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Factors distinguishing youth who report self-injurious behavior: a population-based sample.
Acad Pediatr 2012 May-Jun; 12(3):205-13APed

Abstract

OBJECTIVE

To identify factors distinguishing adolescents across 3 groups: no self-harm, nonsuicidal self-injury (NSSI) only, and NSSI and suicide attempt (NSSI + SA).

METHODS

Data were from the 2007 Minnesota Student Survey. The sample included 61,330 students in grades 9 and 12. Logistic regression analysis determined factors that best distinguished adolescents who reported NSSI from those who reported no self-harm, and adolescents who reported NSSI + SA. Final models were developed over 3 stages of analysis that tested the importance of variables within risk factor, protective factor, and co-occurring health-risk behavior domains.

RESULTS

For male and female subjects, factors that consistently distinguished youth who reported NSSI from those who reported no self-harm included depressive symptoms, hopelessness, physical abuse, less parent connectedness, running away from home, and maladaptive dieting behavior. Factors that distinguished the NSSI + SA group from the NSSI only group for both sexes were a mental health problem, depressive symptoms, hopelessness, physical abuse, and running away from home. Other factors, such as sexual abuse, were significant in models for males or females only. Hopelessness constituted the leading factor to increase the likelihood that youth who self-injured also attempted suicide.

CONCLUSIONS

Youth engaging in NSSI experience diverse psychosocial stressors and significant distress. Clinicians and school personnel are well-positioned to offer support to these youth. Furthermore, they can help address NSSI among youth by identifying those who self-injure early, assessing for hopelessness and suicidality, facilitating connections to prosocial adults, addressing maladaptive dieting behavior, and supporting runaway youth.

Authors+Show Affiliations

Department of Health Sciences, School of Health Professions, University of Missouri, 505 Clark Hall, Columbia, MO 65211, USA. taliaferrol@health.missouri.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

22424698

Citation

Taliaferro, Lindsay A., et al. "Factors Distinguishing Youth Who Report Self-injurious Behavior: a Population-based Sample." Academic Pediatrics, vol. 12, no. 3, 2012, pp. 205-13.
Taliaferro LA, Muehlenkamp JJ, Borowsky IW, et al. Factors distinguishing youth who report self-injurious behavior: a population-based sample. Acad Pediatr. 2012;12(3):205-13.
Taliaferro, L. A., Muehlenkamp, J. J., Borowsky, I. W., McMorris, B. J., & Kugler, K. C. (2012). Factors distinguishing youth who report self-injurious behavior: a population-based sample. Academic Pediatrics, 12(3), pp. 205-13. doi:10.1016/j.acap.2012.01.008.
Taliaferro LA, et al. Factors Distinguishing Youth Who Report Self-injurious Behavior: a Population-based Sample. Acad Pediatr. 2012;12(3):205-13. PubMed PMID: 22424698.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors distinguishing youth who report self-injurious behavior: a population-based sample. AU - Taliaferro,Lindsay A, AU - Muehlenkamp,Jennifer J, AU - Borowsky,Iris W, AU - McMorris,Barbara J, AU - Kugler,Kari C, Y1 - 2012/03/16/ PY - 2011/09/02/received PY - 2012/01/24/revised PY - 2012/01/26/accepted PY - 2012/3/20/entrez PY - 2012/3/20/pubmed PY - 2012/9/8/medline SP - 205 EP - 13 JF - Academic pediatrics JO - Acad Pediatr VL - 12 IS - 3 N2 - OBJECTIVE: To identify factors distinguishing adolescents across 3 groups: no self-harm, nonsuicidal self-injury (NSSI) only, and NSSI and suicide attempt (NSSI + SA). METHODS: Data were from the 2007 Minnesota Student Survey. The sample included 61,330 students in grades 9 and 12. Logistic regression analysis determined factors that best distinguished adolescents who reported NSSI from those who reported no self-harm, and adolescents who reported NSSI + SA. Final models were developed over 3 stages of analysis that tested the importance of variables within risk factor, protective factor, and co-occurring health-risk behavior domains. RESULTS: For male and female subjects, factors that consistently distinguished youth who reported NSSI from those who reported no self-harm included depressive symptoms, hopelessness, physical abuse, less parent connectedness, running away from home, and maladaptive dieting behavior. Factors that distinguished the NSSI + SA group from the NSSI only group for both sexes were a mental health problem, depressive symptoms, hopelessness, physical abuse, and running away from home. Other factors, such as sexual abuse, were significant in models for males or females only. Hopelessness constituted the leading factor to increase the likelihood that youth who self-injured also attempted suicide. CONCLUSIONS: Youth engaging in NSSI experience diverse psychosocial stressors and significant distress. Clinicians and school personnel are well-positioned to offer support to these youth. Furthermore, they can help address NSSI among youth by identifying those who self-injure early, assessing for hopelessness and suicidality, facilitating connections to prosocial adults, addressing maladaptive dieting behavior, and supporting runaway youth. SN - 1876-2867 UR - https://www.unboundmedicine.com/medline/citation/22424698/Factors_distinguishing_youth_who_report_self_injurious_behavior:_a_population_based_sample_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1876-2859(12)00009-5 DB - PRIME DP - Unbound Medicine ER -