Search Results (98)

The construct of violence has scarcely been researched in relation to suicidality in Mexico. The aim of the present study was to explore the role of different types of violence (e.g., violence at home, non-suicidal self-injury) in suicidal behaviour (e.g., suicidal ideation, suicidal acts) of the citizens of the Yucatan State using a massive online screening approach through a smartphone application. A prospective cohort study design was undertaken during 2022 including 32,531 Mexican participants aged between 15 and 80 years old, which constituted the second wave of the SmartScreen project, through the TEDUCA survey. We selected as the main variables violence at home, non-suicidal self-injuries, and suicidal behaviour (Columbia—Suicide Severity Rating Scale; C-SSRS). A set of univariate regression analyses was performed for the entire sample connecting the variables with the C-SSRS. Subsequently, a multiple linear regression model was used. The model explained a significant portion of the variance in C-SSRS scores (R²adj = 0.3227) indicating the following as predictors affecting suicidality: perceived violence at home, followed by a history of NSSI, and previous mental health service attendance, among other associations between the sociodemographic predictors and suicidal behaviour. Significant interactions between perceived violence and NSSI history were also found. In conclusion, our study highlights the significant role of perceived violence at home and NSSI history in shaping suicide risk understood as the ideation and intention of suicidality among Yucatan citizens. The interaction between these factors and sociodemographic variables such as gender and age underscore the complex nature of suicide risk. Full article

Previous research has demonstrated that parental psychological control increases the likelihood of non-suicidal self-injury (NSSI) among college students. However, the underlying mechanisms of this association remain unclear. This study aims to investigate whether relative deprivation and depression serve as chain mediators in the relationship between paternal/maternal psychological control and NSSI, while also examining the moderating role of peer relationships. A total of 1158 college students (48.3% female; Mage = 19.26 years) completed assessments measuring parental psychological control, relative deprivation, depression, peer relationships, and NSSI. The results revealed that both paternal and maternal psychological control influence college students’ NSSI through two distinct pathways: the mediating role of depression, and a chain-mediating pathway involving relative deprivation followed by depression. Peer relationships moderated multiple associations, including those between paternal psychological control and NSSI, paternal psychological control and depression, relative deprivation and NSSI, and depression and NSSI. Notably, positive peer relationships helped mitigate the adverse effects stemming from paternal psychological control. However, peer relationships failed to buffer the negative impacts induced by maternal psychological control. These findings provide nuanced insights into the differential mechanisms through which paternal versus maternal psychological control influences college students’ NSSI. The results emphasize the necessity for distinct prevention and intervention strategies tailored to address the unique effects of paternal and maternal psychological control, thereby assisting practitioners in developing targeted approaches to reduce NSSI among college students. Full article

Background: Previous studies have demonstrated that involuntary smoking (e.g., secondhand smoke [SHS] and thirdhand smoke [THS]) is not only associated with an increased risk of several physical health problems, such as cardiovascular disease and cancer, but also impacts mental health, including depression and anxiety. However, the relationships between SHS and THS exposure and non-suicidal self-injury (NSSI), suicidal ideation (SI), and suicide attempts (SAs) remain unclear. Methods: Participants were recruited at a Chinese vocational college via voluntary online surveys conducted on campus. Self-reported SHS exposure was determined by the frequency of contact with smokers or detecting tobacco odors in living environments, while THS was assessed through regular contact with smoker-contaminated surfaces (e.g., clothing, furniture, textiles). Logistic regression analysis was performed to evaluate the associations of SHS and THS exposure with the prevalence of NSSI, SI, and SAs in never-smoking participants. Results: The study included 5716 participants (mean age = 19.3 years; females, 85.4%). The prevalence of SHS and THS exposure was 87.6% and 77.4%, with 8.8% reporting ≥15 min of SHS exposure on at least one day per week. After controlling for potential covariates, exposure to SHS (≥15 min on at least one day per week) was significantly associated with the odds of SAs (OR [95%CI] = 1.85 [1.17–2.91]). Additionally, daily THS exposure was significantly associated with increased past-year NSSI prevalence (2.35 [1.29–4.28]) compared to those without THS exposure, with similar associations observed for SI (2.11 [1.28–3.48]) and SAs (2.40 [1.23–4.69]). Conclusions: Exposure to SHS and THS was significantly associated with increased likelihood of NSSI, SI, and SAs among young adults at a Chinese vocational college. Further studies are needed to validate these associations across more diverse populations. Full article

