Reciprocal Risk: the Longitudinal Relationship between Emotion Regulation and Non-suicidal Self-Injury in Adolescents

Robinson, Kealagh; Garisch, Jessica Anne; Kingi, Tahlia; Brocklesby, Madeleine; O'Connell, Angelique; Langlands, Robyn L.; Russell, Lynne; Wilson, Marc

doi:10.1007/s10802-018-0450-6

Cited by 75 publications

(91 citation statements)

References 43 publications

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“…The postulated model also highlights a range of shared risk factors that more proximally trigger the initial development and contribute to the maintenance of NSSI and ED behaviors [7]. Providing support to this notion, poor emotion regulation has been implicated in the development and maintenance of NSSI and ED behaviors [29, [66][67][68]. Additionally, studies have shown an indirect path from childhood-adolescent traumatic experiences via emotion-dysregulation and dissociation to NSSI and ED behaviors [69,70].…”

Section: Shared Etiology Of Nssi and Ed Behaviorsmentioning

confidence: 99%

“…Apart from the physical risk and societal burden associated with these behaviors, there is growing evidence that NSSI and ED behaviors may also negatively impact the psychosocial development of young people. Researchers have linked NSSI and/or ED behaviors with future risk of mental health problems (especially depression) [ 33 ••, 90 ], impaired family functioning [ 91 , 92 ], decreased emotion regulation capabilities [ 67 ], identity issues [ 93 , 94 ], lower self-esteem and quality of life [ 95 , 96 ], stigma [ 97 , 98 ], and academic failure [ 99 , 100 ]. Hence, much could be learned from future investigations that adopt a broader developmental framework in which risk factors, NSSI and ED behaviors/disorders, and developmental tasks (e.g., identity formation, graduating, and finding work) might influence each other reciprocally throughout adolescence and (emerging) adulthood.…”

Section: What Are the Psychosocial Consequences Of Comorbid Nssi And mentioning

confidence: 99%

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Non-Suicidal Self-Injury and Eating Disordered Behaviors: An Update on What We Do and Do Not Know

Kiekens

Claes

2020

Curr Psychiatry Rep

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Purpose of Review The current report aims to summarize recent advances about the relationship between non-suicidal self-injury (NSSI) and eating disordered (ED) behaviors and highlights meaningful directions for future research. Recent Findings While there is solid evidence indicating a robust cross-sectional association between NSSI and ED behaviors, emerging evidence suggests that the temporal relationship between these behaviors may be bidirectional. Shared functions and risk factors may explain why these behaviors often co-develop. At the same time, little is still known about the psychosocial consequences of comorbid NSSI and ED engagement, and there is a lack of intervention studies that target these behaviors simultaneously. Summary It is well-established that NSSI and ED behaviors frequently co-occur. The field should now turn to longitudinal designs to advance our understanding of the longer-term developmental and the shorter-term momentary relationship of these behaviors in daily life. Providing insight into these areas will help guide the deployment of evidence-based interventions that match the needs of clients who report comorbid NSSI and ED behaviors.

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Section: Shared Etiology Of Nssi and Ed Behaviorsmentioning

confidence: 99%

Section: What Are the Psychosocial Consequences Of Comorbid Nssi And mentioning

confidence: 99%

Non-Suicidal Self-Injury and Eating Disordered Behaviors: An Update on What We Do and Do Not Know

Kiekens

Claes

2020

Curr Psychiatry Rep

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“…Finally, we consider the group of discrepant responders who reported engaging in one or more NSSI behaviors on the checklist, and report NSSI ideation (but no action) on the single-item. Although most single-item measures do not provide an ideation only response option, in studies that use a two-step procedure and which do include this response option (e.g., Robinson et al, 2017) these participants typically would go on to answer additional NSSI items. Participants who reported self-identified NSSI ideation with behaviorally identified NSSI reported engaging in an average of two NSSI methods (Study 1: M ϭ 2.19, SD ϭ 1.22; Study 2: M ϭ 2.13, SD ϭ 1.37), significantly fewer methods than participants who consistently reported a NSSI history across both assessments (Study 1: M ϭ 4.12, SD ϭ 2.35; Study 2: M ϭ 3.90, SD ϭ 2.24; Study 1: U ϭ 4371.50, p Ͻ .001, 2 ϭ .14; Study 2: U ϭ 9976.00, p Ͻ .001, 2 ϭ .11).…”

