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

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.

2020 ◽  
Vol 27 (6) ◽  
pp. 791-803
Author(s):  
Shazana Shahwan ◽  
Jue Hua Lau ◽  
Edimansyah Abdin ◽  
Yunjue Zhang ◽  
Rajeswari Sambasivam ◽  
...  

Trauma Care ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 75-86
Author(s):  
Rong Yang ◽  
Danlin Li ◽  
Run Tian ◽  
Jie Hu ◽  
Yanni Xue ◽  
...  

Previous studies have demonstrated the link between individual unhealthy behaviors and self-harm, but little is known about the influence of multiple unhealthy behaviors on self-harm among adolescents. This study aims to identify the potential patterns of unhealthy behaviors and to examine their associations with self-harm, which may become a useful tool for the screening of self-harm in adolescents. A total of 22,628 middle school students (10,990 males and 11,638 females) in six cities was enrolled in this study by multistage stratified cluster sampling from November 2015 to January 2016. Latent class analysis (LCA) was performed based on five kinds of unhealthy behaviors (unhealthy losing weight (ULW), tobacco use (TU), alcohol use (AU), screen time (ST), and mobile phone dependence (MPD)). Multivariate logistic regressions were used to examine associations between identified subgroups and self-harm. Four subgroups of unhealthy behaviors were identified. Class 1 (71.2%) had the lowest engagement in unhealthy behaviors. Class 2 ((ULW/MPD), 22.3%) had a relatively high prevalence of ULW and MPD. Class 3 ((TU/AU/ST), 3.2%) had a relatively high prevalence of TU, AU, and ST. Class 4 (3.3%) consistently engaged in unhealthy behaviors. Compared to class 1, class 2 (ULW/MPD), class 3 (TU/AU/ST), and class 4 showed OR (95%CI) values of 2.101 (1.964–2.248), 2.153 (1.839–2.520), and 3.979 (3.407–4.645) (p < 0.001 for each), respectively. Class 1, class 2 (ULW/MPD), and class 3 (TU/AU/ST) engagement in unhealthy behaviors was associated with increased self-harm. These findings strongly suggested that self-harm prevention efforts focusing on multiple unhealthy behaviors should be seriously considered for early detection of self-harm.


Author(s):  
Peiyi Lu ◽  
Dexia Kong ◽  
Mack Shelley ◽  
Joan K. Davitt

Guided by an intersectionality framework, this study examined intersectional discrimination attributions and their associations with health outcomes. Older respondents (aged ≥50) from the Health and Retirement Study in 2014-2015 were included ( N = 6286). Their reasons for discrimination (age, gender, sexual orientation, race, national origin, religion, financial status, weight, physical appearance, disability, and others) were examined. Latent class analysis examined the subgroup profiles. Six classes were identified: class 1 (54.52% of the sample) had no/minimal discrimination; Class 2 (21.89%) experienced primarily ageism; class 3 (8.81%) reported discrimination based on age/gender/national origin/race; class 4 (7.99%) attributed discrimination to financial/other reasons; class 5 (5.87%) experienced discrimination based on age/weight/physical appearance/disability; and class 6 (0.92%) perceived high discrimination. Intersectional discrimination was associated with poorer self-rated health and higher depressive symptoms compared to the no/minimal discrimination group. Multiple marginalized identities co-occur and contribute to discrimination. An intersectional approach is recommended to understand discrimination in later life.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jinju Lee ◽  
Yunsoo Lee ◽  
Soo Jung Kim ◽  
Ji Hoon Song

PurposeThe purpose of this study is to identify latent classes of work values that influence the career choices of Korean workers through a person-centred approach. Because work values may be diverse in individuals, investigating the various combinations of those values will help understand individual's decisions to take, maintain and leave a job.Design/methodology/approachThe authors used a total of 15,103 datasets collected at the national level in South Korea. Data were analyzed by using latent class analysis (LCA); a three-step approach was employed to address classification.FindingsAs the results of this study, Class 3, “seeking balanced work values rather than income,” presented the highest level of job satisfaction, whereas Class 1, “seeking job security and income,” exhibited the lowest.Originality/valueEmploying an assessment tool to identify the distinct combinations of work values that individuals possess and then providing them with appropriate training and development programs and customized Human Resource (HR) policies aligned with the classes will be essential tasks for HRD (Human Resource Development)/HRM (Human Resource Management) practitioners.


Medical Care ◽  
2021 ◽  
Vol 59 ◽  
pp. S51-S57 ◽  
Author(s):  
Rachel L. Zelkowitz ◽  
Karen S. Mitchell ◽  
Stephanie L. Grossman ◽  
Yael I. Nillni ◽  
Jaimie L. Gradus ◽  
...  