This study employed Linguistic Inquiry and Word Count (LIWC-22) software, a language analysis tool, to examine Spanish-language pro-NSSI Tumblr posts. Pro-NSSI, or “pro non suicidal self-injury”, refers to online content that normalizes or supports self-harming behaviors. Given the strong associations between NSSI and conditions such as post-traumatic stress disorder (PTSD), anxiety, and depression, understanding how these behaviors are discussed online can help improve interventions. A year’s worth of public posts were collected, focusing on captions and hashtags that included NSSI-related terms. Using Linguistic Inquiry and Word Count (LIWC) software, we analyzed linguistic and psychological markers. Log-likelihood ratio tests revealed significantly higher frequencies of words related to negative emotions, sadness, health, and death compared to standard blog norms. Mixed-language posts showed notable code-switching, suggesting a possible emotional distancing mechanism when discussing self-harm. The findings indicate that Spanish-speaking adolescents engaging in pro-NSSI communities exhibit unique linguistic and psychological characteristics, with important implications for clinical assessment and intervention. Mental health counselors and educators can use these insights to develop culturally and linguistically responsive strategies for prevention and support. Full article

Background/Objectives: Suicidal behaviors (SBs) and non-suicidal self-injury (NSSI) are significant mental health concerns in children and adolescents. The hypothalamic–pituitary–adrenal (HPA) axis, of which cortisol is a key hormone, has been implicated in these behaviors. This narrative review aims to explore whether cortisol levels play a role in SBs and NSSI in youth and to synthesize current evidence on this topic. Methods: A comprehensive literature search was conducted on studies published through November 2024, using PubMed, Web of Science, and Google Scholar databases. Studies were screened for eligibility, including only human studies published in English, with no animal models or studies excluding cortisol levels. A narrative synthesis approach was used due to the methodological diversity across studies. Due to limited adolescent-focused research, studies involving adults were also considered. Results: Findings indicate inconsistent cortisol patterns in relation to SBs and NSSI. Elevated cortisol levels are linked to SBs, with some studies suggesting they may predict future suicide attempts, though no definitive cause-and-effect relationship is established. Conversely, cortisol levels in relation to NSSI show mixed results, with some studies reporting no differences. Cortisol responses to stress, measured by saliva, blood, and hair, reveal complex interactions with psychological factors such as depression and impulsivity, influencing cortisol secretion. Discussion: Despite some evidence pointing to a role of cortisol dysregulation in SBs and NSSI, the relationship remains unclear due to study heterogeneity, including small sample sizes and methodological variations. Gender and the type of stressor used in studies also complicate the findings. Future research should prioritize longitudinal studies, better control for confounding factors, and utilize more diverse cortisol assessment methods to clarify these links. Conclusions: While cortisol may play a role in the pathophysiology of SBs and NSSI, further research is needed to establish clearer, more reliable patterns. Identifying alterations in cortisol levels may aid in early detection and targeted interventions for at-risk adolescents. Full article

Background: Non-suicidal self-injurious behaviour (NSSI) is a growing concern in the field of adolescent mental health. It is thus crucial to examine the factors associated with this behaviour. Methods: A sample of 354 adolescents (51.7% boys), with a mean age of 15.01 years (ranging from 12 to 20 years), was analysed to explore the relationships between NSSI and self-regulation strategies, substance use, dependence on social networks, and symptomatology. Results: The results indicate that adolescents who engage in NSSI employ fewer adaptive emotional self-regulation strategies and exhibit more self-blame and rumination than those who do not engage in NSSI. Additionally, these adolescents show greater psychological symptomatology, more dependence on social networks, and increased substance use. Gender is also an important factor, with more girls (62.8%) than boys (37.2%) engaging in self-harm. Regression analyses show that self-harm is associated with greater symptomatology and increased substance use for boys and girls alike. For girls, self-harm is also associated with maladaptive self-regulation strategies. The variables chosen for analysis allowed us to correctly classify 89.5% of the boys who did not self-harm and 72.8% of the girls who did. Conclusions: This study offers insight into the relationships among self-regulation, digital addiction, substance use, emotional symptomatology, and NSSI in adolescents, highlighting the importance of gender. Full article

