Non-suicidal Self-Injury in Adolescence

Brown, Rebecca C.; Plener, Paul L.

doi:10.1007/s11920-017-0767-9

Cited by 309 publications

(286 citation statements)

References 78 publications

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“…Both, childhood adversity [28,37] and NSSI [22] are associated with blunted cortisol response to stress. A recent systematic review suggests similar patterns in major depressive disorder and social anxiety disorder [38] -that are both linked to childhood adversity [39] and frequently comorbid with NSSI [40,41] -which may be sex dependent (i.e., hyporesponsive in females, hyperresponsive in males). In contrast, drawing on a sample of male adolescents and young men, we were recently able to show that male patients with internet gaming disorder also show a blunted cortisol stress response [42].…”

Section: Discussionmentioning

confidence: 99%

Childhood Adversity and Psychophysiological Reactivity to Pain in Adolescent Nonsuicidal Self-Injury

et al. 2018

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Background: Nonsuicidal self-injury (NSSI), the intentional, self-directed act of injuring one’s own body tissue, is a behavioral phenomenon closely linked to stress and its maladaptive regulation. NSSI is associated with childhood adversity that may underlie altered hypothalamic-pituitary-adrenal axis and autonomic nervous system response to stress in adolescents engaging in NSSI. Adolescents engaging in NSSI show decreased pain sensitivity and increased psychophysiological response to pain that may underlie the maintenance of the behavior and its stress-regulating function. Sampling and Methods: In a secondary analysis of previously published data we aimed to address the relationship between childhood adversity and altered psychophysiological pain response in an outpatient sample of n = 30 adolescents engaging in repetitive NSSI. Results: Greater childhood adversity is associated with greater cortisol secretion and increased and prolonged autonomic arousal following pain induction. Conclusions: The findings illustrate a potential neurobiological pathway linking childhood adversity to hyporesponsiveness of endogenous stress response systems that in turn show increased reactivity to the experience of pain. This hyperreactivity may counterbalance an inadequate stress response and in turn help to cope with stressful experiences. Directions for future research are discussed.

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Section: Discussionmentioning

confidence: 99%

Childhood Adversity and Psychophysiological Reactivity to Pain in Adolescent Nonsuicidal Self-Injury

et al. 2018

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“…Regarding EDs and NSSI, the literature indicates that both conditions emerge in adolescence (Bjarehed & Lundh, ; Brown & Plener, ), and those with disordered eating and NSSI appear to have a younger age of symptom onset (Wright, Bewick, Barkham, House, & Hill, ) and more binge eating and/or purge behaviours (Peebles, Wilson, & Lock, ) than those who engage only in disordered eating behaviours. Previous studies find that less childhood paternal care (Fujimori et al, ), higher parental criticism (Claes, Soenens, Vansteenkiste, & Vandereycken, ), more substance use disorders (Islam et al, ), and depression (Claes, Vandereycken, & Vertommen, ) are widely reported among ED patients with NSSI.…”

Section: Introductionmentioning

confidence: 99%

Putative Risk Factors for Non‐Suicidal Self‐Injury in Eating Disorders

Vieira

Machado

et al. 2017

Euro Eating Disorders Rev

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Evidence suggests a common association between eating disorders (EDs) and non-suicidal self-injury (NSSI). The present study aimed to investigate the potential risk factors for NSSI among ED patients. We assessed 245 ED patients with the Oxford Risk Factor Interview for ED. The results showed that 33% of ED patients reported NSSI in their lifetime. NSSI appeared to occur more frequently among binge eating/purging type ED patients than among patients with other ED and to be related to a more severe eating pathology. A younger age at the onset of eating problems, more negative self-evaluation, suicide attempts, substance abuse, parents' low weight, family tension at mealtime, parental alcohol problems, childhood abuse, peer aggression, and negative antecedent life events were more common among patients with co-occurring EDs and NSSI than among patients without NSSI. The results may inform the risk assessment and treatment of NSSI in EDs in the early detection period. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

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“…The most common function of NSSI among Swedish adolescents is automatic negative and positive reinforcement such as stopping bad feelings, reliving feeling numb or empty, punishing oneself and feeling something even if it is pain (Zetterqvist et al, 2013), which is concurrent with other international studies (Brown & Plener, 2017).…”

