Social Support and Nonsuicidal Self-injury among Adolescent Psychiatric Inpatients

2021 ◽  
Author(s):  
John K. Kellerman ◽  
Alexander Millner ◽  
Victoria W. Joyce ◽  
Carol C. Nash ◽  
Ralph Buonopane ◽  
...  
Keyword(s):  
Social Support ◽  
High Risk ◽  
Clinical Sample ◽  
Family Members ◽  
Protective Effects ◽  
Multiple Sources ◽  
Cross Sectional ◽  
Self Injury ◽  
Sources Of Support ◽  
Nonsuicidal Self Injury

Objective: Cross-sectional studies and prospective studies with long follow-up periods (e.g., years) have shown that lower levels of social support are associated with nonsuicidal self-injury (NSSI) among adolescents. This study examined how short-term changes in social support may contribute to NSSI behavior and whether different sources of support (e.g., friends, family members) provide differential protective effects against NSSI. Methods: We examined fluctuations in NSSI and social support perceived from multiple sources among a sample of 118 high-risk adolescents hospitalized for serious self-harm risk. Participants provided daily reports of social support and any self-injurious behavior for the duration of their inpatient treatment (721 total observations, average observations per participant = 6.11). Multi-level models were used to assess variability in social support and how these fluctuations relate to whether or not an individual engages in NSSI. Results: Over one-third of participants reported engaging in NSSI at least once during inpatient hospitalization and self-reported social support varied considerably within-person across sources of support. Support perceived from family members and inpatient unit staff was inversely associated with NSSI, but no relationship was found between NSSI and support from other patients on the unit or friends outside of the unit. Conclusions: These findings suggest that the protective effects of social support for NSSI vary over short periods of time and that support perceived from adults is particularly relevant among this high-risk clinical sample. This study represents an important step in identifying risk factors to improve the detection and prevention of NSSI among adolescent inpatients.

Perceived social support and burden of care of male and female caregivers of patient with schizophrenia

2017 ◽  
Vol 8 (1) ◽  
pp. 10
Author(s):  
Narendra Kumar Singh ◽  
Nishant Goyal
Keyword(s):  
Social Support ◽  
Perceived Social Support ◽  
Family Members ◽  
Well Being ◽  
Cross Sectional Study ◽  
Burden Of Care ◽  
Cross Sectional ◽  
Male And Female ◽  
The Social ◽  
The Difference

Background: Schizophrenia is associated with a high familial, social and economic burden. Schizophrenia is also associated with a high level of disability which may create impediments on the social and economic areas of the patients as well as on their respective family networks. Families with schizophrenia may encounter problems such as impairment of health and well being of other family members, restriction of social activities of the family members and shrinking of support from the social network. Aims: The present study examined the difference in perceived social support and burden of care between the male and female caregivers of patients with schizophrenia. Methods: This was a cross-sectional study examining the difference in perceived social support and burden of care between the male and female caregivers of patients with schizophrenia. The sample consisted of 60 (30 male and 30 female) caregivers of the patients with the diagnosis of schizophrenia as per ICD-10-DCR. Results and Conclusion: This study revealed that male caregivers perceived more social support and less burden of care as compared to female caregivers. Key words: Gender, social support, burden

scholarly journals Impact of Violent Experiences and Social Support on R-NSSI Behavior among Middle School Students in China

2021 ◽  
Vol 18 (7) ◽  
pp. 3347
Author(s):  
Kun Liu ◽  
Xueyan Yang ◽  
Moye Xin
Keyword(s):  
Social Support ◽  
Influencing Factors ◽  
Empirical Support ◽  
Female Students ◽  
Male Students ◽  
Male And Female ◽  
Self Injury ◽  
Significant Difference ◽  
Main Effect ◽  
Nonsuicidal Self Injury

Repetitive nonsuicidal self-injury (R-NSSI) is an extreme manifestation of nonsuicidal self-injury (NSSI) behavior that causes bodily harm and emotional and personality disorders. It is a growing concern, especially among adolescents; therefore, this study aims to provide empirical support for effective interventions on R-NSSI behavior among adolescents in China. We used data of about 1180 students from a survey conducted in seven middle schools in Xi’an, China, and applied multiple logistic regression to analyze NSSI and R-NSSI among male and female students, including their influencing factors. We found no significant difference between male and female students’ R-NSSI; however, regarding influencing factors, male students had more violent experiences and less social support than female students. Parental and familial factors played the most prominent role in social support. Social support was found to be a main-effect mechanism in the effect of violent experiences on R-NSSI among male students, whereas the mechanism had both a main effect and a certain buffer effect among female students. R-NSSI was found to be more prevalent among younger children, children with siblings, and those with romantic relationship experiences. We also found that healthy adolescent development involves the participation of families and schools. Health education should be conducted according to the students’ sex and characteristics.