Section: Self-identified Nssi Ideation With Behaviorally Identified Nssimentioning

confidence: 99%

“…Crosssectionally, NSSI is associated with poorer psychosocial wellbeing (Giletta, Scholte, Engels, Ciairano, & Prinstein, 2012;Muehlenkamp, Brausch, Quigley, & Whitlock, 2013;Rotolone & Martin, 2012), and greater psychopathology (Nock, Joiner, Gordon, Lloyd-Richardson, & Prinstein, 2006). Longitudinally, NSSI is a risk factor for poorer psychological wellbeing (Andrews, Martin, Hasking, & Page, 2014;Robinson et al, 2019), the onset of new psychiatric disorders (Wilkinson, Qiu, Neufeld, Jones, & Goodyer, 2018), and suicidality (Ribeiro et al, 2016). Given the important associations and corollaries of NSSI, research into the onset, development, recovery, and prevention of the behavior is critical.…”

mentioning

confidence: 99%

“…Single-item assessments are often used as part of a two-step procedure-only those who report an NSSI history on the screening question go on to complete additional items assessing their self-injurious behaviors (e.g., Robinson et al, 2019;Ross & Heath, 2002;Wilkinson et al, 2018). Ethics committees are often concerned that asking about specific behaviors may encourage NSSI thoughts and behaviors (Lloyd-Richardson, Lewis, Whitlock, Rodham, & Schatten, 2015), despite evidence that this is not the case (e.g., Muehlenkamp, Swenson, Batejan, & Jarvi, 2015;Whitlock, Pietrusza, & Purington, 2013).…”

mentioning

confidence: 99%

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Open to interpretation? Inconsistent reporting of lifetime nonsuicidal self-injury across two common assessments

Robinson¹,

Wilson²

2020

Preprint

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© 2020 american psychological association. Nonsuicidal self-injury (NSSI) is typically assessed using either single-item questionnaires or checklists of common behaviors, but preliminary research suggests that checklists produce higher lifetime prevalence rates. In 2 preregistered studies (combined n = 1,364), we tested whether memory cueing afforded by behavioral checklists accounts for this discrepancy. Participants reported their lifetime NSSI history using both a single-item and a checklist, with presentation order randomized across participants. Nearly a third of participants reported inconsistent NSSI histories on the 2 assessments, with participants 1.57 times more likely to report an NSSI history on a checklist than on a single-item. Counter to the memory account, this discrepancy was evident even when participants completed the checklist first, suggesting that the increased prevalence estimates captured by checklists are unlikely to simply reflect memory facilitation. Across the 2 samples, 12.5% of participants would have been incorrectly screened out in 2-step assessments; these participants were more likely to have engaged in NSSI historically, less likely to self-injure by cutting, and (in Study 2 only) were more likely to be men. These studies suggest that the inconsistencies across 2 of the most common NSSI assessments arise because people dissimilar to the lay conceptualization of self-injury are less likely to endorse a single-item, even when they have affirmed engaging in self-injury behaviors on a checklist. We argue that single-item and checklist assessments capture different aspects of NSSI, such that future research should distinguish between behaviorally identified NSSI assessed with behavioral checklists and self-identified NSSI assessed with single-item assessments.

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Self-injury from early adolescence to early adulthood: age-related course, recurrence, and services use in males and females from the community

Steinhoff

Ribeaud

Kupferschmid

et al. 2020

Eur Child Adolesc Psychiatry

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Adolescent self-injury is a widespread public health problem, but long-term longitudinal studies from European countries are rare. Self-injury in males and sex differences are poorly understood. This study describes the prevalence, frequency, agerelated course, and recurrence of, and mental health services use related to adolescent self-injury. Data came from a Swiss prospective-longitudinal cohort study (N = 1482). Adolescents (52% male) reported frequency of self-injury and mental health services use (including reasons for and types of services use, hospitalizations) at ages 13, 15, 17, and 20. Between ages 13-20, 27% of adolescents reported self-injury at least once. In males, prevalence decreased from 12 to 5%; in females self-injury peaked at age 15 (16%) and then decreased (11% at age 20). In males, recurrence of self-injury increased after age 15 (from odds ratio [OR] < 3 to OR > 10); in females, recurrence was high from age 13 onwards (OR > 5). Predictors of recurrence included childhood/early adolescent internalizing symptoms and early self-injury onset. Typically, less than half of adolescents with self-injury used mental health services. Males with self-injury used services mainly for externalizing problems, learning difficulties, and attention/concentration problems; females for depression or self-injury, family problems, and victimization. Types of services used changed with age, and adolescents with self-injury had increased rates of hospitalization. There are notable sex differences in the longitudinal course of self-injury and reasons for related mental health services use. Treating early internalizing symptoms could be a promising target for preventing recurrent self-injury. Males are at particular risk of not receiving adequate treatment for self-injury.

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Reciprocal Risk: the Longitudinal Relationship between Emotion Regulation and Non-suicidal Self-Injury in Adolescents

Cited by 75 publications

References 43 publications

Non-Suicidal Self-Injury and Eating Disordered Behaviors: An Update on What We Do and Do Not Know

Non-Suicidal Self-Injury and Eating Disordered Behaviors: An Update on What We Do and Do Not Know

Open to interpretation? Inconsistent reporting of lifetime nonsuicidal self-injury across two common assessments

Self-injury from early adolescence to early adulthood: age-related course, recurrence, and services use in males and females from the community

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