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Nonsuicidal Self-Harm Among Community Adolescents: Understanding the “Whats” and “Whys” of Self-Harm

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Abstract

This study examines self-harm in a community sample of adolescents. More specifically, the study identifies the prevalence and types of self-harm, elucidates the nature and underlying function of self-harm, and evaluates the relation of psychological adjustment, sociodemographic, and health-risk variables to self-harm. Self-report questionnaires assessing self-harm, adjustment, health behaviors, suicide history, and social desirability were completed by 424 school-based adolescents. Overall, 15% of the adolescents reported engaging in self-harm behavior. Analyses revealed gender differences across behaviors and motivations. Adolescents who indicated harming themselves reported significantly increased antisocial behavior, emotional distress, anger problems, health risk behaviors, and decreased self-esteem. Results provide support for the coping or affect regulation model of self-harm. Findings suggest that self-harm is associated with maladjustment, suicide, and other health behaviors indicative of risk for negative developmental trajectories.

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References

  • Borges, G., Anthony, J. C., and Garrison, C. Z. (1995). Methodological issues relevant to epidemiologic investigations of suicidal behaviors of adolescents. Epidemiol. Rev. 17(1): 228–239.

    PubMed  Google Scholar 

  • Boudewyn, A. C., and Liem, J. H. (1995). Psychological, interpersonal, and behavioral correlates of chronic self-destructiveness: An exploratory study. Psychol. Rep. 77: 1283–1297.

    PubMed  Google Scholar 

  • Briere, J., and Gil, E. (1998). Self-mutilation in clinical and general population samples: Prevalence, correlates, and functions. Am. J. Orthopsychiatry 68(4): 609–620.

    PubMed  Google Scholar 

  • Carroll, J., Shaffer, C., Spensley, J., and Abramowitz, S. I. (1980). Family experiences of self-mutilating patients. Am. J. Psychiatry 137: 852–853.

    PubMed  Google Scholar 

  • Compas, B., Orosan, P. G., and Grant, K. E. (1993). Adolescent stress and coping: Implications for psychopathology during adolescence. J. Adolesc. 16: 331–349.

    Article  PubMed  Google Scholar 

  • Conterio, K., and Lader, W. (1998). Bodily Harm. Hyperion, New York.

    Google Scholar 

  • Crick, N. R., and Zahn-Waxler, C. (2003). The development of psychopathology in females and males: Current progress and future challenges. Dev. Psychopathol. 15: 719–742.

    Article  PubMed  Google Scholar 

  • Cross, L. W. (1993). Body and self in feminine development: Implications for eating disorders and self-mutilation. Bull. Menninger Clin. 57(1): 40–68.

    Google Scholar 

  • Darche, M. A. (1990). Psychological factors differentiating self-mutilating and non-self-mutilating adolescent inpatient females. Psychiatr. Hosp. 21(1): 31–35.

    Google Scholar 

  • Favaro, A., and Santonastaso, P. (1999). Different types of self-injurious behavior in bulimia nervosa. Compr. Psychiatry 40(1): 57–60.

    Article  PubMed  Google Scholar 

  • Favazza, A. R. (1992). Repetitive self-mutilation. Psychiatr. Ann. 22: 60–63.

    Google Scholar 

  • Favazza, A. R., and Conterio, K. (1989). Female habitual self-mutilators. Acta Psychiatr. Scand. 79: 283–289.

    PubMed  Google Scholar 

  • Fisher, C. B., Higgins-D'Alessandro, A., Rau, J., Kuther, T., and Belanger, S. (1996). Referring and reporting research participants at risk: Views from urban adolescents. Child Dev. 67: 2086–2100.

    PubMed  Google Scholar 

  • Frost, M. J. (1995). Self-harm and the social work relationship. Social Work Monographs, 134.

  • Garrison, A. B., Addy, C. L., McKeown, R. E., Cuffe, S. P., Jackson, K. L., and Waller, J. L. (1993). Nonsuicidal physically self-damaging acts in adolescents. J. Child Fam. Stud. 2(4): 339–352.

    Article  Google Scholar 

  • Ghaziuddin, M., Tsai, L., Naylor, M., and Ghaziuddin, N. (1992). Mood disorder in a group of self-cutting adolescents. Acta Paedopsychiatr. 55: 103–105.

    PubMed  Google Scholar 

  • Graff, H., and Mallin, R. (1967). The syndrome of the wrist-cutter. Am. J. Psychiatry 124(1): 36–42.

    PubMed  Google Scholar 

  • Gratz, K. L. (2001). Measurement of deliberate self-harm: Preliminary data on the deliberate self-harm inventory. J. Psychopathol. Behav. Assess. 23: 253–263.

    Article  Google Scholar 

  • Gratz, K. L., Conrad, S. D., and Roemer, L. (2002). Risk factors for deliberate self-harm among college students. Am. J. Orthopsychiatry 72(1): 128–140.

