Analysis of risk factors of non-suicidal self-harm behavior in adolescents with depression

Xiaomeng Wang · Qingyan Ma · Yunzhi Zhao · Xiaobin Yun

102 citations0/0 files storedAnnals of Palliative Medicine

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Suicide and Self-Harm Studies Personality Disorders and Psychopathology Homicide, Infanticide, and Child Abuse

Abstract

BACKGROUND: Adolescents are a high-risk group for non-suicidal self-injury (NSSI), which seriously affects their physical and mental health. This study aimed to explore the risk factors for depressive adolescents with NSSI. METHODS: A total of 153 adolescents with depression were divided into the NSSI group (n=65) and non-NSSI group (n=88) according to the criteria stipulated by Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). The Beck scale for suicidal ideation (BSS), adolescent self-rating life events checklist (ASLEC), family adaptability and cohesion evaluation scale II-Chinese version (FACES II-CV), childhood trauma questionnaire short form (CTQ SF), and multidimensional scale of perceived social support (MSPSS) were applied to evaluate suicidal ideation, frequency and intensity of stressful life events, family functions, childhood trauma, and perceived support, respectively. We applied two-dimensional logistic regression to identify risk factors for NSSI. RESULTS: Female gender ratio, suicidal ideation, and attempted suicide were significantly higher in the NSSI group than in the non-NSSI group (all P<0.05). Scores of interpersonal relationships in ASLEC, emotional abuse, and emotional neglect in the CTQ-SF were significantly higher in the NSSI group than those in the non-NSSI group (all P<0.001). The scores of family cohesion (P=0.001) and family adaptability (P=0.01) were significantly lower in the NSSI group than in the non-NSSI group. The MSPSS was used to assess support from the family, and the index was significantly lower in the NSSI group (P<0.001). After adjusting for age and gender, BSS score, interpersonal relationship score, emotional abuse score, and emotional neglect score were identified as independent risk factors for NSSI. CONCLUSIONS: The rate of NSSI in adolescents with depression is high. Higher scores of BSS, interpersonal relationship, emotional abuse, and neglect were independently associated with NSSI.

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References

2005Solving the puzzle of deliberate self-harm: The experiential avoidance model 2000Adolescent Onset of the Gender Difference in Lifetime Rates of Major Depression 2015Gender differences in the prevalence of nonsuicidal self-injury: A meta-analysis 2012Nonsuicidal Self-Injury as a Gateway to Suicide in Young Adults 2015Meta-analysis of risk factors for nonsuicidal self-injury 2007Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism 2013Longitudinal Analysis of Adolescent NSSI: The Role of Intrapersonal and Interpersonal Factors 2016Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review

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