Peer Victimization and Nonsuicidal Self-Injury Among Chinese Left-Behind Children: The Moderating Roles of Subjective Socioeconomic Status and Social Support

2020 ◽  
pp. 088626051989734 ◽  
Author(s):  
Quanquan Wang ◽  
Xia Liu
Keyword(s):  
Social Support ◽  
Socioeconomic Status ◽  
Peer Victimization ◽  
Protective Role ◽  
Subjective Socioeconomic Status ◽  
Left Behind ◽  
Self Injury ◽  
The Relationship ◽  
Subjective Ses ◽  
Nonsuicidal Self Injury

Peer victimization is a serious issue among school-aged children. Chinese left-behind children tend to experience peer victimization and associated nonsuicidal self-injury (NSSI) behavior. However, the possible improvement of subjective socioeconomic status (SES) based on increased family income may serve to buffer the relationship between peer victimization and NSSI, and this buffering effect may differ by level of social support. Thus, the current study aimed to examine the moderating effect of subjective SES on the relationship between peer victimization and NSSI by the level of social support among Chinese left-behind children. A total of 431 left-behind children and 447 non-left-behind children (comparison group) completed self-report scales measuring peer victimization, NSSI, subjective SES, and social support. Results showed that peer victimization was positively related to NSSI among left-behind children, but not among non-left-behind children. Moreover, for left-behind children with low levels of social support, high subjective SES intensified the association between peer victimization and NSSI; peer victimization was positively associated with NSSI among left-behind children who reported high subjective SES, but not among those with low subjective SES. However, high levels of social support seemed to protect the left-behind children with high subjective SES who experienced peer victimization from NSSI. For non-left-behind children with both parents present, high subjective SES played a protective role in the association between peer victimization and NSSI, regardless of the levels of social support they enjoyed. These findings contribute to an understanding of subjective SES as a moderating mechanism in the association between peer victimization and NSSI among left-behind children. Social support proved central to the protective role of subjective SES. Intervention programs to enhance social support can help to strengthen the protective effect of subjective SES on NSSI among left-behind children who experience peer victimization.

scholarly journals Characterizing gender differences in nonsuicidal self-injury: Evidence from a large clinical sample of adolescents and adults

2018 ◽  
Vol 82 ◽  
pp. 53-60 ◽  
Author(s):  
Sarah E. Victor ◽  
Jennifer J. Muehlenkamp ◽  
Nicole A. Hayes ◽  
Gregory J. Lengel ◽  
Denise M. Styer ◽  
...  
Keyword(s):  
Gender Differences ◽  
Clinical Sample ◽  
Self Injury ◽  
Adolescents And Adults ◽  
Nonsuicidal Self Injury

scholarly journals Nonsuicidal self-injury and identity formation in Indian clinical and nonclinical samples: A comparative study

2020 ◽  
pp. 002076402094361
Author(s):  
Amarendra Gandhi ◽  
Koen Luyckx ◽  
Alka Adhikari ◽  
Dhruv Parmar ◽  
Avinash De Sousa ◽  
...  
Keyword(s):  
Identity Formation ◽  
Structural Equation ◽  
Clinical Sample ◽  
Psychiatric Patients ◽  
Self Report ◽  
Equation Modeling ◽  
Mental Health Issue ◽  
Self Injury ◽  
Two Samples ◽  
Nonsuicidal Self Injury

