Nonsuicidal Self-Injury in Adolescents

Plener, Paul L.; Kaess, Michael; Schmahl, Christian; Pollak, Stefan; Fegert, Jörg M.; Brown, Rebecca C.

doi:10.3238/arztebl.2018.0023

Cited by 76 publications

(71 citation statements)

References 51 publications

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“…In line with previous findings in the literature, the prevalence of NSSI was significantly higher among psychiatric inpatient adolescents (53.0%) compared to adolescents recruited from heterogeneous educational settings (23.6%). Nevertheless, the lifetime prevalence of NSSI in the non-clinical group was higher in the current sample compared to data on lifetime NSSI prevalence in school samples worldwide (5,64,65) and to Hungarian community samples in previous international studies (5,65), where only high school students were involved. In these previous international comparisons, Hungarian students reported a relatively low prevalence of NSSI with 17.1% according to the SEYLE study (5) and 3.4% for males and 10.3% for females according to the Child & Adolescent Selfharm in Europe (CASE) study (65).…”

Section: Discussioncontrasting

confidence: 87%

Nonsuicidal Self-Injury and Suicide: The Role of Life Events in Clinical and Non-Clinical Populations of Adolescents

et al. 2020

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Background: Nonsuicidal self-injury (NSSI) is highly prevalent in clinical and non-clinical populations of adolescents. Several studies have supported both the distinction and the strong association between NSSI and suicidal behavior. Although there is a great deal of data on the role of life events in both suicidal behavior and NSSI, few studies have assessed the role of life events in the NSSI-suicidal behavior relationship. Our aims were to explore the relationship between NSSI and suicidal behavior, and the possible moderating role of stressful life events in a clinical and non-clinical adolescent population. Method: A clinical (n = 202) and a nonclinical (n = 161) population of adolescents, aged 13-18 years were assessed. The Mini International Neuropsychiatric Interview Kid, Deliberate Self-Harm Inventory and the Life Events List were used. Group differences related to suicidal behavior, NSSI, and life events were tested with Wilcoxon tests. Twoand three-way interactions were tested with negative binomial regression models including zero-inflation parameter. Results: The prevalence of suicidal behavior (W = 7,306, p < .001), NSSI (W = 9,652, p < .001) and life events (W = 10,410 p < .001) were significantly higher in the clinical than in the non-clinical group. Between number of life events and NSSI, a moderate effect size (.38, 95%CI [.28,.46]) was found. The main effect of NSSI (c 2 (1) = 109.65, p < .001) and group membership (c 2 (1) = 39.13, p < .001) predicted suicidal behavior; the main effect of quantity of life events did not explain suicidal behavior. The interaction between NSSI and number of life events (c 2 (1) = 10.49, p < .01) was associated with suicidal behavior. Among interpersonal, non-interpersonal events and adverse childhood circumstances, only interpersonal events were associated with both suicidal behavior (c 2 (1) = 6.08, p < .05) and had a moderating effect (c 2 (1) = 8.59, p < .01) on the NSSI-suicidal behavior relationship. Patterns of the effects of life events on the NSSI-suicidal behavior relationship did not differ in the two groups.

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Section: Discussioncontrasting

confidence: 87%

Nonsuicidal Self-Injury and Suicide: The Role of Life Events in Clinical and Non-Clinical Populations of Adolescents

et al. 2020

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“…Poon et al proposed that students may show higher reward system sensitivities in early adolescence, making them more likely to participate in NSSI [40]. Furthermore, in late adolescence, NSSI sometimes can be taken over by other dysfunctional behaviors such as substance abuse [41]. The different rate of NSSI between urban and rural students might be due to the economic development status, parental care-giving, or other social factors.…”

Section: Discussionmentioning

confidence: 99%

Interaction of Health Literacy and Problematic Mobile Phone Use and Their Impact on Non-Suicidal Self-Injury among Chinese Adolescents

Yang

Wan

et al. 2019

IJERPH

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Non-suicidal self-injury (NSSI) is prevalent among adolescents. Low health literacy (HL) and problematic mobile phone use (PMPU) are risk factors of NSSI. But so far, no study has examined the interactive role of HL and PMPU on NSSI. In this context, the present study aimed to examine the interactions of HL and PMPU and their impact on NSSI in a school-based sample of Chinese adolescents. A total of 22,628 junior and high school students (10,990 males and 11,638 females) were enrolled in this study. The outcomes were self-reported HL, PMPU and NSSI. Analyses were conducted with chi-square tests and logistic regression models. The prevalence of NSSI was 32.1%. Low HL and PMPU were significantly associated with NSSI independently (ORlow HL = 1.886, 95% CI = 1.723–2.065, ORPMPU = 2.062, 95% CI = 1.934–2.199). Interaction analysis indicated that low HL and PMPU were interactively associated with increased risks of NSSI (OR = 2.617, 95% CI = 2.375–2.884). In all, our findings indicate that HL and PMPU are associated with NSSI independently and interactively. The intervention programs of NSSI should consider the adolescents HL levels and PMPU.