Section: The Function Of Self-injurymentioning

confidence: 77%

“…According to a study of European adolescents (mean age 14.9 years), the prevalence of direct SIB was 27.6%, with 19.7% reporting to use it occasionally and 7.8% repeatedly (Brunner et al, 2014). A recent review study found the lifetime prevalence of NSSI among adolescents to be 17-18%, and 1.5-6.7% met the DSM 5 criteria, but in clinical samples the prevalence of NSSI was as high as 60% (Brown & Plener, 2017). The use of NSSI is more commonly seen among females, especially in clinical samples (Bresin & Schoenleber, 2015).…”

Section: Self-injurious Behaviourmentioning

confidence: 99%

“…NSSID has been associated with major depression, anxiety disorder, mood disorder bulimia, borderline personality disorder (BPD), internalization, high level of emotional dysregulation, suicide attempts and ideation, and being a victim of abuse (Zetterqvist, 2015). However, sexual abuse has only been moderately linked to NSSI (Brown & Plener, 2017).…”

Section: Self-injurious Behaviourmentioning

confidence: 99%

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Adolescents Selling Sex and Sex as Self-Injury

Fredlund

2019

Linköping University Medical Dissertations

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Participants 23 Procedure 24 Studies I-III 24 Study IV 24 Measures 26 Studies I-III 26 Study IV 30 Data analysis 31 Ethical considerations 33 Funding for the studies 34 RESULTS OF THE EMPIRICAL STUDIES 35 Studies I-II -Adolescents selling sex 35 Studies III-IV -Sex as self-injury 37 GENERAL DISCUSSION 41 Summary and strengths -Adolescents selling sex 41 Summary and strengths -Sex as self-injury 44 Methodological considerations and limitations 46 Clinical implications 50 Future directions 53 CONCLUSIONS 55 SAMMANFATTNING PÅ SVENSKA 57 ACKNOWLEDGEMENTS IN SWEDISH 59 REFERENCES 61 APPENDIX: Questionnaire used for Study IV 75 Abstract 1 AbstractThere are today only a few population-based studies in the world investigating the prevalence of and associated risk-factors with adolescents selling sex and so far no earlier populationbased study has been found investigating adolescents motives for selling sex. Further, to use sex in means of self-injury (SASI) is a behaviour that has been highlighted in Sweden the last years but it is a new field of research and a behaviour in need of conceptualizationThe aim of this thesis was to investigate the prevalence of, associated risk factors with, motives for and manifestations of adolescents selling sex and the use of sex as self-injury (SASI). For the thesis, two nationally representative cross-sectional population surveys with third year students at Swedish high schools were collected in 2009 (n = 3498, mean age 18.3 +/-0.6 years, response rate 60.4%) and in 2014 (n = 5839, mean age 18.0 +/-0.6 years, response rate 59.7%). Further, the motives and manifestations of SASI were investigated in an anonymous self-selected, open-ended questionnaire published on websites of nongovernmental organizations offering help and support to women and adolescents (n = 199, mean age 27.9 +/-9.3 years). Quantitative and qualitative methods were used for data analyses.In the 2009 population-based survey, 1.5% (n = 51) of the adolescents reported having sold sex on at least one occasion, but in 2014 the prevalence was slightly lower at 0.9% (n = 51). SASI was reported by 3.2% of girls (n = 100) and 0.8% of boys (n = 20). Both selling sex and SASI were associated with various adverse factors such as experience of sexual abuse, emotional and physical abuse, poor mental health and self-injury. Adolescents selling sex had sought help and support for different problems and worries to a greater extent compared to peers. Contact with healthcare for various psychiatric problems such as suicide attempts, depression and eating disorders was common for adolescents using SASI. Further analysis showed that adolescents selling sex are a heterogeneous group in regard to underlying motives for selling sex, which included emotional and material reasons as well as pleasure.Depending on their underlying motives, adolescents selling sex were found to differ in regard Abstract 2 to compensation received, age of the buyer, means of contact with the buyer, sexual orientation, experience of sexual abuse and the use of SAS...

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Non-suicidal Self-Injury in Adolescence

Cited by 309 publications

References 78 publications

Childhood Adversity and Psychophysiological Reactivity to Pain in Adolescent Nonsuicidal Self-Injury

Childhood Adversity and Psychophysiological Reactivity to Pain in Adolescent Nonsuicidal Self-Injury

Putative Risk Factors for Non‐Suicidal Self‐Injury in Eating Disorders

Adolescents Selling Sex and Sex as Self-Injury

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