Non-suicidal self-injury (NSSI) is a transdiagnostic behavior often found in patients with eating disorders (EDs). Both conditions plateau in adolescence and share psychopathological traits. Our study focuses on body image concerns, a complex psychopathological construct associated with both NSSI and ED, as a shared risk factor between the two. This study included 73 participants aged 14–24 recruited from the Eating Disorders Day Hospital, University Hospital of Bari, Italy, divided into two groups: those with an ED and NSSI (ED + NSSI) and those with an ED without NSSI (ED-only). Using standardized assessments such as clinical and demographical data, the Body Uneasiness Test (BUT-a), and the Eating Disorder Inventory (EDI-2), this study found that the ED + NSSI group exhibited significantly higher body image concerns in all main scales and subscales of BUT-a and EDI-2. Moreover, the ED + NSSI group presented higher scores on psychopathological traits associated with a more severe ED, namely Ineffectiveness, Social Insecurity, and Asceticism. Finally, patients in the ED + NSSI group were diagnosed with a higher degree of depressive disorders. These findings highlight significant associations between body image concerns and NSSI in patients with an ED, also showing a higher risk of psychiatric comorbidities and a more severe ED profile in these patients. Full article

Background/Objectives: Adolescence is a developmental stage characterized by profound physical and psychological transformations, often leading to vulnerabilities such as body dissatisfaction, identity challenges, and the use of maladaptive coping strategies. This often leads to body-related psychopathologies, including headaches, restrictive eating disorders, and non-suicidal self-injury (NSSI). The present study aimed to describe the typical functioning and features of these conditions and the differences between the three groups, and to identify the most effective assessment for predicting these conditions. Methods: Sixty adolescent patients (51 female; mean age = 15.34 ± 1.80) were divided into three groups: headaches, restrictive eating disorders, and NSSI, and assessed for differences in symptoms, cognitive performance, personality, functioning, and illness severity using semi-structured interviews, clinician-based scales, and performance-based tests like the Rorschach inkblot test, according to the Rorschach Performance Assessment System (R-PAS). Results: Individuals with headaches experienced more internalizing symptoms, had an average IQ, maintained some functioning areas, and had distorted patterns of self–other relationships with the tendency to project malevolent aspects onto others. Patients with restrictive eating disorders had high levels of depressive symptoms, above-average IQ scores, negative symptoms, moderate presence of obsessive–compulsive personality traits, disorganized thinking, and a tendency to interpret situations subjectively. Patients with NSSI showed the highest level of depressive symptoms and social anxiety symptoms, and a considerable presence of psychotic symptoms and perceptual distortions. Negative symptoms, borderline personality traits, and psychosis symptoms had the strongest predictivity. Conclusions: The study provides clinicians with relevant insights into the features of these conditions and highlights assessment strategies, tailored interventions, and enhanced outcomes for these vulnerable populations. Full article

In recent years, self-injury attempts have accounted for 46.2% of emergency room visits by teenagers and young adults. This study aimed to explore the prevalence of non-suicidal self-injury (NSSI) among Korean college students, compare the mean number of NSSI risk factors between those with a history of NSSI and a control group with no history of thoughts or experiences of self-injury, and identify which factors have a greater influence on NSSI. The participants consisted of 403 Korean college students aged 18–29 who were divided into a subject group with a history of NSSI (n = 198) and a comparison group (n = 205) with no history of NSSI. The Functional Assessment of Self-Mutilation (FASM), Childhood Trauma Questionnaire (CTQ-SF), Social Experience Questionnaire (SEQ), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder 7-item scale (GAD-7), Difficulties in Emotion Regulation Scale—16 item version (DERS-16), Experiences in Close Relationship Questionnaire-Revised (ECR-R), Rosenberg Self-Esteem Scale (RSES), Parents as Social Context Questionnaire-Kids (PSCQ-KA), and Barratt Impulsiveness Scale-11-Revised (BIS-11). The collected data were analyzed using SPSS 25.0. Before a regression analysis, a MANOVA was performed to examine the mean difference between groups of each dependent variable, and a multiple regression analysis was performed to confirm the influence. The mean difference in all risk factors in the subject group compared with the comparison group was found to be statistically significant, with an effect size of 0.8 or greater. As a result of examining the relative influence of each variable on NSSI, emotional dysregulation (t = 2.481, p = 0.014), anxiety (t = −2.109, p = 0.036), and adult attachment (t = 2.004, p = 0.046) were found to significantly influence NSSI (p = 0.05). These findings will serve as fundamental data for screening clients at risk of self-injury in counseling and treatment settings, in addition to providing preventive and therapeutic interventions. Full article

