Reasons for Deliberate Self-Harm: Comparison of Self-Poisoners and Self-Cutters in a Community Sample of Adolescents

Rodham, Karen; Hawton, Keith; Evans, Emma

doi:10.1097/00004583-200401000-00017

Cited by 268 publications

(236 citation statements)

References 26 publications

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“…This is potentially problematic as different methods and frequencies of NSSI have been related to different psychological and environmental factors (Rodham, Hawton, & Evans, 2004). However, with a sample size of less than 1000, we would not have had sufficient power for mediation/moderation analyses if we had split our primary outcome variable.…”

Section: Discussionmentioning

confidence: 99%

Poor family functioning mediates the link between childhood adversity and adolescent nonsuicidal self‐injury

Cassels

Harmelen

Neufeld

et al. 2018

Child Psychology Psychiatry

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BackgroundNon‐suicidal self‐injury (NSSI) is a common harmful behavior during adolescence. Exposure to childhood family adversity (CFA) is associated with subsequent emergence of NSSI during adolescence. However, the pathways through which this early environmental risk may operate are not clear.AimsWe tested four alternative hypotheses to explain the association between CFA and adolescent‐onset NSSI.MethodsA community sample of n = 933 fourteen year olds with no history of NSSI were followed up for 3 years.ResultsPoor family functioning at age 14 mediated the association between CFA before age 5 and subsequent onset of NSSI between 14 and 17 years.ConclusionsThe findings support the cumulative suboptimal environmental hazards (proximal family relationships as a mediator) hypothesis. Improving the family environment at age 14 may mitigate the effects of CFA on adolescent onset of NSSI.

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Section: Discussionmentioning

confidence: 99%

Poor family functioning mediates the link between childhood adversity and adolescent nonsuicidal self‐injury

Cassels

Harmelen

Neufeld

et al. 2018

Child Psychology Psychiatry

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“…cit.). However, a number of authors [20,39] have identified differences regarding the motivational aspects between male and female self-injurers in school and clinical studies.…”

Section: Discussionmentioning

confidence: 99%

Clinical diagnoses, characteristics of risk behaviour, differences between suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising self-injury

Csorba

Dinya

Plener

et al. 2009

Eur Child Adolesc Psychiatry

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Objective: Self-injury (SI), self-injurious behaviour (SIB), including suicidal or non-suicidal self-injury (SSI, NSSI) represent an increasing problem among teenagers amounting to a 6–17% prevalence rate in adolescence, yet little data exists on detailed characteristics and associated factors of SI reaching clinical severity. There is also a scarcity of data distinguishing between suicidal and non-suicidal subsamples of self-injuring patients, i.e. showing which predictors contribute to develop self-injurious behaviour with a previous suicidal history (SSI). Method: Clinical diagnoses and characteristics of risk behaviour were examined in a crosssectional design in suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising self-injurious behaviour. From the total pool of 708 new patients consecutively referred with various psychiatric problems in five regional child psychiatric centres in Western-Hungary over an 18-month period, 105 adolescent outpatients suffering from self-injurious behaviour participated in the study (28 males and 77 females aged from 14 to 18 years, mean age 15.97, SD 1.05). The Ottawa/Queen’s self-injury questionnaire (OSI) was used to measure the characteristics of risk behaviour, while the comorbid clinical diagnoses were confirmed by the M.I.N.I. Plus International Neuropsychiatric Interview. Descriptive statistics presented the frequencies of the characteristics of SI, bilateral comparisons were used to reveal relevant items to differentiate between sex, duration of practice and SSI versus NSSI and logistic regression was performed to identify significant predictors of suicidal subtype of self-injuring practice. Results: A total of 60% of the clinical SI population experienced a present or past episode of major depression. The motivation of patients to resist impulses and to discontinue malpractice was low. Cutting and scratching was the most common self-injuring methods. Two-thirds of the sample practised the impulsive type of SI, while 30% practised premeditated SI having an incubation time from 30 min to days and weeks before carrying out SI. Although duration of SI did not distinguish the sample in important aspects, girls and boys differed in several aspects of SI practice. SSI adolescents differed from their NSSI peers in a number of important characteristics including the frequency of actions, injured areas, methods, specific stresses and motivations. SSI adolescents were more likely to favour cutting of the lower leg and drug overdose as modes of SI. SSI adolescents were more likely to report addictive features than their peers with no suicidal motivation. From the aspect of self-injurious practice, logistic regression analysis found only two significant predictors for the combined pathology

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“…self-cutters may be undertaking this behaviour to release tension, whereas those who overdose for example may be more motivated by thoughts of death (Rodham et al, 2004). However, recent cohort analysis indicates that many individuals switch self-harm methods in subsequent episodes, and so division of participants by methods alone for prediction of repetition may not be appropriate (Owens et al, 2015).…”

Section: Strengths and Limitations Of This Systematic Reviewmentioning

confidence: 99%

Are neurocognitive factors associated with repetition of self-harm? A systematic review

Cates

Rees

Jollant

et al. 2017

Neuroscience & Biobehavioral Reviews

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Background:Prediction of self-harm is limited clinically. Early identification of individuals likely to repeat self-harm could improve outcomes and reduce suicide risk. Various neurocognitive deficits have been found in people who self-harm, but the ability of these to predict repetition has yet to be established Aims:Identify neurocognitive factors that may predict repetition of self-harm. Methods:Systematic narrative review of English language publications assessing neurocognitive functioning and self-harm repetition, searching multiple databases from inception to March 2015. Quality of studies was appraised. A narrative synthesis was performed. Results:7026 unique records were identified, and 169 full-texts assessed. 15 unique studies provided data. No imaging studies could be included. Most studies assessed cognitive control or problem solving, but neither factor was consistently associated with repetition. However, specific tasks may show promise. Two studies in adolescents suggest that value-based decision-making impairments could be predictive of repetition. There were too few results for memory to draw specific conclusions. Conclusions:Selected studies suggest promise for particular neurocognitive factors and specific cognitive tasks in terms of repetition of self-harm.

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Reasons for Deliberate Self-Harm: Comparison of Self-Poisoners and Self-Cutters in a Community Sample of Adolescents

Cited by 268 publications

References 26 publications

Poor family functioning mediates the link between childhood adversity and adolescent nonsuicidal self‐injury

Poor family functioning mediates the link between childhood adversity and adolescent nonsuicidal self‐injury

Clinical diagnoses, characteristics of risk behaviour, differences between suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising self-injury

Are neurocognitive factors associated with repetition of self-harm? A systematic review

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