2020 ◽  
Author(s):  
Rui Li ◽  
Wanqiong Zhou ◽  
Jing Wu

Abstract Background: Undergraduate nursing students often encounter emotional problems due to academic stress. However, researchers have primarily focused on the impact of stressors, rather than understanding the subtypes of psychological state among students.Objectives: To identify subgroups of psychological traits among undergraduate nursing students using latent class analysis (LCA), and to examine the relationship between subgroups and exam failure risk.Design and Methods: A cross-sectional study was performed from May to July 2019. The Ruminative Responses Scale, Learning Burnout Questionnaire and Psychological Capital Scale were used to evaluate students’ psychological traits. Subjects were categorized into subgroups by latent class analysis. Cross-sectional comparisons and longitudinal regression analyses were subsequently performed.Settings and Participants: A total of 379 undergraduate nursing students from three medical colleges in Shanghai were investigated by cluster sampling method.Results: A total of four latent classes were identified based on the mean scores of rumination, learning burnout and psychological capital: Class 1 – General group (N=181, 47.76%); Class 2 – Negative psychologically dominated group (N=54, 14.25%); Class 3 – Positive psychologically dominated group (N=65, 17.15%); and Class 4 – Ambivalence psychological group (N=79, 20.84%). Students belonging into Class 1 and 2 displayed a higher rate of exam failure compared with those in Class 3 and 4 (p<0.05). Regression analysis showed that Class 1 (OR=2.108, 95%CI 1.240-4.118, p=0.006) and Class 2 (OR=2.694, 95%CI 1.229-6.293, p=0.016) independently predicted exam failure among undergraduate nursing students after adjusting for age, gender, grade and other academic related factors.Conclusions: Our findings provide practical implications for effective interventions that target each specific subgroup. Undergraduate nursing students with “Negative psychologically dominated group” were at a higher risk of exam failure. Urgent attention should be paid to address issues associated with psychological coping in students and their effect on learning outcomes.


2018 ◽  
Vol 41 (3) ◽  
pp. 265-285
Author(s):  
Kathrin Boerner ◽  
Daniela S. Jopp ◽  
Kyungmin Kim ◽  
Abigail Butt ◽  
Óscar Ribeiro ◽  
...  

This study examined how common thinking of and planning for the end of life (EOL) is among German and Portuguese centenarians, and whether patterns of EOL views are shaped by cultural and individual characteristics. A significant portion of centenarians in both countries reported not thinking about the EOL, not believing in the afterlife, and not having made EOL arrangements. Latent class analysis identified three EOL patterns: Class 1 ( EOL thoughts with EOL arrangements and afterlife beliefs), Class 2 ( EOL arrangements and afterlife beliefs without EOL thoughts), and Class 3 ( Overall low endorsement of EOL items). The proportion of Portuguese centenarians was higher in Class 1 and of German centenarians higher in Classes 2 and 3. Centenarians’ demographic, social, and health characteristics were significantly different across EOL patterns. As lack of EOL planning can result in poor EOL quality, enhancing communication among centenarians, family, and health-care professionals seems imperative.


2019 ◽  
Vol 10 (1) ◽  
pp. 204380871983082 ◽  
Author(s):  
Emily C. Gagen ◽  
Aieyat B. Zalzala ◽  
Jesse Hochheiser ◽  
Ashley Schnakenberg Martin ◽  
Paul H. Lysaker

Functional deficits are a hallmark of schizophrenia spectrum disorders, but much debate still exists over why and how they originate. One model suggests that disturbances in social functioning are a result of metacognitive deficits or a failure to integrate information to form more complex ideas of themselves and others. It is unclear if this social dysfunction is present across different symptom presentations. We examined the relationship of metacognition, symptoms, and social functioning among a sample of adults with schizophrenia spectrum disorders ( N = 334). A latent class analysis produced a four-class model. Groups were classified as follows: diffuse symptoms/moderately impaired social functioning (Class 1), positive and hostility symptoms/mildly impaired social functioning (Class 2), minimal symptoms/good social functioning (Class 3), and negative and cognitive symptoms/severely impaired social functioning (Class 4). Class 3 demonstrated better overall metacognitive capacity than both Classes 1 and 4 but did not differ significantly from Class 2. Classes 2 and 3 both demonstrated better interpersonal functioning than Classes 1 and 4. Together, these findings provide support for models of poor functioning that stem from fragmentation of an individual’s experience, leading to diminished abilities to form meaningful connections with others. Additional interpretations, limitations, and research implications are discussed.


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