Viewing Nonsuicidal Self-Injury in Adolescence Through a Developmental Neuroscience Lens: The Impact of Neural Sensitivity to Socioaffective Pain and Reward

Cummings, Logan; Mattfeld, Aaron T.; Pettit, Jeremy W.; McMakin, Dana L.

doi:10.1177/2167702621989323

Cited by 15 publications

(10 citation statements)

References 234 publications

(295 reference statements)

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“…Additionally, we found no support for including a self-harming item. That area benefits from unique construct-specific research [e.g., 113 ]. We also found no DIF by suicide attempt history, indicating the underlying trait can be assessed equivalently regardless of attempt status.…”

Section: Discussionmentioning

confidence: 99%

Measuring the suicidal mind: The ‘open source’ Suicidality Scale, for adolescents and adults

Harris

Wang

et al. 2023

PLoS ONE

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Clinicians are expected to provide accurate and useful mental health assessments, sometimes in emergency settings. The most urgent challenge may be in calculating suicide risk. Unfortunately, existing instruments often fail to meet requirements. To address this situation, we used a sustainable scale development approach to create a publicly available Suicidality Scale (SS). Following a critical review of current measures, community input, and panel discussions, an international item pool survey included 5,115 English-speaking participants aged 13–82 years. Revisions were tested with two follow-up cross-sectional surveys (Ns = 814 and 626). Pool items and SS versions were critically examined through item response theory, hierarchical cluster, factor and bifactor analyses, resulting in a unidimensional eight-item scale. Psychometric properties were high (loadings > .77; discrimination > 2.2; test-retest r = .87; internal consistency, ω = .96). Invariance checks were satisfied for age, gender, ethnicity, rural/urban residence, first language, self-reported psychiatric diagnosis and suicide attempt history. The SS showed stronger psychometric properties, and significant differences in bivariate associations with depressive symptoms, compared with included suicide measures. The ‘open source’ Suicidality Scale represents a significant step forward in accurate assessment for people aged 13+, and diverse populations. This study provides an example of sustainable scale development utilizing community input, emphasis on strong psychometric evidence from diverse samples, and a free-to-use license allowing instrument revisions. These methods can be used to develop a wide variety of psychosocial instruments that can benefit clinicians, researchers, and the public.

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Section: Discussionmentioning

confidence: 99%

Measuring the suicidal mind: The ‘open source’ Suicidality Scale, for adolescents and adults

Harris

Wang

et al. 2023

PLoS ONE

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“…Additionally, we found no support for including self-harming items in SRAs. That area benefits from unique construct-specific research (e.g., Cummings et al, 2021). We also found no DIF by suicide attempt history, indicating the underlying trait can be assessed equivalently by attempt status.…”

Section: Discussionmentioning

confidence: 61%

Measuring the Suicidal Mind: The ‘Open Source’ Suicidality Scale, for Adolescents and Adults

Harris¹,

Wang²,

Mu³

et al. 2022

Preprint

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Clinicians are expected to provide accurate and useful mental health assessments, but existing instruments often fail to meet expectations. We used a multi-model approach to address one urgent psychiatric concern, developing a highly valid, ‘free culture’ license, instrument – the Suicidality Scale (SS). Study 1 survey participants (N=5,115, aged 13-82) completed an item pool and psychosocial measures. Study 2 (N=814, aged 14-80) included SS modifications and a follow-up (two weeks) assessment (n=190). Study 3 (N=626, aged 14-83) included further modifications. SS psychometric properties were high (loadings > .77; a > 2.2; test-retest r = .87; internal consistency, ωt = .96). Invariance checks were satisfied for demographics, self-reported psychiatric diagnosis, and suicide attempt history. The SS showed stronger psychometrics and significant differences in bivariate associations compared with available suicide measures. The ‘open source’ Suicidality Scale represents a step forward in accurate suicide risk assessment for adolescents, adults, and diverse populations.

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“…Importantly, the networks that support these processes continue to mature in adolescence [38,39] and are aberrant in depressed adolescents [42]. Our account of NSSI in adolescence is supported by a substantial body of developmental cognitive and affective neuroscience [43]. According to existing evidence using prede ned ROIs, the abnormal FC tended to be spatially distributed, highlighting the importance of considering whole-brain functional networks.…”

Section: Discussionmentioning

confidence: 66%

Unveiling convergent and divergent intrinsic brain network alternations in depressed adolescents engaged in non-suicidal self-injurious behaviors with and without suicidal attempts

Li,

Liang,

et al. 2023

Preprint

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Nonsuicidal self-injury (NSSI) and suicidal attempt (SA) frequently occur during depressed adolescents, but the underlying neurobiological mechanisms are poorly understood. The maturation of network connectivity is a central feature of brain development during adolescence. However, few researchers have investigated the similarities and differences in the intrinsic brain networks between NSSI with NSSI + SA in depressed adolescent populations. We collected self-reported questionnaires and resting-state functional magnetic resonance imaging data from a sample of depressed adolescents, categorized into three groups: clinical control (non-self-harm), NSSI-only, and NSSI + SA based on self-harm history. The alternations of FC patterns were identified through support vector machine-based classification. The alternations of intra-/inter-network FCs among the Control, SalVAtten, Limbic, and Default networks were observed as the convergent alternations between adolescent NSSI with or without a history of SA. Divergent alternations were also observed for depressed adolescents with a history of SA, involving the Limbic, DorsAttn, Visual, and Subcortical networks. The severity of depressive symptoms only showed a significant correlation with altered FCs in Limbic-DorAttn and Limbic-Visual networks, strengthening the fact that these observed alternations of FC could not all be explained by increased depression severity. The observed convergent alternations may explain an underlying neurobiological mechanism pertaining to the continuum of self-destructiveness; the discovery of divergent alternations could help to identify biomarkers that will aid in differentiating those at risk for SA and contribute to the development of neurobiologically informed interventions.

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Viewing Nonsuicidal Self-Injury in Adolescence Through a Developmental Neuroscience Lens: The Impact of Neural Sensitivity to Socioaffective Pain and Reward

Cited by 15 publications

References 234 publications

Measuring the suicidal mind: The ‘open source’ Suicidality Scale, for adolescents and adults

Measuring the suicidal mind: The ‘open source’ Suicidality Scale, for adolescents and adults

Measuring the Suicidal Mind: The ‘Open Source’ Suicidality Scale, for Adolescents and Adults

Unveiling convergent and divergent intrinsic brain network alternations in depressed adolescents engaged in non-suicidal self-injurious behaviors with and without suicidal attempts

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