Adolescents who Engage in Nonsuicidal Self-Injury (NSSI)

2017 ◽  
pp. 398-416
Author(s):  
David Voon ◽  
Penelope Hasking
Keyword(s):  
Emotion Regulation ◽  
Large Scale ◽  
Best Practice ◽  
Emotional Reactivity ◽  
The Body ◽  
Emotional States ◽  
Self Injury ◽  
Self Harm ◽  
Nonsuicidal Self Injury

Nonsuicidal self-injury (NSSI) refers to intentional damage to the body without fatal intent. While distal factors such as genetic predisposition, emotional sensitivity, emotional reactivity and invalidating childhood environments may serve as risk factors, NSSI is primarily maintained by alleviation of intense negative emotional states, in the absence of alternative emotion regulation strategies. Currently, no specific NSSI intervention for adolescents exists; however, extant self-harm interventions have demonstrated promising, preliminary findings. Of note, the salient role of emotion regulation in the initiation and maintenance of NSSI suggests this may be a viable treatment target. While empirical evidence supports this in adult samples, replication in large-scale, randomized controlled trials with adolescent samples is required to inform best practice in treating NSSI among adolescents.

Nonsuicidal Self-Injury, Interpersonal Neurobiology, and Attachment: Implications for Counselors and Therapists

2017 ◽  
Vol 39 (4) ◽  
pp. 289-304
Author(s):  
Jack De Stefano ◽  
Shawna Atkins
Keyword(s):  
Mental Health ◽  
Emotion Regulation ◽  
Attachment Theory ◽  
Best Practice ◽  
Mental Health Counselors ◽  
Interpersonal Neurobiology ◽  
Treatment Approaches ◽  
Self Injury ◽  
Nonsuicidal Self Injury

Given its prevalence, nonsuicidal self-injury (NSSI) is increasingly becoming the focus of mental health counselors and other clinicians. Even when these individuals are knowledgeable about NSSI, the best treatment approaches remain uncertain. While several therapeutic treatments have been evaluated for their effectiveness, results are inconclusive. As the search for best practice continues, the authors propose attachment theory and interpersonal neurobiology as relevant to NSSI, especially considering their potential to facilitate emotion regulation. A case example is provided.

Romantic relationships and nonsuicidal self-injury among college students: The mediating role of emotion regulation

2017 ◽  
Vol 50 ◽  
pp. 36-44 ◽  
Author(s):  
Eliana Silva ◽  
Bárbara C. Machado ◽  
Célia S. Moreira ◽  
Sofia Ramalho ◽  
Sónia Gonçalves
Keyword(s):  
College Students ◽  
Emotion Regulation ◽  
Romantic Relationships ◽  
Mediating Role ◽  
Self Injury ◽  
Nonsuicidal Self Injury

Self-Harm Disorders

2019 ◽  
pp. 381-432
Author(s):  
James C. Raines ◽  
Stephanie Ochocki
Keyword(s):  
Suicidal Behavior ◽  
Essential Feature ◽  
Behavior Disorder ◽  
The Body ◽  
Diagnostic And Statistical Manual ◽  
School Based ◽  
Self Injury ◽  
Self Harm ◽  
The Individual ◽  
Nonsuicidal Self Injury

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) lists both suicidal behavior disorder and nonsuicidal self-injury as conditions for further study. The essential feature of suicidal behavior disorder is that the individual has at least some intent to die. The essential feature of nonsuicidal self-harm is that the individual repeatedly inflicts superficial injuries to the body. Controversy continues to exist about whether the proposed disorders are part of a continuum of self-harm or distinct categories. Suicidal behavior is growing fastest in pre- and early adolescent girls. Nonsuicidal self-injury should be distinguished from stereotypic self-injury. Screeners can help to identify students who need a thorough assessment. Full assessments should utilize a crisis team. Recommendations are made for each tier using a multitiered system of supports framework. A case example illustrates school-based intervention for nonsuicidal self-injury.

