Is age of self-harm onset associated with increased frequency of non-suicidal self-injury and suicide attempts in adolescent outpatients?

Brager-Larsen, Anne; Klungsøyr, Ole; Mehlum, Lars

doi:10.1186/s12888-022-03712-w

Cited by 20 publications

(17 citation statements)

References 49 publications

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“…In fact, higher BPD symptom severity has predicted superior outcomes in DBT ( Seow et al, 2020 ) and skills-focused therapies might be more suitable for patients with personality disorders than depressed individuals. BPD severity was not directly examined in this study, but frequency and duration of DSH behaviour has been found to be associated with higher degrees of borderline pathology ( Brager-Larsen et al, 2022 ). Of note, the DBT-A group had a higher mean frequency of DSH as well as BPD traits at baseline.…”

Section: Discussionmentioning

confidence: 97%

“…In the short term, DSH reduces negative affect ( Rodriguez-Blanco et al, 2018 ), however reinforces long-term dysregulated affect ( Nock & Prinstein, 2004 ). Earlier age of onset and longer history of DSH predicted higher DSH frequency and increased risk of suicide attempts in treatment-seeking adolescents ( Brager-Larsen et al, 2022 ). Additionally, repeated DSH has been related to increased inclination to act on suicidal urges through pain habituation and diminished fear of death ( Hamza et al, 2012 ; Van Orden et al, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

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Trajectories and Predictors of Change in Emotion Dysregulation and Deliberate Self-Harm Amongst Adolescents with Borderline Features

Dibaj

Tørmoen

Klungsøyr

et al. 2023

Clin Child Psychol Psychiatry

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Background Deliberate self-harm (DSH) and emotion dysregulation (ED) peaks in adolescence, and is associated with an increased risk of psychopathology, suicide and lower functioning in adulthood. DBT-A has been established as an effective treatment for reducing DSH, however less is known about changes in emotion dysregulation. This study aimed to identify baseline predictors of treatment response in outcome trajectories of DSH and emotion dysregulation. Methods Response trajectories of DSH and ED were investigated using Latent Class Analysis on RCT data comparing DBT-A and EUC for 77 adolescents treated for deliberate self-harm and borderline traits. Logistic regression analysis was used to examine baseline predictors. Results Two-class solutions were selected for both indicators, distinguishing between early and late responders in DSH, and responders and non-responders in ED. Higher levels of depression, shorter DSH histories and not receiving DBT-A predicted less favourable response in DSH, while DBT-A was the only predictor of treatment response in ED. Conclusions DBT-A was associated with a significantly faster reduction of deliberate self-harm in the short-term and improved emotion regulation in the long-term.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Trajectories and Predictors of Change in Emotion Dysregulation and Deliberate Self-Harm Amongst Adolescents with Borderline Features

Dibaj

Tørmoen

Klungsøyr

et al. 2023

Clin Child Psychol Psychiatry

Self Cite

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show abstract

“…Thirdly, there is evidence that age of onset of BPD symptoms predicts developmental outcomes. A recent study demonstrated that earlier age of self-harm onset and longer duration of self-harm were both associated with increased frequency of subsequent periods of self-harm and risk of first suicide attempt ( 44 ). Lower age of onset was also associated with more repeated suicide attempts.…”

Section: Seven Arguments Why Early Diagnosis and Treatment Of Pd Is J...mentioning

confidence: 99%

The diagnosis that should speak its name: why it is ethically right to diagnose and treat personality disorder during adolescence

2023

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Although national guidelines explicitly state that personality disorder can be diagnosed and treated in young people aged 12 to 18 years (adolescents), most clinicians remain hesitant. This creates a gap between science and practice, which we argue is largely motivated by moral reasons and, therefore, is best challenged by ethical arguments. We provide seven arguments in support of the notion that it is ethically right to diagnose and treat personality disorder when it occurs in adolescents. Central to these arguments is the scientific evidence that features of personality disorder are among the best predictors of a complex cluster of psychopathology leading to impairments in many areas of current and future mental, social and vocational functioning. We argue that intervention during adolescence and young adulthood is not only humane, but also critical for efforts to avert the longstanding psychosocial and health problems that seem refractory to treatment in adults with personality disorder. Moreover, we argue that regular services are often inadequately equipped to meet the needs of young people with personality disorder and that the common ‘stepped-care’ approach should be replaced by a ‘staged-care’ approach. Finally, we argue that early detection and intervention might have anti-stigmatizing effects, similar to other areas of healthcare in which stigmatizing labels have changed meaning when the conditions to which they refer have become more amenable to treatment.

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“…Hal ini membuktikan bahwa pada fase tersebut, mahasiswa berisiko untuk melakukan perilaku berbahaya seperi self-harm. Adanya data mengenai usia awal dan waktu terakhir melakukan self-harm sangat penting untuk mengetahui risiko pengulangan self-harm dan risiko bunuh diri (Barger-Larsen, Zeiner, Klungsoyr, & Mehlum, 2022).…”

Section: Self-harmunclassified

Self-Harm Behavior among Nursing Students

Shafira

Hargiana

2022

jurkes

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The majority of college students are in the phase of emerging adulthood of human development. In this transition period, the students are susceptible to experiencing psychological instability due to many changes in their lives. Nursing students are presumed to be at risk of high-stress levels because of the high demands, expectations and activities during their study. Therefore, some students struggle to adapt to their college life and choose to avoid their responsibilities or make some dangerous decisions (self-harm behavior) as it is believed to be a form of coping mechanism to release their stress. This study used a cross sectional approach with the aim of finding the prevalence of self-harm behavior among nursing students. This study involved 236 students from Faculty of Nursing, University of Indonesia with probability proportionate sampling technique. The instrument used is the modified Indonesian version of Self-Harm Behavior Questionnaire (SHBQ). The results showed that nursing students engaged in self-harm behavior, including self-harm (34.3%), suicide attempted (8.1%), suicide threat (7.2%), and suicide ideation (30.5%). The existence of prevalence of self-harm behavior among nursing students is needed to improve prevention and treatment at the university level.

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Is age of self-harm onset associated with increased frequency of non-suicidal self-injury and suicide attempts in adolescent outpatients?

Cited by 20 publications

References 49 publications

Trajectories and Predictors of Change in Emotion Dysregulation and Deliberate Self-Harm Amongst Adolescents with Borderline Features

Trajectories and Predictors of Change in Emotion Dysregulation and Deliberate Self-Harm Amongst Adolescents with Borderline Features

The diagnosis that should speak its name: why it is ethically right to diagnose and treat personality disorder during adolescence

Self-Harm Behavior among Nursing Students

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