Background: Non-suicidal self-injury (NSSI) is a significant public health concern that threatens the physical and mental health of adolescents. Given its high prevalence among adolescents, understanding the characteristics and contributing factors of NSSI is crucial. This study aimed to characterize NSSI and examine the relationship between self-control and NSSI among adolescent psychiatric outpatients. Method: This study was conducted in a psychiatric department of a hospital in Hubei Province, China, involving 206 adolescent psychiatric outpatients (135 females, 12–18 years old). Assessments included the Ottawa Self-Injury Inventory (OSI), the Self-Control Scale (SCS), and a self-designed sociodemographic questionnaire. Result: In this sample, 77.18% reported a history of NSSI. The prevalence of NSSI was significantly higher in females than in males (χ² = 19.059, p < 0.01). The NSSI group had significantly lower self-control scores compared to the non-NSSI group (F = 27.458, p < 0.01). In the NSSI group (n = 156), self-control was negatively associated with NSSI frequency and fully mediated by NSSI function. Conclusions: These findings highlight the complete mediating role of NSSI function between self-control and NSSI frequency, offering insights for future prevention and intervention efforts. Full article

Background: Suicidal behavior (SB) and non-suicidal self-injury (NSSI) are significant public health concerns among adolescents. The COVID-19 pandemic may have exacerbated these issues. Methods: This retrospective cohort study analyzed data from 341 adolescents (aged 6–18 years) presenting to a Romanian pediatric psychiatry emergency department during the years 2019 (pre-pandemic) and 2022 (post-pandemic). All participants underwent a thorough psychiatric assessment, and, together with their caregivers, were questioned on a wide range of potentially relevant issues, such as family, social, school, and life history factors. Logistic regression and random forest models were used to identify predictors of SB and NSSI. Results: SB was significantly predicted in regression models based on a prior suicidal ideation (OR = 68.410; p < 0.001), having a parent living abroad (OR = 11.438; p = 0.020), depression (OR = 6.803; p < 0.001), and conflicts with peers (OR = 0.325, p = 0.042), teachers (OR = 0.119, p = 0.024), or both (OR = 0.166, p = 0.012). The random forest model featured a slightly different order of the main predictors and highlighted the importance of additional predictors, such as prior suicide attempts, gender, and past non-suicidal self-injury. NSSI was mainly predicted by a history of self-harm (OR = 52.437; p < 0.001), the number of comorbid psychiatric disorders (OR = 1.709; p = 0.003), and conduct disorder (OR = 0.184; p < 0.001), to which are added, according to random forest models, new predictors, such as borderline personality disorder, suicidal ideation, and school performance. Post-pandemic increases were observed in depression, suicidal ideation, and possible psycho-traumatic negative life event exposure. Conclusions: This study underscores the complex interplay of individual, familial, and societal factors influencing adolescent self-harm. Comprehensive interventions are needed, with early intervention crucial for those with a history of self-harm. Further research using prospective designs is recommended. Full article

Many people with BPD (borderline personality disorder) experience emotional dysregulation and thus engage in NSSI (non-suicidal self-injury), potentially in the pursuit of emotional regulation. However, research is lacking on whether body modifications (piercings, tattoos, etc.) are linked to BPD in a similar way to NSSI. In the current study, we hypothesized (1) that body modifications are associated with BPD symptoms, (2) that emotional regulation and self-expression motivations for body modifications specifically account for variance in BPD symptoms, and (3) that NSSI craving correlates with body modification craving. Participants (N = 199, ages 18–67, located in the USA) were surveyed on BPD symptomatology, NSSI craving, emotional regulation abilities, and the presence of body modifications. The extent of tattooing (number of tattoos and percentage of body surface covered) was not significantly associated with BPD symptomatology, but the number of piercings was. Individuals with higher BPD symptomatology were not more likely to report emotional regulation and self-expression as motivations for obtaining body modifications. NSSI craving scores were significantly positively correlated with body modification craving scores. Body modification may be an alternative method of emotional regulation to NSSI in individuals with BPD, which clinicians may want to consider when treating those with BPD and NSSI. Full article

