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The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors.
Depress Anxiety 2018; 35(7):629-637DA

Abstract

BACKGROUND

Approximately one in five college students report a history of nonsuicidal self-injury. However, it is unclear how many students meet criteria for the recently proposed DSM-5 nonsuicidal self-injury disorder (NSSI-D). In this study, we used full NSSI-D criteria to identify those students most in need of clinical care.

METHODS

Using data from the Leuven College Surveys (n = 4,565), we examined the 12-month prevalence of DSM-5 NSSI-D in a large and representative sample of incoming college students. We also explored the optimal frequency threshold as a function of interference in functioning due to NSSI, and examined comorbidity patterns with other 12-month mental disorders (i.e., major depressive disorder, broad mania, generalized anxiety disorder, panic disorder, and alcohol dependence) and suicidal thoughts and behaviors (STB).

RESULTS

Twelve-month NSSI-D prevalence was 0.8% and more common among females (1.1%) than males (0.4%). The proposed 5+ diagnostic threshold was confirmed as yielding highest discrimination between threshold and subthreshold cases in terms of distress or disability due to NSSI. A dose-response relationship was observed for NSSI recency-severity (i.e., 12-month NSSI-D, subthreshold 12-month NSSI-D, past NSSI, no history of NSSI) with number of 12-month mental disorders and STB. NSSI-D occurred without comorbid disorders for one in five individuals, and remained associated with severe role impairment when controlling for the number of comorbid disorders.

CONCLUSIONS

These findings offer preliminary evidence that DSM-5 NSSI-D is uncommon among incoming college students, but may help to improve the deployment of targeted resource allocation to those most in need of services. More work examining the validity of NSSI-D is required.

Authors+Show Affiliations

Center for Public Health Psychiatry, KU Leuven, Leuven, Belgium. School of Psychology, Curtin University, Perth, Australia.School of Psychology, Curtin University, Perth, Australia.Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium. Faculty of Medicine and Health Sciences (CAPRI), University of Antwerp, Antwerp, Belgium.Center for Public Health Psychiatry, KU Leuven, Leuven, Belgium.Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA.School of Psychology, Curtin University, Perth, Australia.Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.Center for Public Health Psychiatry, KU Leuven, Leuven, Belgium.School of Education, Boston University, Boston, MA, USA.Harvard Medical School, Department of Health Care Policy, Harvard University, Boston, MA, USA.Department of Psychology, Harvard University, Cambridge, MA, USA.Center for Public Health Psychiatry, KU Leuven, Leuven, Belgium. Institute for Social Research, Population Studies Center, University of Michigan, Ann Arbor, MI, USA.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29697881

Citation

Kiekens, Glenn, et al. "The DSM-5 Nonsuicidal Self-injury Disorder Among Incoming College Students: Prevalence and Associations With 12-month Mental Disorders and Suicidal Thoughts and Behaviors." Depression and Anxiety, vol. 35, no. 7, 2018, pp. 629-637.
Kiekens G, Hasking P, Claes L, et al. The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors. Depress Anxiety. 2018;35(7):629-637.
Kiekens, G., Hasking, P., Claes, L., Mortier, P., Auerbach, R. P., Boyes, M., ... Bruffaerts, R. (2018). The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors. Depression and Anxiety, 35(7), pp. 629-637. doi:10.1002/da.22754.
Kiekens G, et al. The DSM-5 Nonsuicidal Self-injury Disorder Among Incoming College Students: Prevalence and Associations With 12-month Mental Disorders and Suicidal Thoughts and Behaviors. Depress Anxiety. 2018;35(7):629-637. PubMed PMID: 29697881.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors. AU - Kiekens,Glenn, AU - Hasking,Penelope, AU - Claes,Laurence, AU - Mortier,Philippe, AU - Auerbach,Randy P, AU - Boyes,Mark, AU - Cuijpers,Pim, AU - Demyttenaere,Koen, AU - Green,Jennifer G, AU - Kessler,Ronald C, AU - Nock,Matthew K, AU - Bruffaerts,Ronny, Y1 - 2018/04/26/ PY - 2017/10/03/received PY - 2018/02/19/revised PY - 2018/03/08/accepted PY - 2018/4/27/pubmed PY - 2018/11/15/medline PY - 2018/4/27/entrez KW - DSM-5 KW - college students KW - mental disorders KW - nonsuicidal self-injury KW - suicide SP - 629 EP - 637 JF - Depression and anxiety JO - Depress Anxiety VL - 35 IS - 7 N2 - BACKGROUND: Approximately one in five college students report a history of nonsuicidal self-injury. However, it is unclear how many students meet criteria for the recently proposed DSM-5 nonsuicidal self-injury disorder (NSSI-D). In this study, we used full NSSI-D criteria to identify those students most in need of clinical care. METHODS: Using data from the Leuven College Surveys (n = 4,565), we examined the 12-month prevalence of DSM-5 NSSI-D in a large and representative sample of incoming college students. We also explored the optimal frequency threshold as a function of interference in functioning due to NSSI, and examined comorbidity patterns with other 12-month mental disorders (i.e., major depressive disorder, broad mania, generalized anxiety disorder, panic disorder, and alcohol dependence) and suicidal thoughts and behaviors (STB). RESULTS: Twelve-month NSSI-D prevalence was 0.8% and more common among females (1.1%) than males (0.4%). The proposed 5+ diagnostic threshold was confirmed as yielding highest discrimination between threshold and subthreshold cases in terms of distress or disability due to NSSI. A dose-response relationship was observed for NSSI recency-severity (i.e., 12-month NSSI-D, subthreshold 12-month NSSI-D, past NSSI, no history of NSSI) with number of 12-month mental disorders and STB. NSSI-D occurred without comorbid disorders for one in five individuals, and remained associated with severe role impairment when controlling for the number of comorbid disorders. CONCLUSIONS: These findings offer preliminary evidence that DSM-5 NSSI-D is uncommon among incoming college students, but may help to improve the deployment of targeted resource allocation to those most in need of services. More work examining the validity of NSSI-D is required. SN - 1520-6394 UR - https://www.unboundmedicine.com/medline/citation/29697881/The_DSM_5_nonsuicidal_self_injury_disorder_among_incoming_college_students:_Prevalence_and_associations_with_12_month_mental_disorders_and_suicidal_thoughts_and_behaviors_ DB - PRIME DP - Unbound Medicine ER -