Childhood emotional abuse and adolescent nonsuicidal self-injury: The mediating role of identity confusion and moderating role of rumination

Gu, Honglei; Ma, Pengyun; Xia, Tiansheng

doi:10.1016/j.chiabu.2020.104474

Cited by 37 publications

(28 citation statements)

References 38 publications

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“…Serafini’s study also highlighted the specific role of sexual abuse in the development of NSSI [ 25 ], so exploring specific associations between various types of ACEs and NSSI would be the next step. So far, some existing studies have investigated the mediators or moderators in relationship between ACEs and NSSI [ 66 ]. It is necessary to explore the specific connections between ACEs and NSSI, especially in the Chinese backdround.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors for non-suicidal self-injury among patients with depression or bipolar disorder in China

Wang

Liu²,

Yang³

et al. 2021

BMC Psychiatry

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Backgrounds Non-suicidal self-injury is a serious health problem among patients with depression or bipolar disorder. However, few studies within the Chinese context have investigated the prevalence of NSSI and its risk factors in above populations. The purpose of this study was to investigate the prevalence of non-suicidal self-injury and its risk factors in patients with depression or bipolar disorder in China. Methods The final sample comprised of 394 inpatients(Mage = 29.71; SDage = 11.95) with depression or bipolar disorder from two psychiatric hospitals in Beijing, China. A General Demographic Data Form, the Non-suicidal Self-injury Questionnaire(NSSI-Q), Impulsivity Item and the Adverse Childhood Experiences-International Questionnaire(ACE-IQ) were completed by all patients. Results Of the 394 patients examined, 245(62.2%) of this sample reported NSSI in past year. Of the 245 patients with NSSI, 135(55.1%) were diagnosed with depression and 110(44.9%) were diagnosed with bipolar disorder. The most common methods of NSSI for female was “pinching”(23.1%) and “scratching”(22.8%), while for male it was “hiting hard objects”(12.7%). By multivariate regression analysis, young age, unemployment, a higher monthly family income, single, impulsivity, long duration of illness and ACEs were risk factors for NSSI in patients with depression and bipolar disorder(P<0.05). Conclusions Our study points to the fact that there was an unfortunate message about the prevalence of NSSI among patients with depression or bipolar disorder in China. It is necessary not only to raise the awareness of NSSI in families and society, but also to formulate targeted assessment and intervention. Moreover, future research should not only focus on individuals being hospitalized, but should be representative of individuals treated at home or in the community because there are no national statistics on NSSI among such patients in China.

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Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors for non-suicidal self-injury among patients with depression or bipolar disorder in China

Wang

Liu²,

Yang³

et al. 2021

BMC Psychiatry

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“…Our findings show higher prevalence. This can be due to the raise in the prevalence of NSSI in normative adolescent population during the last years [ 65 , 66 ].…”

Section: Discussionmentioning

confidence: 99%

Associations between non-suicidal self-injury and negative romantic relationship life events in male justice-involved adolescents

2021

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Background In the current study we investigated impulsivity and negative life events in relation to non-suicidal self-injury (NSSI) in correctional settings. Methods A total of 141 male justice-involved juveniles participated in our cross-sectional study, aged between 14 and 21 years old (M = 17.75; SD = 1.38). Data collection took place in correctional institutions in Hungary. A binary logistic regression was conducted to investigate possible associations between NSSI, impulsivity and negative life events. Results Lifetime prevalence of NSSI was 53.9% (N = 76). In a binary logistic regression model, only negative romantic relationship events were significantly associated with the risk of current NSSI (OR = 1.29; 95% CI = [1.06–1.56]). Other types of negative life events (family-related, friendship-related), impulsivity, age and conviction status did not have a significant role in the model. Conclusions The results suggest that juvenile offenders should receive additional support to manage stress that is associated with negative life events, especially problems in romantic relationships. It is essential to help young inmates to find an adaptive way of reducing stress caused by negative relationship life events.

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“…Related work examining a large sample of Chinese adolescents (Gu, Ma, & Xia, 2020) found that identity confusion mediated the link between childhood emotional abuse and NSSI, with rumination increasing the strength of these associations.…”

Section: Self-concept and Nonsuicidal Self-injury 22mentioning

confidence: 98%

Understanding the self in nonsuicidal self-injury: A conceptual review and framework for future research

Ce¹,

D²

2020

Preprint

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Nonsuicidal self-injury (NSSI) is a widespread and dangerous behavior. Despite increasing understanding of the risk factors for NSSI, this behavior remains highly prevalent, highlighting the need for an extension of current research and more precise treatment targets. Specifically, research examining self-perception in NSSI provides a fruitful foundation for future work. Mounting studies indicate that self-concept disturbances are implicated in NSSI. Yet it remains unclear how different components of self-concept—such as self-criticism and identity confusion—are associated for people with NSSI. Furthermore, research in this domain uses distinct definitions and measures of self-concept disturbance, rendering it difficult to integrate findings across studies. This conceptual review provides the first summary to date synthesizing research on self-concept (content and structure) in NSSI, highlights research questions to address, and outlines suggestions for future work. Recommendations for NSSI research examining self-concept include: (a) increasing the consistency of terms used; (b) examining relationships between self-concept content and structure; (c) exploring the extent to which measures of self-concept and identity tap into the same phenomena; (d) assessing self-concept across different levels of analysis; and (e) identifying treatment targets for distinct self-related disturbances (e.g., heightened self-criticism versus an inconsistent sense of self). Potential intervention targets are discussed.

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Childhood emotional abuse and adolescent nonsuicidal self-injury: The mediating role of identity confusion and moderating role of rumination

Cited by 37 publications

References 38 publications

Prevalence and risk factors for non-suicidal self-injury among patients with depression or bipolar disorder in China

Prevalence and risk factors for non-suicidal self-injury among patients with depression or bipolar disorder in China

Associations between non-suicidal self-injury and negative romantic relationship life events in male justice-involved adolescents

Understanding the self in nonsuicidal self-injury: A conceptual review and framework for future research

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