    Article  PubMed  Google Scholar 

  • Guertin, R., Lloyd-Richardson, E., Spirito, A., Donaldson, D., and Boergers, J. (2001). Self-mutilative behavior in adolescents who attempt suicide by overdose. J. Am. Acad. Child Adolesc. Psychiatry 40(9): 1062–1069.

    Article  PubMed  Google Scholar 

  • Herpetz, S. (1995). Self-injurious behavior: Psychopathological and nosological characteristics in subtypes of self-injurers. Acta Psychiatr. Scand. 91: 57–68.

    PubMed  Google Scholar 

  • Hibbard, S. K. (1994). The mechanisms and meanings of self-cutting. Mod. Psychoanal. 19: 45–54.

    Google Scholar 

  • Huberty, C. J., and Morris, J. D. (1989). Multivariate analysis versus multiple univariate analyses. Psychol. Bull. 105(2): 302–308.

    Article  Google Scholar 

  • Izard, C. (1977). Human Emotions. Plenum Press, New York.

    Google Scholar 

  • Jeffery, D., and Warm, A. (2002). A study of service providers' understanding of self-harm. J. Ment. Health 11(3): 295–303.

    Article  Google Scholar 

  • Klonsky, E. D., Oltmanns, T. F., and Turkheimer, E. (2003). Deliberate self-harm in a nonclinical population: Prevalence and psychological correlates. Am. J. Psychiatry 160(8): 1501–1508.

    Article  PubMed  Google Scholar 

  • Langhinrichsen-Rohling, J., Lewinsohnm, P., Rohde, P., Seeley, J., Monson, C. M., Meyer, K. A., and Langford, R. (1998). Gender differences in the suicide-related behaviors of adolescents and young adults. Sex Roles 39(11): 839–854.

    Article  Google Scholar 

  • Leadbeater, B. J., Blatt, S. J., and Quinlan, D. M. (1995). Gender-linked vulnerabilities to depressive symptoms, stress, and problem behaviours in adolescents. J. Res. Adoles. 5(1): 1–29.

    Google Scholar 

  • Lloyd, E. E. (1997). Self-multilation in a community sample of adolescents. Unpublished doctoral dissertation, Louisiana State University and Agricultural and Mechanical College.

  • Lohman, B. J., and Jarvis, P. A. (2000). Adolescent stressors, coping strategies, and psychological health studied in the family context. J. Youth Adolesc. 29(1): 15–43.

    Article  Google Scholar 

  • McMahon, S. D., Grant, K. E., Compas, B. E., Thurm, A. E., and Ey, S. (2003). Stress and psychopathology in children and adolescents: Is there evidence of specificity? J. Child Psychol. Psychiatry 44(1): 107–133.

    Article  PubMed  Google Scholar 

  • Millstein, S. G. (1993). A view of health from the adolescent's perspective. In Millstein, S. G., Petersen, A. C., and Nightingale, E. O. (eds.), Promoting the Health of Adolescents: New Directions for the Twenty-First Century. Oxford University Press, New York, pp. 97–118.

    Google Scholar 

  • Nixon, M. K., Cloutier, P. F., and Aggarwal, S. (2002). Affect regulation and addictive aspects of repetitive self-injury in hospitalized adolescents. J. Am. Acad. Child Adolesc. Psychiatry 41(11): 1333–1341.

    Article  PubMed  Google Scholar 

  • Osuch, E. A., Noll, J. G., and Putnam, F. W. (1999). The motivations for self-injury in psychiatric inpatients. Psychiatry Interpers. Biol. Processes 62(4): 334–346.

    Google Scholar 

  • Parker, G., Roy, K., Wilhelm, K., Austin, M., Mitchell, P., and Hadzi-Pavlovic, D. (1998). “Acting out” and “acting in” as behavioural responses to stress: A qualitative and quantitative study. J. Personal. Disord. 12(4): 338–350.

    PubMed  Google Scholar 

  • Patton, G. C., Harris, R., Carlin, J. B., Hibbert, M. E., Coffey, C., Schwartz, M., and Bowes, G. (1997). Adolescent suicidal behaviors: A population-based study of risk. Psychol. Med. 27: 715–724.

    Article  PubMed  Google Scholar 

  • Reynolds, W. M. (1982). Development of reliable and valid short forms of the Marlowe–Crowne Social Desirability Scale. J. Clin. Psychol. 38(1): 119–125.

    Google Scholar 

  • Reynolds, W. M. (2001). Reynolds Adolescent Adjustment Screening Inventory: Professional Manual. Psychological Assessment Resources, Inc., Odessa, FL.

    Google Scholar 

  • Rodham, K., Hawton, K., and Evans, E. (2004). Reasons for deliberate self-harm: Comparison of self-poisoners and self-cutters in a community sample of adolescents. J. Am. Acad. Child Adolesc. Psychiatry 43(1): 80–87.

    Article  PubMed  Google Scholar 

  • Ross, S., and Heath, N. (2002). A study of the frequency of self-mutilation in a community sample of adolescents. J. Youth Adolesc. 31(1): 67–77.

