Non-suicidal self-injury motivations in the light of self-harm severity indicators and psychopathology in a clinical adolescent sample

Adolescents with psychiatric problems are also considered a vulnerable population in terms of non-suicidal self-injury (NSSI). In the current study, we examined the associations of interpersonal and intrapersonal NSSI motivations with several NSSI severity indicators and psychopathological character...

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Veröffentlicht in:Frontiers in psychiatry Jg. 13; S. 1046576
Hauptverfasser: Reinhardt, Melinda, Rice, Kenneth G., Horváth, Zsolt
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Switzerland Frontiers Media S.A 01.12.2022
Schlagworte:
clinical adolescent sample
non-suicidal self-injury
Psychiatry
psychopathology
self-harm motivations
self-harm severity
self-harm severity
clinical adolescent sample
non-suicidal self-injury
psychopathology
self-harm motivations
ISSN:1664-0640, 1664-0640
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Zusammenfassung:Adolescents with psychiatric problems are also considered a vulnerable population in terms of non-suicidal self-injury (NSSI). In the current study, we examined the associations of interpersonal and intrapersonal NSSI motivations with several NSSI severity indicators and psychopathological characteristics. In a cross-sectional research design, 158 adolescents (83.5% girls; mean age = 16.10 years; = 1.49) who have received inpatient or outpatient psychiatric treatment completed the Inventory of Statements About Self-Injury, the Strengths and Difficulties Questionnaire, and the Self-Critical Rumination Scale. More than two-thirds of the sample (75.3%; = 119) reported at least one episode of NSSI in their life, and 45.38% ( = 54) have engaged in NSSI in the past month (current self-injury). The results indicated that only intrapersonal NSSI functions were linked to NSSI severity indicators (current and repetitive NSSI, versatility), interpersonal functions were not. Furthermore, a number of psychopathological features (co-occurring mental disorders, presence of a mood disorder, more internalizing mental illness symptoms, and more pronounced self-critical rumination) were associated with engaging in NSSI for intrapersonal reasons. We also identified other differences within the specific intrapersonal NSSI motivations. It should be highlighted that the anti-suicide function of NSSI behaved in exactly the opposite way as the other intrapersonal motivations. All this points to the fact that in clinical settings, detailed assessment of NSSI motivations and severity indicators can help to develop a more effective treatment plan.
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This article was submitted to Addictive Disorders, a section of the journal Frontiers in Psychiatry
Edited by: Qian Xiao, Xiangya Hospital, Central South University, China
Reviewed by: Roser Granero, Universitat Autònoma de Barcelona, Spain; Massimiliano Beghi, Azienda Unità Sanitaria Locale (AUSL) della Romagna, Italy; Michel Spodenkiewicz, Université de la Réunion, France
ISSN:1664-0640
1664-0640
DOI:10.3389/fpsyt.2022.1046576