Assessment and Treatment of Non-Suicidal Self-Injury

Møhl, Bo

doi:10.4324/9780429296352

Cited by 11 publications

(12 citation statements)

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“…Nearly 50% of patients with NSSI were diagnosed with severe depressive disorder (10) and it was reported that 49%-90% of BPD patients have NSSI. Similarly, patients with anxiety disorders and eating disorders also have a high risk of NSSI (11). In addition, substance use is one of the antecedents leading to adolescent NSSI, and nearly 50% of adolescents with NSSI have a history of substance use (12).…”

Section: Introductionmentioning

confidence: 99%

Parents’ Attitudes Toward and Experience of Non-Suicidal Self-Injury in Adolescents: A Qualitative Study

Yang

Lin

et al. 2020

Front. Psychiatry

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Background Non-suicidal self-injury (NSSI) is prevalent in adolescents and brings a series of serious consequences to their well-being. However, little is known about parents’ attitude toward NSSI in Chinese adolescents. The study aims to investigate the parents’ attitudes toward and perceptions of adolescents who have engaged in NSSI behaviors, and the impact of NSSI on their parents. Methods Purposive sampling was used in the study. The biological parents of adolescents with NSSI were recruited from the psychiatric ward of a tertiary hospital in China. Semi-structured interviews were conducted which contained three aspects, that is the history of NSSI, the process of seeking or maintaining help and the impacts on the family. Each interview typically lasted 40–50 min. All of the interviews were audio-recorded. Their responses were analyzed by the thematic analysis. Results Twenty participants completed the interview, consisting of 16 mothers and 4 fathers. Three themes and eight sub-themes were extracted: (1) the attitudes to children’s NSSI behaviors (ignorance, shame, and stereotype); (2) coping strategies of parents (the initial response to adolescents’ NSSI, and the way of help-seeking); (3) the impacts on family (altered parenting and communication styles, limited personal lives, and increased psychological pressure). Conclusion The results showed that parents lack the knowledge about NSSI and its treatment and are suffering great emotional stress. It is recommended to expand the popularization of knowledge of NSSI in adolescents and more interventions adapted to China’s sociocultural climate are required for the well-being of parents and NSSI in adolescents.

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Section: Introductionmentioning

confidence: 99%

Parents’ Attitudes Toward and Experience of Non-Suicidal Self-Injury in Adolescents: A Qualitative Study

Yang

Lin

et al. 2020

Front. Psychiatry

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“…Participants were informed that following the interview, they will be asked demographic questions. The outline of our interview questions was designed according to existing literature and in-depth discussions with experienced school psychologists, psychiatrists, and clinical social workers working with adolescents engaging in NSSI (23,26,35…”

Section: Methodsmentioning

confidence: 99%

“…Meanwhile, the current studies on NSSI-associated factors have focused primarily on the family environment (25)(26)(27), childhood experiences (28)(29)(30)(31), and mental health status (32)(33)(34)(35)(36). However, the school environment has not received much attention, despite being the location where most NSSIs occur.…”

Section: Introductionmentioning

confidence: 99%

Influential Factors of Non-suicidal Self-Injury in an Eastern Cultural Context: A Qualitative Study From the Perspective of School Mental Health Professionals

