Contextual Features and Behavioral Functions of Self-Mutilation Among Adolescents.

Department of Psychology, Havard University, Cambridge, MA 02138, USA.
Journal of Abnormal Psychology (Impact Factor: 4.86). 03/2005; 114(1):140-6. DOI: 10.1037/0021-843X.114.1.140
Source: PubMed


Adolescent self-mutilative behavior (SMB) is a pervasive and dangerous problem, yet factors influencing the performance of SMB are not well understood. The authors examined the contextual features and behavioral functions of SMB in a sample of 89 adolescent psychiatric inpatients. SMB typically was performed impulsively, in the absence of physical pain, and without the use of alcohol or drugs. Moreover, analyses supported the construct validity of a functional model in which adolescents reported engaging in SMB for both automatic and social reinforcement. Considering the functions of SMB clarified the relations between SMB and other clinical constructs reported in previous studies such as suicide attempts, posttraumatic stress, and social concerns and has direct implications for the assessment and treatment of SMB.

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Available from: Mitchell J Prinstein, Oct 02, 2015
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    • "Among adolescents, this strategy is an increasingly common response to manage or inhibit aversive emotions. Research assessing motivations for NSSI include, among other reasons, reduction of emotional states, numbness, distraction from emotions, and relief from loneliness (Herpertz et al., 1997; Suyemoto, 1998; Nock and Prinstein, 2005; Skegg, 2005; Klonsky, 2009). Across several studies, the most commonly reported reason for self-harm is to alleviate the intense negative affect (Gratz, 2001). "
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    ABSTRACT: Non-suicidal self-injury (NSSI) is the deliberate, self-inflicted destruction of body tissue without suicidal intent and an important clinical phenomenon. Rates of NSSI appear to be disproportionately high in adolescents and young adults, and is a risk factor for suicidal ideation and behavior. The present study reports the psychometric properties of the Impulse, Self-harm and Suicide Ideation Questionnaire for Adolescents (ISSIQ-A), a measure designed to comprehensively assess the impulsivity, NSSI behaviors and suicide ideation. An additional module of this questionnaire assesses the functions of NSSI. Results of Confirmatory Factor Analysis (CFA) of the scale on 1722 youths showed items' suitability and confirmed a model of four different dimensions (Impulse, Self-harm, Risk-behavior and Suicide ideation) with good fit and validity. Further analysis showed that youth׳s engagement in self-harm may exert two different functions: to create or alleviate emotional states, and to influence social relationships. Our findings contribute to research and assessment on non-suicidal self-injury, suggesting that the ISSIQ-A is a valid and reliable measure to assess impulse, self-harm and suicidal thoughts, in adolescence. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
    04/2015; 227(2-3). DOI:10.1016/j.psychres.2015.01.031
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    • "Evidence for concurrent and discriminant validity was obtained as both SOP and SPP related in expected ways to measures of depression, anxiety, anger, and suicide behaviors in adolescents (e.g., Boergers et al. 1998; Flett et al. 2012; Hewitt et al. 1997, 2002). The CAPS has now been shown to be useful in a variety of contexts and found to have adequate psychometric properties (see Flett et al. 2008; Nock and Prinstein 2005; Stornelli et al. 2009). Child Life Stress Interview (CLSI; Adrian and Hammen 1991). "
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    ABSTRACT: The current study examined dimensions of perfectionism, stress, hopelessness, and suicidality in a sample of adolescent psychiatric patients diagnosed with depression. This study evaluated the unique contribution of perfectionism in predicting suicidality after considering other predictors (i.e., hopelessness, depression) and it also examined the diathesis-stress model of perfectionism and suicide. A sample of 55 adolescents (41 females, mean age = 15.53, 25.5 % ethnic/racial minorities) who were psychiatric patients completed measures including the Child-Adolescent Perfectionism Scale, subjective and objective indices of life stress, daily hassles, depression, hopelessness, suicide ideation, prior attempts and suicide potential. In addition, other informants (i.e., adolescents’ parents) completed a diagnostic interview and an interview assessing major stressful experiences. Socially prescribed perfectionism (i.e., the perception that others require perfection of oneself) predicted concurrent levels of suicide potential and this association with suicide potential held even after controlling for the variances accounted for by depression and hopelessness. Hierarchical regression analyses provided partial support for the diathesis-stress model, that is, socially prescribed perfectionism interacted with daily hassles to predict concurrent suicide potential even after controlling for depression, hopelessness, and prior suicide attempt. Together, these findings suggest that socially prescribed perfectionism acts as a vulnerability factor that is predictive of suicide potential or risk among clinically depressed adolescents.
    Journal of Psychopathology and Behavioral Assessment 12/2014; 36(4). DOI:10.1007/s10862-014-9427-0 · 1.55 Impact Factor
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    • "Self-reported sexual orientation was the primary method of assessing orientation although one study assessed same-and opposite-sex sexual behavior (Chakraborty et al., 2011) and two studies assessed sameand opposite-sex attraction (Wester, 2012; Whitlock et al., 2011). With regard to NSSI, one study presented findings for past-month NSSI (Gollust et al., 2008), three studies presented findings for past-year NSSI (Bakken & Gunter, 2012; Kidd et al., 2012; Serras et al., 2010), two studies presented findings for both past-year and lifetime NSSI (Oswalt & Wyatt, 2011; Silva et al., 2012), and the remaining nine studies presented findings for lifetime NSSI only (Balsam et al., 2011; Chakraborty et al., 2011; Deliberto & Nock, 2008; Kokaliari, 2005; Muehlenkamp et al., 2012; Wester, 2012; Whitlock et al., 2006; Whitlock et al., 2011; Wilcox et al., 2012). "
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    ABSTRACT: Objectives: To conduct the first meta-analysis comparing risk for NSSI between sexual minority and heterosexual persons. Methods: Eleven published and four unpublished studies were reviewed, describing associations between sexual orientation and NSSI in 7,147 sexual minority and 61,701 heterosexual participants. Results: The overall weighted effect size for the relationship between sexual orientation and NSSI using a random-effects model was OR = 3.00 (95% CI = 2.46-3.66), indicating a medium-to-large effect. Sexual minority adolescents and bisexuals were found to be at particularly high-risk. Conclusion: These findings highlight the need to examine mechanisms linking sexual orientation and NSSI in future research. Building on these findings can add to understanding the associations between sexual orientation, NSSI, and suicidality, as well as prevention/intervention.
    Archives of suicide research: official journal of the International Academy for Suicide Research 10/2014; 19(2). DOI:10.1080/13811118.2014.957450
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