Exploring Particular Facets of Cognitive Emotion Regulation and Their Relationships With Nonsuicidal Self-Injury Among Adolescents

Crisis ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 280-286 ◽  
Author(s):  
Nir Madjar ◽  
Nicole Segal ◽  
Gilad Eger ◽  
Gal Shoval
Keyword(s):  
Emotion Regulation ◽  
High School Students ◽  
Analysis Of Covariance ◽  
Depression Symptoms ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
School Students ◽  
Self Injury ◽  
Regulation Strategies ◽  
Nonsuicidal Self Injury

Abstract. Background: Nonsuicidal self-injury (NSSI) has been found to be associated with poor emotion regulation. Aims: The goal of this study was to examine the association of multidimensional cognitive emotion regulation strategies with NSSI among adolescents and compare the different patterns of NSSI. Method: A sample of 594 high-school students (54.4% boys; mean age = 14.96 years), from five regional schools across Israel, were assessed for five facets of cognitive emotion regulation strategies (acceptance, refocus on planning, positive refocusing, putting into perspective, and positive reappraisal) and NSSI behaviors using validated scales. Participants were allocated into three groups: repetitive NSSI (more than six occasions of NSSI; 7.1%), occasional NSSI (at least one incident but less than six; 8.3%), and no NSSI (84.6%). Results: Analysis of covariance, controlling for gender and depression symptoms, revealed that students with NSSI reported higher levels of acceptance, but lower levels of refocus on planning and putting into perspective. Limitations: The study used a cross-sectional design, which was a limitation. Conclusion: These findings demonstrate that particular cognitive emotion regulation strategies differ substantially in their relationship with NSSI. Adolescents who focus on planning and putting stressful situations into perspective may have increased resilience, whereas adolescents who are accepting of negative events that have happened may be more prone to maladaptive coping behaviors.

Role of Adaptive Coping Strategies in Adolescent Nonsuicidal Self-Injury

2013 ◽  
Author(s):  
Amy Kranzler ◽  
Emily A. Panza ◽  
Matthew K. Nock ◽  
Edward A. Selby
Keyword(s):  
Coping Strategies ◽  
Adaptive Coping ◽  
Self Injury ◽  
Nonsuicidal Self Injury

Latent Class Analysis of Nonsuicidal Self-Injury Among Justice-Involved Juveniles: Association With Motivational and Emotional Aspects of Self-Harm Behavior

2021 ◽  
pp. 009385482199841
Author(s):  
Melinda Reinhardt ◽  
Zsolt Horváth ◽  
Boglárka Drubina ◽  
Gyöngyi Kökönyei ◽  
Kenneth G. Rice
Keyword(s):  
Latent Class Analysis ◽  
Latent Class ◽  
Juvenile Detention ◽  
Class Analysis ◽  
Detention Centers ◽  
Self Injury ◽  
Class 1 ◽  
Emotional Aspects ◽  
Self Harm ◽  
Nonsuicidal Self Injury

Significantly higher rates of nonsuicidal self-injury (NSSI) have been discovered among justice-involved juveniles. Our study aimed to discriminate homogeneous subgroups of justice-involved youth with different self-harm behavior characteristics based on latent class analysis. A total of 244 adolescents (92.6% boys; Mage = 16.99, SD = 1.28) in Hungarian juvenile detention centers completed measures of NSSI and dissociation. High-NSSI (Class 1; 9%), moderate-NSSI (Class 2; 42.6%), and low-NSSI (Class 3; 48.4%) profiles were detected relating to different forms of NSSI. Multiple comparisons showed that girls were members of Class 1 and 2 at higher rates and these subgroups showed significantly higher dissociation proportions than Class 3. Our findings pointed out diversity in self-harm profiles with different characteristics in terms of methods and severity of self-harm, experienced emotions, and other emotion regulation tendencies among justice-involved adolescents. These results suggest sophisticated treatment approaches to match variations in severity and presentation.

Exploring the role of anger in nonsuicidal self-injury in veterans

2021 ◽  
Vol 137 ◽  
pp. 55-65
Author(s):  
Clair Cassiello-Robbins ◽  
Kirsten H. Dillon ◽  
Daniel V. Blalock ◽  
Patrick S. Calhoun ◽  
Jean C. Beckham ◽  
...  
Keyword(s):  
Self Injury ◽  
Nonsuicidal Self Injury
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