Chen

Zhou

Li³

et al. 2021

Front. Psychiatry

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Background: Adolescent non-suicidal self-injury (NSSI) is becoming a serious public health concern worldwide. In recent years, there has seen a significant increase in both the growth rate and cases of NSSI in Eastern countries, such as Japan, India, and China. In China, most schools have a mental health office that comprises mental health professionals (MHPs), who are the first to respond to student mental health problems, which include NSSI. MHPs possess comprehensive knowledge as well as unique insight into adolescent NSSI. However, very few studies on NSSI have incorporated their perspectives. In this work, we seek to add novel insight by conducting a study focusing on adolescent NSSI from the perspective of MHPs.Methods: We recruited a total of 24 MHPs from different schools using purposive sampling and conducted a semi-structured interview on NSSI-related issues. Each interview was voice recorded and lasted ~30 min. A thematic analysis was performed for the responses to study the most common and concerning issues underlying NSSI.Results: We extracted three major themes and eight sub-themes from the interview records, which included (1) the impact of Chinese culture on NSSI (sex-bias discrimination, overly high expectations, and inappropriate parenting style); (2) life events in school (internet use, academic pressure, and romantic relationships); and (3) opinions on the status quo of NSSI in China (ignorance and stigma).Conclusion: Results showed that culturally sensitive influential factors, such as sex-bias discrimination, the imposing of unrealistic expectations for personal achievement, and inappropriate parenting style, should be given more attention to prevent, assess, and intervene in NSSI. Emerging factors of modern society and adolescent lifestyles, such as academic pressure, internet use, and romantic relationships, should also be considered for treatments.

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“…Moreover, 50-75% of those with a history of NSSI make a suicide attempt at some point in their life (9). Research has shown how NSSI can occur with virtually any mental disorder, although comorbidity rates are particularly high for anxiety and mood disorders, post-traumatic stress disorder, substance use disorder, eating disorders, and personality disorders (10)(11)(12). The high prevalence rates and significant mental health implications underscore the necessity for an improved understanding of NSSI (13).…”

Section: Introductionmentioning

confidence: 99%

“…For instance, in one of the reviewed studies, 80% of adolescents who met the current NSSI-D criteria did not meet criteria for Borderline Personality Disorder (BPD), thus indicating that NSSI-D can occur independently of BPD (23,24). The distinction between NSSI(-D) and BPD is particularly relevant because NSSI has been historically intertwined with BPD as a prototypical symptom of the disorder (11). More specifically, before the release of DSM-5, NSSI was only mentioned in the DSM as a criterion for BPD.…”

Section: Introductionmentioning

confidence: 99%

Comorbidity Between Non-suicidal Self-Injury Disorder and Borderline Personality Disorder in Adolescents: A Graphical Network Approach

et al. 2020

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In 2013, DSM-5 urged for further research on non-suicidal self-injury (NSSI) and defined NSSI disorder (NSSI-D) for the first time separate from borderline personality disorder (BPD). However, research on the comorbidity between NSSI-D and BPD symptoms is still scarce, especially in adolescent populations. The current study selected 347 adolescents who engaged at least once in NSSI (78.4% girls, Mage = 15.05) and investigated prevalence, comorbidity, gender differences, and bridge symptoms of NSSI-D and BPD. Network analysis allowed us to visualize the comorbidity structure of NSSI-D and BPD on a symptom-level and revealed which bridge symptoms connected both disorders. Our results supported NSSI-D as significantly distinct from, yet closely related to, BPD in adolescents. Even though girls were more likely to meet the NSSI-D criteria, our findings suggested that the manner in which NSSI-D and BPD symptoms were interconnected, did not differ between girls and boys. Furthermore, loneliness, impulsivity, separation anxiety, frequent thinking about NSSI, and negative affect prior to NSSI were detected as prominent bridge symptoms between NSSI-D and BPD. These bridge symptoms could provide useful targets for early intervention in and prevention of the development of comorbidity between NSSI-D and BPD. Although the current study was limited by a small male sample, these findings do provide novel insights in the complex comorbidity between NSSI-D and BPD symptoms in adolescence.

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Assessment and Treatment of Non-Suicidal Self-Injury

Cited by 11 publications

References 0 publications

Parents’ Attitudes Toward and Experience of Non-Suicidal Self-Injury in Adolescents: A Qualitative Study

Parents’ Attitudes Toward and Experience of Non-Suicidal Self-Injury in Adolescents: A Qualitative Study

Influential Factors of Non-suicidal Self-Injury in an Eastern Cultural Context: A Qualitative Study From the Perspective of School Mental Health Professionals

Comorbidity Between Non-suicidal Self-Injury Disorder and Borderline Personality Disorder in Adolescents: A Graphical Network Approach

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