Self-Injury in Adolescence Is Associated with Greater Behavioral Risk Avoidance, Not Risk-Taking

Abstract

Strategies to link impulsivity and self-injurious behaviors (SIBs) show highly variable results, and may differ depending on the impulsivity measure used. To better understand this lack of consistency, we investigated correlations between self-report and behavioral impulsivity, inhibitory control, SIBs, and rumination. We included participants aged 13–17 years with either current or remitted psychopathology who have (n = 31) and who do not have (n = 14) a history of SIBs. Participants completed self-report measures of impulsivity, the Rumination Responsiveness Scale (RRS), and two behavioral measures of impulsivity: the Balloon Analogue Risk Task (BART) and Parametric Go/No-Go (PGNG). Lifetime SIBs were positively associated with self-reported impulsivity, specifically positive and negative urgency. However, individuals with greater lifetime SIBs demonstrated greater risk aversion (lower impulsivity) as measured by the BART, whereas there was no relation between lifetime SIBs and PGNG performance. There was no relation between rumination and behavioral impulsivity, although greater rumination was associated with higher negative urgency. Future research examining the role of SIBs in the context of active versus remitted psychopathology is warranted. Because most adolescents were remitted from major depressive disorder at the time of study, follow-up studies can determine if lower risk-taking may aid individuals with more prior SIBs to achieve and maintain a remitted state.

Negative association between non‐suicidal self‐injury in adolescents and default mode network activation during the distraction blocks of a rumination task

“…Participants with greater than 1/3 of their volumes with FD > 0.5 mm were to be excluded from analyses, which is consistent with previous research (Cullen et al, 2014); none were excluded for movement. Consistent with previous research (Crowell et al, 2008;Dillahunt et al, 2022), lifetime self-injury events were natural log-transformed due to high-positive skew (3.67), which yielded a more acceptable skew value (0.57). We used the natural log-transformed lifetime NSSI data as a covariate in our second-level analyses examining the rumination versus distraction contrast.…”

Etiology and risk factors for non-suicidal self-injurious behavior

“…NSSI, по-видимому, характеризует Важными психологическими особенностями также являются модели избегания и принятия риска, особенно актуальные в подростковом возрасте. Согласно новым данным, членовредительство в подростковом возрасте связано с большим уклонением от поведенческого риска, а не с принятием риска [32].…”

La conducta autolesiva y su relación con la autoestima en adolescentes

“…En Estados Unidos, examinaron las conductas autolesivas y la impulsividad que tienen 45 adolescentes en remisión psiquiátrica de entre 13 y 17 años, utilizaron el test mini psiquiátrico y entrevistas, se pudo encontrar que 41 participantes mostraron pensamientos autodestructivos, 31 participantes habían ejecutado sus pensamientos autolesivos y todos tenían frecuentes conductas impulsivas, de modo que los adolescentes que se encuentran remitidos a un proceso terapéutico tiene mayor probabilidad de generar intentos autolesivos de manera desenfrenada y frecuente, por lo que su atención debe ser inmediata (Dillahunt et al, 2022).…”