Nonsuicidal Self‐Injury among Adolescents: A Training Priority for Primary Care Providers

Taliaferro, Lindsay A.; Muehlenkamp, Jennifer J.; Hetler, Joel; Edwall, Glenace E.; Wright, Catherine; Edwards, Anne; Borowsky, Iris Wagman

doi:10.1111/sltb.12001

Cited by 27 publications

(15 citation statements)

References 42 publications

(69 reference statements)

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“…And also create awareness that NSSI is becoming a paramount health issue for adolescents and thus they need to be equipped with up-to-date NSSI knowledge and intervention technology. 40 , 41 …”

Section: Discussionmentioning

confidence: 99%

Stressful Life Events as a Predictor for Nonsuicidal Self-Injury in Southern Chinese Adolescence

et al. 2016

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Stressful life events have been implicated in the etiology of kinds of psychopathology related to nonsuicidal self-injury (NSSI); however, few studies have examined the association between NSSI and stressful life events directly in Chinese school adolescents. In this study, we aim to estimate the prevalence rate of NSSI and examine its association with stressful life events in Southern Chinese adolescents. A total sample of 4405 students with age ranged from 10 to 22 years was randomly selected from 12 schools in 3 cities of Guangdong Province, China. NSSI, stressful life events, self-esteem, emotional management, and coping methods were measured by structured questionnaires. Multinomial logistic regression was used to examine the association of NSSI with stressful life events. Results showed the 1 year self-reported NSSI was 29.2%, with 22.6% engaged in “minor” NSSI (including hitting self, pulling hair, biting self, inserting objects under nails or skin, picking at a wound) and 6.6% in “moderate/sever” NSSI (including cutting/carving, burning, self-tattooing, scraping, and erasing skin). Self-hitting (15.9%), pulling hair out (10.9%), and self-inserting objects under nails or skin picking areas to dram blood (18.3%) were the most frequent types of NSSI among adolescents. Results also showed that “Minor NSSI” was associated with stressful life events on interpersonal, loss and health adaption, and “moderate/severe NSSI” was associated with life events on interpersonal, health adaption in Southern Chinese adolescents, even after adjusted for sex, age, residence, self-esteem, coping style, and emotional management. Results further suggested stressful life events were significantly associated with less risk of NSSI in those who had good emotional management ability.

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Section: Discussionmentioning

confidence: 99%

Stressful Life Events as a Predictor for Nonsuicidal Self-Injury in Southern Chinese Adolescence

et al. 2016

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“…However, given that the added presence of NSSI was associated with clinically significant depressive scores in the severe range, compared to moderate scores in the Suicidal Ideation-only group, assessing for suicidal ideation alone may not be sufficient, as NSSI may confer additional risk for depressive symptoms. Alarmingly, although suicidal ideation is regularly assessed in clinical practice, NSSI is less frequently assessed; clinicians have reported feeling less prepared to address NSSI given a lack of training (Taliaferro et al, 2013). Ensuring patients’ safety is of utmost clinical import, and results suggest that additional assessment of self-injurious behavior and eating disorder symptomatology may be warranted among individuals presenting with suicidal ideation or eating disorder symptoms.…”

Section: Discussionmentioning

confidence: 99%

Non-suicidal self-injury and suicidal ideation in relation to eating and general psychopathology among college-age women

Eichen

Kass

Fitzsimmons‐Craft

et al. 2016

Psychiatry Research

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Non-suicidal self-injury (NSSI) and suicidal ideation are potent risk factors for suicide and are associated with general and eating disorder-specific psychopathology. Limited research has examined the effects of combined NSSI+suicidal ideation thus concurrent examination is needed to understand potential differential effects on psychopathology. College-aged women (N=508) completed self-report measures of NSSI, suicidal ideation, general psychopathology, and eating disorder-specific psychopathology. MANOVAs determined whether the NSSI/Suicidal Ideation status groups differed on general and eating disorder pathology measures as a set. Significant MANOVAs were followed up with univariate ANOVAs and posthoc tests. Thirteen women endorsed NSSI+Suicidal Ideation, 70 endorsed NSSI-only, 25 endorsed Suicidal Ideation-only, and 400 endorsed no NSSI/Suicidal Ideation. Both general and eating disorder-specific psychopathology differed across groups. NSSI+Suicidal Ideation and Suicidal Ideation-only groups typically endorsed higher general psychopathology than the no NSSI/Suicidal Ideation and NSSI-only groups. Regarding eating disorder pathology, the NSSI+Suicidal Ideation group was more pathological than no NSSI/Suicidal Ideation and NSSI-only, except on the weight concerns scale, where NSSI+Suicidal Ideation only differed from no NSSI/Suicidal Ideation. The NSSI+Suicidal Ideation group was only greater than Suicidal Ideation-only on measures of depression and eating concern. Results highlight the importance of screening for both NSSI and suicidal ideation, especially for individuals with eating disorder symptoms. Likewise, screening for eating disorder pathology may be beneficial for individuals presenting with NSSI and suicidal ideation.

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“…Existing literature suggests primary care as a possible avenue for supporting and managing individuals who self-harm and preventing suicide. [18][19][20][21][22][23][24] However, little is known about how primary care might support older adults who self-harm. A recent qualitative study conducted with Australian GPs found that GPs did not see a role for themselves in supporting older adults who self-harm given the complex contributing factors to selfharm.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Role of primary care in supporting older adults who self-harm: a qualitative study in England

et al. 2019

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BackgroundSelf-harm and suicide are major public health concerns. Self-harm is the strongest risk factor for suicide, with the highest suicide rates reported in older populations. Little is known about how older adults access care following self-harm, but they are in frequent contact with primary care.AimTo identify and explore barriers and facilitators to accessing care within primary care for older adults who self-harm.Design and settingAn exploratory qualitative methods study using semi-structured interviews with older adults and third-sector workers in England. Older adults were invited to participate in one follow-up interview.MethodInterviews occurred between September 2017 and September 2018. These were audio-recorded, transcribed verbatim, and data analysed thematically. A patient and public involvement and engagement group contributed to the study design, data analysis, and interpretation.ResultsA total of 24 interviews with nine older adults and seven support workers, including eight follow-up interviews with older adults, were conducted. Three themes emerged: help-seeking decision factors; sources of support; and barriers and facilitators to accessing primary care.ConclusionDespite older adults’ frequent contact with GPs, barriers to primary care existed, which included stigma, previous negative experiences, and practical barriers such as mobility restrictions. Older adults’ help-seeking behaviour was facilitated by previous positive experiences. Primary care is a potential avenue for delivering effective self-harm support, management, and suicide prevention in older adults. Given the complex nature of self-harm, there is a need for primary care to work with other sectors to provide comprehensive support to older adults who self-harm.

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Nonsuicidal Self‐Injury among Adolescents: A Training Priority for Primary Care Providers

Cited by 27 publications

References 42 publications

Stressful Life Events as a Predictor for Nonsuicidal Self-Injury in Southern Chinese Adolescence

Stressful Life Events as a Predictor for Nonsuicidal Self-Injury in Southern Chinese Adolescence

Non-suicidal self-injury and suicidal ideation in relation to eating and general psychopathology among college-age women

Role of primary care in supporting older adults who self-harm: a qualitative study in England

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