    Article  Google Scholar 

  • Ross, S., and Heath, N. (2003). Two models of adolescent self-mutilation. Suicide Life Threat. Behav. 33(3): 277–287.

    Article  PubMed  Google Scholar 

  • Saarni, C. (1999). The Development of Emotional Competence. The Guilford Press, New York.

    Google Scholar 

  • Schonert-Reichl, K. A., and Offer, D. (1992). Gender differences in adolescent symptoms. In Lahey, B., and Kazdin, A. E. (eds.), Advances in Clinical Child Psychology (Vol. 14). Plenum Press, New York, pp. 27–60.

    Google Scholar 

  • Sharkin, B. S., and Gelso, C. J. (1991). The Anger Discomfort Scale: Beginning reliability and validity data. Meas. Eval. Counsel. Dev. 24(2): 61–68.

    Google Scholar 

  • Shaw, S. N. (2002). Shifting conversations on girls' and women's self-injury: An analysis of the clinical literature in historical context. Feminism Psychol. 12(2): 191–219.

    Article  Google Scholar 

  • Shepperd, C., and McAllister, M. (2002). CARE: A framework for responding therapeutically to the client who self-harms. J. Psychiatr. Ment. Health Nurs. 10: 442–447.

    Article  Google Scholar 

  • Simeon, D., and Favazza, A. R. (2001). Self-injurious behaviors: Phenomenology and assessment. In Simeon, D., and Hollander, E. (eds.), Self-injurious Behaviors: Assessment and Treatment. American Psychiatric Publishing, Inc., Washington, DC, pp. 1–28.

    Google Scholar 

  • Southam-Gerow, M. A., and Kendall, P. (2002). Emotion regulation and understanding: Implications for child psychopathology and therapy. Clin. Psychol. Rev. 22: 189–222.

    Article  PubMed  Google Scholar 

  • Stanley, B., Gameroff, M. J., Michalsen, V., and Mann, J. J. (2001). Are suicide attempters who self-mutilate a unique population? Am. J. Psychiatry 158(3): 427–432.

    Article  PubMed  Google Scholar 

  • Suyemoto, K. (1998). The functions of self-mutilation. Clinical Psychol. Rev. 18(5): 531–554.

    Article  Google Scholar 

  • Taylor, B. (2003). Exploring the perspectives of men who self-harm. Learn. Health Soc. Care 2(2): 83–91.

    Article  Google Scholar 

  • van der Kolk, B. A., and Fisler, R. E. (1994). Child abuse and neglect and loss of self-regulation. Bull. Menninger Clin. 58: 145–168.

    PubMed  Google Scholar 

  • van der Kolk, B. A., Perry, J. C., and Herman, J. L. (1991). Childhood origins of self-destructive behavior. Am. J. Psychiatry 148(12): 1665–1671.

    PubMed  Google Scholar 

  • Wangby, M., Bergman, L. R., and Magnusson, D. (1999). Development of adjustment problems in girls: What syndromes emerge? Child Dev. 70(3): 678–699.

    Article  PubMed  Google Scholar 

  • Zaslow, M. J., and Takanishi, R. (1993). Priorities for research on adolescent development. Am. Psychol. 48(2): 185–192.

    Article  PubMed  Google Scholar 

  • Zlotnick, C., Mattia, J. I., and Zimmerman, M. (1999). Clinical correlates of self-mutilation in a sample of general psychiatric patients. J. Nerv. Ment. Dis. 187(5): 296–301.

    Article  PubMed  Google Scholar 

  • Zlotnick, C., Shea, M. T., Pearlstein, T., Simpson, E., Costello, E., and Begin, A. (1996). The relationship between dissociative symptoms, alexithymia, impulsivity, sexual abuse, and self-mutilation. Compr. Psychiatry 37(1): 12–16.

    Article  PubMed  Google Scholar 

  • Zweig, J. M., Lindberg, L. D., and McGinley, K. A. (1991). Adolescent health risk profiles: The co-occurrence of health risks among females and males. J. Youth Adolesc. 30(6): 707–726.

    Article  Google Scholar 

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Correspondence to Aviva Laye-Gindhu.

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Doctoral student in the Department of Educational and Counseling Psychology at the University of British Columbia. Received M.A. in School Psychology from the University of British Columbia. Research interests include self-harm, anxiety, coping, and street-involved youth.

Associate Professor in the Department of Educational and Counseling Psychology at the University of British Columbia. Received Ph.D. from the University of Iowa. Research interests include adolescent social-cognitive development, developmental psychopathology, and stress and coping.

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Laye-Gindhu, A., Schonert-Reichl, K.A. Nonsuicidal Self-Harm Among Community Adolescents: Understanding the “Whats” and “Whys” of Self-Harm. J Youth Adolescence 34, 447–457 (2005). https://doi.org/10.1007/s10964-005-7262-z

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