The literature provides empirical evidence that family economic hardship can increase the likelihood of adolescents engaging in non-suicidal self-injury (NSSI). However, the mechanisms underlying this relationship remain unclear. Guided by the risky families model, this study aimed to investigate whether relative deprivation mediates the link between family economic hardship and adolescent NSSI, and whether self-esteem moderates this indirect link. A combined 673 adolescents (45.9% female; M_age = 12.81 years) completed measures of family economic hardship, relative deprivation, self-esteem, and NSSI. The results verified that relative deprivation mediated the positive link between family economic hardship and NSSI. Additionally, self-esteem moderated the effect of family economic hardship on relative deprivation. Adolescents possessing high self-esteem reported lower relative deprivation compared to those possessing low self-esteem, regardless of their level of family economic hardship. Notably, the mitigating effect of high self-esteem diminished with high family economic hardship. These findings provide deeper insights into the mechanisms by which family economic hardship affect adolescent NSSI, and have practical implications for prevention and intervention strategies targeting this behavior. Full article

Background: Adolescent non-suicidal self-injury (NSSI) has emerged as a progressively widespread and significant public health concern on a global scale. Research has increasingly documented a positive linkage between deviant peer affiliation and adolescent NSSI; however, there is little known about the underlying moderating or mediating mechanism of NSSI. According to the gene × environment interaction perspective, the current study investigated the intermediary function of depression in linking deviant peer affiliation to NSSI among adolescents, while also considering the moderating effect of the OXTR gene rs53576 polymorphism on this intermediary process. Methods: A total of 469 adolescents (Mean_age = 12.81 years; SD = 0.47 years) anonymously finished the study questionnaires. This study used structural equation modeling analysis to verify a moderated mediation model. Gender, age, and family financial difficulties were used as covariates. Results: Mediation analyses suggested that the positive connection between deviant peer affiliation and adolescent NSSI was mediated by depression. Moreover, the moderated mediation analyses revealed that deviant peer affiliation increased depression levels, which in turn contributed to increased NSSI among adolescents with the AA genotype. Nevertheless, the correlation failed to reach statistical significance among adolescents possessing the GA and GG genotypes. Conclusions: These findings emphasize depression’s potential as a bridge linking deviant peer affiliation to adolescent NSSI. The AA genotype of the OXTR gene rs53576 emerges as a critical risk factor in the enhancement of this indirect effect. This study provides valuable perspectives for designing intervention strategies aimed at reducing adolescent NSSI. Full article

Background/Objectives: Anorexia nervosa (AN) has a high mortality rate frequently related to suicidality; however, there are few studies on suicide attempts (SAs) and non-suicidal self-injuries (NSSIs) in adult inpatients with AN. This study aims to describe SA and NSSI prevalence and related clinical and sociodemographic factors in adult inpatients with AN. Methods: We retrospectively analyzed data on 298 inpatients hospitalized between 2014 and 2023. Suicidality and clinical and sociodemographic data were collected by experienced psychiatrists; then, the patients completed a battery of self-report questionnaires investigating eating-related and general psychopathology. Results: A total of 9.7% of the inpatients reported an SA in their lifetime, and 13.4% reported NSSI. The percentages were lower among patients with restricter-type AN (5.6% SA and 6.6% NSSI) and higher among patients with binge–purging AN (18% SA and 27% NSSI). SAs were associated with unemployment, binge–purging AN, personality disorders, and lifetime sexual abuse; NSSIs were correlated with family psychiatric disorders, binge–purging AN, personality disorders, body dissatisfaction, restriction, and eating-related concerns. No differences emerged in the frequency of reported suicidality between patients tested before and after the COVID-19 pandemic. Conclusions: Suicidality is a relevant issue in AN. Many factors in the history of the patients and their eating-related pathologies should be considered as potentially associated with SA and NSSI and carefully assessed. Full article