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“…The differential diagnosis of NSSI has to be ruled out (9). In many patients repetitive NSSI (>5 times/year) is not an expression of suicidality, but these patients nevertheless have an elevated risk of suicide (10). In this context, Joiner speaks of the acquired ability to enact self-injury (20).…”

Section: Suicidality and Internet Communicationmentioning

confidence: 99%

“…Selfharming actions not intended to end in death must be distinguished from suicidality (9). Such actions include, for instance, tests of courage and-relatively widespread among minors-non-suicidal self-injury (NSSI), which frequently serves to regulate aversive emotional states (10). Tragic deaths such as those resulting from psychotic misconceptions or organ failure in anorexia nervosa without the intention of dying do not count as suicide (9).…”

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confidence: 99%

Suicidality in Childhood and Adolescence

M¹,

Correll²

2020

Deutsches Ärzteblatt International

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in the year 2017, 184 adolescents and young adults between 15 and 20 years of age took their own lives. A further 28 persons who committed suicide were 10 to 15 years old (1). In absolute terms, suicide in the age group 10-20 years (212 cases in 2017) is rarer than in older adults (e.g., 50-60 years: 1958 cases in 2017). The danger should not be underestimated, however; suicidal thoughts and suicide attempts are common among adolescents. In German school samples, 36.4-39.4% of the students questioned reported suicidal thoughts and 6.5-9.0% had made at least one suicide attempt (2, 3). The findings did not differ significantly from those in a population of school students in the USA (2). In a German study, 25.6% of a group of 13-to 25-year-olds receiving inpatient psychiatric treatment reported a suicide attempt in the past (4). Suicidality thus occurs in young people with and without underlying psychiatric illness. Although not every case constitutes acute selfendangerment or a psychiatric emergency, it is vital to provide professional care to those seeking help. Basic familiarity with how best to manage risk groups is relevant not only for specialized psychiatric personnel, but also for all members of the medical, therapeutic, nursing, and teaching professions who work with children and adolescents. Method This review of suicidality in childhood and adolescence is based on a survey of the literature in PubMed/ PsycINFO in April 2019 using the search terms "suicidality", "suicidal*", and "suicide." Furthermore, a number of textbooks published between 1991 and 2017 were scrutinized. We focus on the de finition, epidemiology, etiology, risk factors, diagnosis, and guideline-oriented treatment of suicidality in childhood and adolescence. Definition The term suicidality embraces suicidal thoughts, plans, and actions, suicide attempts, and completed suicide (5). The spectrum of suicidal thoughts among the young is broad, ranging from occasionally thinking that life is no longer worth living to actively considering suicide (5, 6). A suicide plan exists when the young person has already decided on concrete methods (7). A suicide attempt is any self-initiated behavior which, at the time of action, is designed to lead to death (8). This means, for example, that the intake of substances that an adult would not consider harmful (e.g., large amounts of contraceptive pills) in the expectation of a Summary Background: The suicide of minors in Germany is rare in absolute numbers: there were only 212 suicides among persons aged 10 to 20 in Germany in 2017. Nonetheless, in school surveys, 36.4-39.4% of those surveyed reported suicidal ideation, and 6.5-9% reported suicide attempts. Suicide among children and adolescents is thus a clinically and societally relevant problem. Methods: This review is based on pertinent articles retrieved by a selective literature search in the PubMed and PsycInfo databases (April 2019) employing the search terms "suicidality," "suicidal*," and "suicide," and on further information from several textbo...

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Nonsuicidal Self-Injury in Adolescents

Abstract: The first ever German-language clinical guidelines for the treatment of NSSI have now been issued. Psychotherapy is the treatment of first choice. More research is needed so that subgroups with different disease courses can be more clearly defined.

Cited by 76 publications

References 51 publications

Nonsuicidal Self-Injury and Suicide: The Role of Life Events in Clinical and Non-Clinical Populations of Adolescents

Nonsuicidal Self-Injury and Suicide: The Role of Life Events in Clinical and Non-Clinical Populations of Adolescents

Interaction of Health Literacy and Problematic Mobile Phone Use and Their Impact on Non-Suicidal Self-Injury among Chinese Adolescents

Suicidality in Childhood and Adolescence

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