A Study of the Frequency of Self-Mutilation in a Community Sample of Adolescents

Ross, Steffen; Heath, Nancy L.

doi:10.1023/a:1014089117419

Cited by 615 publications

(611 citation statements)

References 45 publications

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“…6,7 Rates of NSSI are notably elevated among younger people, including pre-adolescents (7.7%) 8 and adolescents (13.9% to 35.6%). [9][10][11][12][13] A recent study, using the suggested DSM-5 criteria, indicated that 6.7% of adolescents potentially qualify for a diagnosis of NSSI disorder. 12 Prevalence estimates of NSSI in clinical populations range from 12% to more than 80% in psychiatric patients.…”

Section: Limitationsmentioning

confidence: 99%

Treating Nonsuicidal Self-Injury: A Systematic Review of Psychological and Pharmacological Interventions

2014

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Objective: Nonsuicidal self-injury (NSSI), the deliberate, self-inflicted damage of bodily tissue without the intent to die, is associated with various negative outcomes. Although basic and epidemiologic research on NSSI has increased during the last 2 decades, literature on effective interventions targeting NSSI is still emerging. Here, we present a comprehensive, systematic review of existing psychological and pharmacological treatments designed specifically for NSSI, or including outcome assessments examining change in NSSI. Method:We conducted a systematic search of PsycINFO, MEDLINE, and ERIC databases to retrieve relevant articles that met inclusion criteria; specifically, uncontrolled and controlled trials that 1) presented quantitative outcome data on NSSI, and 2) clearly differentiated NSSI from suicidal self-injury (SSI). Consistent with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, definition of NSSI, we excluded studies examining populations with developmental or intellectual disabilities, or with psychotic disorders.Results: Several interventions appear to hold promise for reducing NSSI, including dialectical behaviour therapy, emotion regulation group therapy, manual-assisted cognitive therapy, dynamic deconstructive psychotherapy, atypical antipsychotics (aripiprazole), naltrexone, and selective serotonin reuptake inhibitors (with or without cognitive-behavioural therapy). Nevertheless, there remains a paucity of well-controlled studies investigating treatment efficacy for NSSI.Conclusions: Structured psychotherapeutic approaches focusing on collaborative therapeutic relationships, motivation for change, and directly addressing NSSI behaviours seem to be most effective in reducing NSSI. Medications targeting the serotonergic, dopaminergic and opioid systems also have demonstrated some benefits. Future studies employing controlled designs as well as a clear delineation of NSSI and SSI will improve knowledge regarding treatment effects. W W W Traiter l'automutilation non suicidaire : une revue systématique des interventions psychologiques et pharmacologiquesObjectif : L'automutilation non suicidaire (AMNS), c'est-à-dire les dommages délibérés et auto-infligés aux tissus corporels sans intention de mourir, est associée à divers résultats négatifs. Bien que la recherche basique et épidémiologique sur l'AMNS ait augmenté au cours des 20 dernières années, la littérature sur les interventions efficaces ciblant l'AMNS est encore naissante. Ici, nous présentons une revue systématique exhaustive des traitements psychologiques et pharmacologiques existants conçus spécifiquement pour l'AMNS, ou incluant des évaluations de résultats examinant le changement de l'AMNS.Méthode : Nous avons mené une recherche systématique dans les bases de données PsycINFO, MEDLINE, et ERIC pour extraire les articles pertinents qui satisfaisaient aux critères d'inclusion; spécifiquement, les essais incontrôlés et contrôlés qui 1) présentaient des données quantitative de résultats de l'AMNS, et 2) différ...

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Section: Limitationsmentioning

confidence: 99%

Treating Nonsuicidal Self-Injury: A Systematic Review of Psychological and Pharmacological Interventions

2014

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“…Rates are highest among adolescents and young adults, ranging from between 12 and 21% (Favazza 1996;Favazza et al 1989;Ross and Heath 2002;Whitlock et al 2006), with estimates of NSSI among college students being as high as 25% (Klonsky and Olino 2008).…”

Section: Prevalencementioning

confidence: 99%

Differences in Motivations of Cutting Behavior Among Sexual Minority Youth

Nickels

Walls

Laser

et al. 2011

Child Adolesc Soc Work J

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This aim of this study is to examine predictors of specific motivations for engaging in cutting behavior among a community sample of sexual minority youth. The study involved secondary analysis of data collected by a communitybased organization serving lesbian, gay, bisexual, and transgender (LGBT) youth and their allies. Descriptive and logistic regression analyses were conducted using a final sample of 131 sexual minority youth ages 13-24. Analyses indicate that cutting occurs at high rates among sexual minority youth and that certain demographic characteristics, psychosocial variables, and mental health issues significantly predict endorsement of particular motivations for cutting among youth in this sample. Implications for social work assessment and intervention with sexual minority youth are discussed.Keywords Cutting Á Non-suicidal self-injury Á Sexual minority Á Gay Á Lesbian Á Bisexual Á Transgender Á Youth Non-suicidal self-injurious (NSSI) behavior among youth and young adults, such as cutting, hitting or burning oneself without suicidal intent, has started to receive

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“…Although NSSI is often found to be associated with depression, eating orders, and anxiety (e.g., Nock, Joiner, Gordon, Lloyd-Richardson, & Prinstein, 2006), individuals who engage in NSSI do not necessarily show evidence of these mental health concerns (Ross & Heath, 2003;Ross, Heath, & Toste, 2009), but consistently report difficulties with emotion regulation and coping with overwhelming negative feelings (Gratz & Roemer, 2004;Heath, Toste, Nedecheva, & Charlebois, 2008;Lynch & Cozza, 2009). NSSI may be used as a maladaptive coping mechanism for dealing with these negative emotions.…”

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confidence: 99%

Safety first: The role of trust and school safety in non-suicidal self-injury

Noble

Sornberger

Toste

et al. 2012

mje

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Non-suicidal self-injury (NSSI) has become very prominent among adolescents in middle and high school settings. However, little research has evaluated the role of the school environment in the behaviour. This study examined whether indices of school trust and perceived safety were predictive of NSSI behaviour. Results indicate that these variables allow us to more accurately identify participants who engage in NSSI. Students who report being bullied and threatened, and who have less trust in specific members of school staff are more likely to engage in NSSI.L’automutilation non-suicidaire (AMNS) est devenue un comportement très important parmi les adolescents en milieu scolaire. Cependant, peu de recherches ont évalué le rôle de l’environnement scolaire dans le comportement. Cette étude examine si les indices de confiance et de la perception de sécurité à l’école sont des facteurs prédictifs de l’AMNS. Les résultats indiquent que ces variables nous permettent d’identifier plus précisément les participants qui endossent l’AMNS. Les étudiants qui déclarent être victimes d’intimidation et de menace, et qui ont moins confiance en certains membres du personnel scolaire sont plus susceptibles de dire qu’ils s’engagent dans l’AMNS

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A Study of the Frequency of Self-Mutilation in a Community Sample of Adolescents

Cited by 615 publications

References 45 publications

Treating Nonsuicidal Self-Injury: A Systematic Review of Psychological and Pharmacological Interventions

Treating Nonsuicidal Self-Injury: A Systematic Review of Psychological and Pharmacological Interventions

Differences in Motivations of Cutting Behavior Among Sexual Minority Youth

Safety first: The role of trust and school safety in non-suicidal self-injury

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