Mediating and moderating variables in the prediction of self-harm in young people: A systematic review of prospective longitudinal studies

Abdelraheem, Mona; McAloon, John; Shand, Fiona

doi:10.1016/j.jad.2018.12.004

Cited by 30 publications

(22 citation statements)

References 76 publications

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“…This age distribution potentially limits generalizability of our results to older mothers. However, as it has been shown that self-harming behavior is especially prominent among younger individuals (Abdelraheem et al ., 2019) we do believe that our study population is suitable for answering the study questions proposed.…”

Section: Discussionmentioning

confidence: 97%

Self-harm in women with postpartum mental disorders

et al. 2019

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BackgroundWomen suffering from first onset postpartum mental disorders (PPMD) have a highly elevated risk of suicide. The current study aimed to: (1) describe the risk of self-harm among women with PPMD and (2) investigate the extent to which self-harm is associated with later suicide.MethodsWe conducted a register-based cohort study linking national Danish registers. This identified women with any recorded first inpatient or outpatient contact to a psychiatric facility within 90 days after giving birth to their first child. The main outcome of interest was defined as the first hospital-registered episode of self-harm. Our cohort consisted of 1 202 292 women representing 24 053 543 person-years at risk.ResultsAmong 1554 women with severe first onset PPMD, 64 had a first-ever hospital record of self-harm. Women with PPMD had a hazard ratio (HR) for self-harm of 6.2 (95% CI 4.9–8.0), compared to mothers without mental disorders; but self-harm risk was lower in PPMD women compared to mothers with non-PPMD [HR: 10.1, (95% CI 9.6–10.5)] and childless women with mental disorders [HR: 9.3 (95% CI 8.9–9.7)]. Women with PPMD and records of self-harm had a significantly greater risk for later suicide compared with all other groups of women in the cohort.ConclusionsWomen with PPMD had a high risk of self-harm, although lower than risks observed in other psychiatric patients. However, PPMD women who had self-harmed constituted a vulnerable group at significantly increased risk of later suicide.

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Section: Discussionmentioning

confidence: 97%

Self-harm in women with postpartum mental disorders

et al. 2019

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“…Research suggest that inclusion of impulsivity may explain effects of ACE on behavioral outcome later in life ( Ziada et al, 2020 ). This may also apply to adolescents’ behaviors ( Abdelraheem et al, 2019 ). Also, a recent study found an association between Post Traumatic Stress Disorder (PTSD) symptoms and substance use mediated by impulsive personality traits ( Morris et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Impulsivity mediates the impact of early life adversity on high risk behaviors among Tunisian adolescents

Mlouki

Bouanène

Sioud

et al. 2021

Preventive Medicine Reports

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“…Holding a positive self-attitude (e.g., "I will be kind to myself ") can be introjected to weaken this negative feedback loop reducing self-judgment. Given the multiple developmental trajectories and risk factors that are associated with NSSI, Abdelraheem et al (2019) recently emphasized the importance of finding modifiable factors that could introject or undermine the pathways and the effects of risk factors. After synthesizing 25 studies, they found that selfcompassion, along with interpersonal difficulties, self-esteem, and impulsivity, can be a potentially modifiable factor.…”

Section: Self-compassion and Suicidal Thoughts And Behaviors And Non-suicidal Self-injurymentioning

confidence: 99%

Association of Self-Compassion With Suicidal Thoughts and Behaviors and Non-suicidal Self Injury: A Meta-Analysis

Suh

Jeong

2021

Front. Psychol.

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Objectives: Self-compassion functions as a psychological buffer in the face of negative life experiences. Considering that suicidal thoughts and behaviors (STBs) and non-suicidal self-injury (NSSI) are often accompanied by intense negative feelings about the self (e.g., self-loathing, self-isolation), self-compassion may have the potential to alleviate these negative attitudes and feelings toward oneself. This meta-analysis investigated the associations of self-compassion with STBs and NSSI.Methods: A literature search finalized in August 2020 identified 18 eligible studies (13 STB effect sizes and seven NSSI effect sizes), including 8,058 participants. Two studies were longitudinal studies, and the remainder were cross-sectional studies. A random-effects meta-analysis was conducted using CMA 3.0. Subgroup analyses, meta-regression, and publication bias analyses were conducted to probe potential sources of heterogeneity.Results: With regard to STBs, a moderate effect size was found for self-compassion (r = −0.34, k = 13). Positively worded subscales exhibited statistically significant effect sizes: self-kindness (r = −0.21, k = 4), common humanity (r = −0.20, k = 4), and mindfulness (r = −0.15, k = 4). For NSSI, a small effect size was found for self-compassion (r = −0.29, k = 7). There was a large heterogeneity (I2 = 80.92% for STBs, I2 = 86.25% for NSSI), and publication bias was minimal. Subgroup analysis results showed that sample characteristic was a moderator, such that a larger effect size was witnessed in clinical patients than sexually/racially marginalized individuals, college students, and healthy-functioning community adolescents.Conclusions: Self-compassion was negatively associated with STBs and NSSI, and the effect size of self-compassion was larger for STBs than NSSI. More evidence is necessary to gauge a clinically significant protective role that self-compassion may play by soliciting results from future longitudinal studies or intervention studies.

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Mediating and moderating variables in the prediction of self-harm in young people: A systematic review of prospective longitudinal studies

Cited by 30 publications

References 76 publications

Self-harm in women with postpartum mental disorders

Self-harm in women with postpartum mental disorders

Impulsivity mediates the impact of early life adversity on high risk behaviors among Tunisian adolescents

Association of Self-Compassion With Suicidal Thoughts and Behaviors and Non-suicidal Self Injury: A Meta-Analysis

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