Background: Nonsuicidal self-injury (NSSI) is being increasingly identified as an important emerging mental health issue in the West. Yet, NSSI has not been adequately studied in clinical and nonclinical contexts in countries like India. Aim: The aim of this study was to compare different features of NSSI between clinical and nonclinical samples in India. We also explored if the strength of the association between NSSI and disturbances in identity formation – a risk factor that can increase vulnerability to NSSI – was similar in the two samples mentioned above. Method: For the clinical sample, data regarding NSSI and identity formation were collected from 100 psychiatric patients (47.0% females, mean age = 34.76 years, SD = 12.76, 17–70 years) from an outpatient/inpatient psychiatric department of a large tertiary hospital in Mumbai, India. Nonclinical data were collected from 120 young adults studying in a medical college in Mumbai, India (51.7% females, mean age = 19.7 years, SD = 2.16, 17–28 years). Information regarding NSSI and identity were collected using self-report questionnaires. Results: Lifetime prevalence of NSSI in the clinical and nonclinical samples was found to be around 17% and 21%, respectively. Although the prevalence of NSSI did not significantly differ between the two samples, some features of NSSI did differ between the two groups. Finally, multigroup Bayesian structural equation modeling indicated that irrespective of the type of the sample (i.e. clinical or nonclinical), consolidated and disturbed identity significantly (negative and positive, respectively) predicted lifetime NSSI. Additionally, the association between the aforementioned identity variables and NSSI did not significantly differ between the two samples. Conclusion: The findings of these studies highlight the need for exploring issues related to identity formation in individuals who engage in NSSI irrespective of whether they suffer from a psychiatric disorder or not.

scholarly journals Multiple Measures of Family and Social Support as Predictors of Psychological Well-Being: An Additive Approach

2016 ◽  
Vol 6 (2) ◽  
pp. 97 ◽  
Author(s):  
Hema O. Mason
Keyword(s):  
Social Support ◽  
Family Environment ◽  
Additive Model ◽  
Social Supports ◽  
Well Being ◽  
Hierarchical Regression ◽  
Multiple Sources ◽  
Additional Measure ◽  
Psychological Well Being ◽  
Sources Of Support

<p>The purpose of this study was to (1) examine the direct relations of multiple sources of social support on psychological well-being and (2) to examine the utility of an additive model on these variables, in a sample of 251 participants from a Southwestern Georgia University. The sources of support included family environment, friendship, family and significant other support, father’s bonding and mother’s bonding. Measures of psychological well-being included the summed total of Ryff’s Scale of Psychological Well-Being (PWB), as well as self-confidence-an additional measure of psychological well-being. In addition to direct effects, it was hypothesized that having multiple, rather than fewer sources of support would be more beneficial to an individual. Hierarchical regression analyses were conducted to test the unique variability each variable added, as well as to determine whether the additive model predicted PWB above and beyond singular sources of support. Results revealed that the hypotheses predicting direct relationships between the social supports of interest and PWB were largely supported by the data with the exception of father bonding. Results for the additive model revealed mixed results, indicating that having numerous concurrent support lines are beneficial in certain cases. The importance of having multiple social supports from which one can rely, especially when dealing with stressors and crises are also expressed.</p>

scholarly journals Death Anxiety and Pain Catastrophizing Among Male Inmates With Nonsuicidal Self-Injury Behavior: A Comparative Study

2015 ◽  
Vol 11 (4) ◽  
pp. 1174-1181 ◽  
Author(s):  
Violeta Enea ◽  
Ion Dafinoiu ◽  
Georgiana Bogdan ◽  
Carmen Matei
Keyword(s):  
Comparative Study ◽  
Behavior Management ◽  
Death Anxiety ◽  
Pain Catastrophizing ◽  
Cross Sectional ◽  
Dissociative Experiences ◽  
Self Injury ◽  
Management Plans ◽  
Male Inmates ◽  
Nonsuicidal Self Injury

Most of the studies concerning nonsuicidal self-injury behaviors of persons deprived of liberty were on female participants. This cross-sectional comparative study compared the levels of death anxiety, pain catastrophizing, dissociative experiences, and state-trait anger among male inmates with nonsuicidal self-injury behaviors and noninjuring controls. The results indicated high levels of death anxiety, dissociation, and pain catastrophizing in both groups of participants and the absence of significant differences between the groups. The implications of the results suggest the need of taking into consideration these variables in the behavior management plans used with inmates who engage in self-injurious behavior.

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