Respiratory sinus arrhythmia as a predictor of self-injurious thoughts and behaviors among adolescents

Wielgus, Madeline D.; Aldrich, Jaclyn T.; Mezulis, Amy H.; Crowell, Sheila E.

doi:10.1016/j.ijpsycho.2016.05.005

Cited by 20 publications

(10 citation statements)

References 61 publications

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“…Physiologically, children exhibited increases in RSA-an index of parasympathetic cardiac control-that were over 20 times larger than age-normative developmental shifts (Bell et al, 2018). Such changes in RSA are noteworthy given (1) established associations between RSA and ER (Beauchaine, 2015, and (2) well replicated deficits in RSA among those who engage in NSSI, suicidal ideation, and SBs (Crowell et al, 2005(Crowell et al, , 2017Wielgus, Aldrich, Mezulis, & Crowell, 2016).…”

Section: Child-level Prevention Targetmentioning

confidence: 93%

Nonsuicidal Self-Injury and Suicidal Behaviors in Girls: The Case for Targeted Prevention in Preadolescence

Beauchaine

Hinshaw

Bridge

2019

Clinical Psychological Science

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Nonsuicidal self-injury (NSSI) affects 15% to 20% of adolescents—disproportionately girls—and is a strong predictor of eventual suicide attempts and suicide. Many girls now initiate NSSI before age 10. These early starters exhibit greater frequency of NSSI, use more diverse methods, and are hospitalized more often than later starters, yet there are no empirically supported prevention programs for preadolescents. Obstacles to prevention include ascertaining who is sufficiently vulnerable and specifying mechanistic intervention targets. Recent research indicates that (a) preadolescent girls with ADHD who are also maltreated are at alarming risk for NSSI and suicide attempts by adolescence and (b) the conjoint effects of these vulnerabilities are sufficiently potent for targeted prevention. Research also indicates that existing interventions are effective in altering child- and family-level mechanisms of NSSI. These interventions alter neurobiological markers of vulnerability, which can be used as proximal efficacy signals of prevention response without waiting for NSSI and suicide attempts to emerge.

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Section: Child-level Prevention Targetmentioning

confidence: 93%

Nonsuicidal Self-Injury and Suicidal Behaviors in Girls: The Case for Targeted Prevention in Preadolescence

Beauchaine

Hinshaw

Bridge

2019

Clinical Psychological Science

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“…In a community-based sample of early adolescents (mean age = 12.82 years), Wielgus and colleagues (2016) revealed that resting RSA and greater RSA withdrawal to a noninterpersonal frustration task did not predict engagement in self-injurious thoughts and behavior (defined as a composite of NSSI, suicidal ideation, and suicidal behavior) during the following 6 months. However, slower recovery of RSA (indexed by lower resting RSA during recovery from the task) was associated with a prospective risk for this same self-injury composite over time (Wielgus et al 2016). In contrast, Giletta and colleagues (2017) revealed that greater RSA withdrawal following a social stressor task was associated with a prospective risk for suicidal ideation during the following 9 months in a sample of adolescents with a history of mental health concerns, even after controlling for lifetime history of suicidal ideation and current depressive symptoms.…”

Section: Markers Of Central Stress-response Systemsmentioning

confidence: 94%

Adolescent Suicide as a Failure of Acute Stress-Response Systems

Miller

Prinstein

2019

Annu. Rev. Clin. Psychol.

124

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Suicide is the second leading cause of death worldwide for adolescents. Despite decades of research on correlates and risk factors for adolescent suicide, we know little about why suicidal ideation and behavior frequently emerge in adolescence and how to predict, and ultimately prevent, suicidal behavior among youths. In this review, we first discuss knowledge regarding correlates, risk factors, and theories of suicide. We then review why adolescence is a period of unique vulnerability, given changing biology and social network reorganization. Next, we present a conceptual model through which to interpret emerging findings in adolescent suicide research. We suggest that a promising area for future research is to examine adolescent suicide as a failure of biological responses to acute stress in the proximal moments of a suicidal crisis. After reviewing initial evidence for this conceptualization, we review future directions for studies on adolescent suicide.

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“…Although the current study initially aimed to include psychophysiological studies, there was an insufficient number identified in the current review of the literature that met our inclusion criteria for conducting a meta-analysis. Researchers have begun to rely on objective, psychophysiological measures believed to index emotion regulatory capacity-such as respiratory sinus arrhythmia [87,88] and cardiac vagal tone measured through heart rate variability [89]. The reliance on self-report of emotion dysregulation limits findings, especially because experimental and psychophysiological studies have often failed to show the same results as self-report studies [90][91][92].…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis

et al. 2019

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Background:Over the past several years there has been considerable interest in the relation between emotion dysregulation and non-suicidal self-injury (NSSI), particularly given that rates of NSSI have been increasing and NSSI is a critical risk factor for suicidal behavior. To date, however, no synthesis of empirical findings exists.Methods:The present study presents a comprehensive meta-analytic review of the literature on the association between NSSI and emotion dysregulation. A total of 48 publications, including 49 independent samples, were included in this analysis.Results:Overall, a significant association was found between emotion dysregulation and NSSI (pooled OR = 3.03 [95% CI = 2.56–3.59]). This association was reduced but remained significant (OR = 2.40 [95% CI = 2.01–2.86]) after adjustment for publication bias. Emotion dysregulation subscales most strongly associated with NSSI included limited access to regulation strategies, non-acceptance of emotional responses, impulse control difficulties, and difficulties engaging goal-directed behavior. Lack of emotional awareness/clarity and cognitive aspects of dysregulation yielded weaker, yet significant, positive associations with NSSI.Conclusions:Findings support the notion that greater emotion dysregulation is associated with higher risk for NSSI among individuals across settings, regardless of age or sex. Furthermore, findings reveal facets of dysregulation that may have unique implications for NSSI. This meta-analysis highlights the importance of better understanding emotion dysregulation as a treatment target for preventing NSSI.

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Respiratory sinus arrhythmia as a predictor of self-injurious thoughts and behaviors among adolescents

Cited by 20 publications

References 61 publications

Nonsuicidal Self-Injury and Suicidal Behaviors in Girls: The Case for Targeted Prevention in Preadolescence

Nonsuicidal Self-Injury and Suicidal Behaviors in Girls: The Case for Targeted Prevention in Preadolescence

Adolescent Suicide as a Failure of Acute Stress-Response Systems

Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis

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