder having a history of NSSI.…”

Section: Intentional Self-harm and Personality Pathologymentioning

confidence: 99%

Predicting nonsuicidal self-injury and suicidal risk: A comparison between the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Section II personality disorder and alternative model of personality disorders dimensions.

Somma,

Gialdi,

Krueger

et al. 2024

Personality Disorders: Theory, Research, and Treatment

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The clinical relevance of nonsuicidal self-injury (NSSI) has received growing recognition, and NSSI represents a relevant risk factor for suicide. The present study aimed at running a head-to-head comparison between interview scores of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Section II personality disorders (PDs) criteria, and DSM-5 Alternative Model of Personality Disorder (AMPD) Criterion A and Criterion B measures in providing significant and relevant information for understanding NSSI and suicidal ideation and behavior among psychotherapy participants. To this aim, a clinical sample of 103 adult participants was administered the Clinician-Administered Nonsuicidal Self-Injury Disorder Index (CANDI), the Columbia Suicide Severity Rating Scale (C-SSRS), as well as the Structured Clinical Interview for DSM-5 Personality Disorders, the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders Module I, and a self-report measure of dysfunctional personality traits (i.e., the Personality Inventory for DSM-5 [PID-5]). Logistic ordinal regression dominance analysis results showed that, when compared to the 10 DSM-5 Section II PD symptom counts, the DSM-5 Section III PD measure scores provided the same amount of information in the CANDI Global Severity Index scores (Nagelkerke pseudo-R 2 value = .41), and a markedly larger information quantity in the case of the C-SSRS Suicidal Ideation (+35.1%), and Suicidal Behavior Index (+35.9%) levels. As a whole, our data suggested the clinical usefulness of the DSM-5 AMPD in understanding NSSI and suicidal ideation and behavior.

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“…Non-suicidal self-injury (NSSI) is characterized by purposeful harm to body tissues through socially unacceptable means, such as cutting, skin burns, and impact, without any suicidal intent ( 1 ). This phenomenon is prevalent worldwide and consistently observed across different countries ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

A qualitative internet-based study of parental experiences of adolescents suffering from affective disorders with non-suicidal self-injury during the COVID-19 pandemic

Wang,

Chen,

Song

et al. 2024

Front. Psychiatry

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ObjectiveNon-suicidal self-injury (NSSI) behaviors of adolescents with affective disorders can directly deteriorate parents’ internal experiences, and negative parental experiences can exacerbate or even worsen NSSI behaviors. This study investigates the impact of NSSI behaviors exhibited by adolescents with affective disorders on the internal experiences of parents. Specifically, our research focuses on the inner experiences of parents when their children engage in NSSI behaviors during social isolation of the COVID-19, offering insights for addressing parental mental health issues related to NSSI and developing positive parental behavioral models to optimize adolescent behavior during major public health events.MethodsSemi-structured interviews were conducted with 21 parents of adolescents with affective disorders displaying NSSI behaviors during the COVID-19 pandemic. The Colaizzi 7-step analysis was employed to refine and categorize emerging themes.ResultsOur study revealed that parents of adolescents facing NSSI during the COVID-19 pandemic underwent different internal experiences, which could be classified into four themes: negative experience, high caregiving burden, lack of caregiving capacity, and resilience.ConclusionThis Internet-based research is the first to explore the internal experiences of parents of adolescents with affective disorders experiencing NSSI during the COVID-19 pandemic. It sheds light on how parents, in response to their children’s NSSI behaviors, undergo resilience following negative experiences, explore more open and supportive family model. Despite these positive outcomes, parents express a need for increased knowledge about NSSI illness care and a desire for professional assistance.

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A longitudinal study of adolescents engaged in Non-Suicidal Self Injury (NSSI): clinical follow-up from adolescence to young adulthood

Cited by 13 publications

References 34 publications

Interpersonal theory of suicide and stressful life events in a clinical sample of adolescents in Spain

Interpersonal theory of suicide and stressful life events in a clinical sample of adolescents in Spain

Predicting nonsuicidal self-injury and suicidal risk: A comparison between the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Section II personality disorder and alternative model of personality disorders dimensions.

A qualitative internet-based study of parental experiences of adolescents suffering from affective disorders with non-suicidal self-injury during the COVID-19 pandemic

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