Predicting prolonged non-suicidal self-injury behaviour and suicidal ideations in adolescence – the role of personal and environmental factors

Bulat, Linda Rajhvajn; Sušac, Nika; Ajduković, Marina

doi:10.1007/s12144-023-04404-8

Cited by 6 publications

(4 citation statements)

References 72 publications

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“…Social policy should empower social welfare system to, first, recognize and then appropriately approach youth who are in greater risk of being lonely and have mental health problems. In literature, we can recognize different groups of young people who have more mental health problems and are more isolate than their (privileged) peers-for example, those with different physical disabilities [56,57], who are raised in financial deprived families [13,57], those who are placed in institutions or foster families [37], and LGBTQ+ youth [58,59]. These minor groups of children and adolescents should get priority in strategic action plans of reducing loneliness and building adolescents' mental health.…”

Section: Practical Implications Of Presented Data Regarding Lonelines...mentioning

confidence: 99%

“…Nock et al [9] report that one-third of adolescents with suicidal ideation progress to developing a suicide plan, and approximately 60% of those with a plan attempt suicide. NSSI typically emerges between the ages of 11 and 15 years [10,11], with lifetime prevalence ranging from 8 to 47% in community samples during adolescence [1,[11][12][13] and an annual incidence of around 19% [14]. Despite NSSI's exclusion of suicidal intent by definition, various researchers have identified a direct association between deliberate self-harm and suicide attempts [13].…”

Section: Introductionmentioning

confidence: 99%

“…NSSI typically emerges between the ages of 11 and 15 years [10,11], with lifetime prevalence ranging from 8 to 47% in community samples during adolescence [1,[11][12][13] and an annual incidence of around 19% [14]. Despite NSSI's exclusion of suicidal intent by definition, various researchers have identified a direct association between deliberate self-harm and suicide attempts [13]. Adolescence is additionally characterized by a heightened incidence of loneliness.…”

Section: Introductionmentioning

confidence: 99%

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Loneliness in the Context of Self-Harm Behaviors in Adolescence

Rajhvajn Bulat

2024

Determinants of Loneliness

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Loneliness could both precede and follow poor mental health of adolescents. Since the last decade, the mental health problems in adolescence have become widespread and heavier; it is important to address what role loneliness has in predicting and maintaining mental health problems. This chapter summarizes research data that connect loneliness with specific internalizing problems in adolescence–non-suicidal self-injury, suicidal thoughts, and attempts and deliberate self-harm, with or without suicidal intention. Findings of different studies are discussed in the context of the interpersonal theory of suicide, the integrated motivational-volitional model of suicidal behavior, Nock’s integrated theoretical model of NSSI, as well as the evolutionary theory of loneliness. Since the COVID-19 pandemic and resulting public health measures had major impacts on mental health, including on self-harm, and as loneliness increased due to social distancing and isolation, practical implications for the future crisis are proposed in order to save adolescents’ mental health.

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Section: Practical Implications Of Presented Data Regarding Lonelines...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Loneliness in the Context of Self-Harm Behaviors in Adolescence

Rajhvajn Bulat

2024

Determinants of Loneliness

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“…Extant longitudinal research suggests that, while some adolescents with major depressive disorder continue experiencing recurrent depressive episodes and suicidal thoughts and behaviors well into adulthood, a substantial proportion recover (Curry et al, 2011; Johnson et al, 2018; Weissman et al, 1999). Though the literature is more limited on NSSI recovery, many adolescents who engage in NSSI appear to desist in late adolescence or early adulthood (Plener et al, 2015; Rajhvajn Bulat et al, 2023). These patterns of recovery implicate the presence of resilience processes and protective mechanisms, which, when understood, could be leveraged to restore adaptive functioning in youth suffering from psychopathology.…”

Section: Introductionmentioning

confidence: 99%

Stress system concordance as a predictor of longitudinal patterns of resilience in adolescence

et al. 2023

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Resilience promotes positive adaptation to challenges and may facilitate recovery for adolescents experiencing psychopathology. This work examined concordance across the experience, expression, and physiological response to stress as a protective factor that may predict longitudinal patterns of psychopathology and well-being that mark resilience. Adolescents aged 14–17 at recruitment (oversampled for histories of non-suicidal self-injury; NSSI) were part of a three-wave (T1, T2, T3) longitudinal study. Multi-trajectory modeling produced four distinct profiles of stress experience, expression, and physiology at T1 (High-High-High, Low-Low-Low, High-Low-Moderate, and High-High-Low, respectively). Linear mixed-effect regressions modeled whether the profiles predicted depressive symptoms, suicide ideation, NSSI engagement, positive affect, satisfaction with life, and self-worth over time. Broadly, concordant stress response profiles (Low-Low-Low, High-High-High) were associated with resilient-like patterns of psychopathology and well-being over time. Adolescents with a concordant High-High-High stress response profile showed a trend of greater reduction in depressive symptoms (B = 0.71, p = 0.052), as well as increased global self-worth (B = –0.88, p = 0.055), from T2 to T3 compared to the discordant High-High-Low profile. Concordance across multi-level stress responses may be protective and promote future resilience, whereas blunted physiological responses in the presence of high perceived and expressed stress may indicate poorer outcomes over time.

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Distinguishing the role of adverse life events in suicidality and non-suicidal self-injury in Spanish adolescents and young adults

Marrero,

Bello,

Morales-Marrero

et al. 2024

Curr Psychol

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Adverse life events have been shown to increase the chances of harmful thoughts, or behavior against oneself. This study aims to fill this gap by identifying how adverse life events (witnessing a friend’s or family member’s self-injury, eating behavior problems, concern about sexual orientation, physical or sexual abuse) experienced by adolescents and young adults are associated with different indicators of suicidality and non-suicidal self-injury behaviors, according to gender and age. Participants were 625 young people aged between 12 and 25 years (Mean = 15.91, SD = 2.44), of whom 61.7% were girls. Of total participants, 53.44% reported adverse life events. Physical or sexual abuse was more associated with suicidality and non-suicidal self-injury compared to being witness to a friend’s self-injury. Girls who experienced physical abuse had more suicidal ideation than boys, while boys who experienced sexual abuse had more suicidal ideation than girls. Young adults who had experienced sexual abuse and those who witnessed a friend’s self-injury reported more non-suicidal self-injury attempts than adolescents in the same situations. For eating problems, adolescents showed more non-suicidal self-injury attempts than young adults. The findings underline the importance of considering adverse life events in order to prevent suicidality and non-suicidal self-injury behavior.

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Predicting prolonged non-suicidal self-injury behaviour and suicidal ideations in adolescence – the role of personal and environmental factors

Cited by 6 publications

References 72 publications

Loneliness in the Context of Self-Harm Behaviors in Adolescence

Loneliness in the Context of Self-Harm Behaviors in Adolescence

Stress system concordance as a predictor of longitudinal patterns of resilience in adolescence

Distinguishing the role of adverse life events in suicidality and non-suicidal self-injury in Spanish adolescents and young adults

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