Characteristics and Unidimensionality of Non-Suicidal Self-Injury in a Community Sample of Spanish Adolescents

  1. Sandra Pérez 1
  2. Joaquín García-Alandete 1
  3. Blanca Gallego 1
  4. Jose H. Marco 2
  1. 1 Universidad Católica de Valencia San Vicente Mártir
    info

    Universidad Católica de Valencia San Vicente Mártir

    Valencia, España

    ROR https://ror.org/03d7a9c68

  2. 2 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

Aldizkaria:
Psicothema

ISSN: 0214-9915 1886-144X

Argitalpen urtea: 2021

Alea: 33

Zenbakia: 2

Orrialdeak: 251-258

Mota: Artikulua

Beste argitalpen batzuk: Psicothema

Laburpena

Background: Few studies have explored the prevalence and unidimensional structure of Non-Suicidal Self-Injury (NSSI) in Spanish adolescents. Method: in this study, we estimated the prevalence, types, and functions of NSSI in 1,733 Spanish adolescents, and we tested the unidimensional factorial structure of non-suicidal self-injury. Results: 24.6% of the adolescents referred to having self-injured at least once during their lifetime, and 12.7% had self-injured using more severe methods of NSSI. The most frequent types of NSSI were interfering with wounds (14.6%), scratching (12.5%), and hitting (11.7%). We found no differences between genders in NSSI frequency. The majority of the participants who self-injured referred to intrapersonal functions. The confirmatory factor analyses of the ISAS-I structure showed a single factor with 10 items, thus supporting the unidimensionality of the construct of NSSI. Conclusions: NSSIs reflect difficulties in regulating emotions or managing interpersonal relationships in young Spanish people, and these behaviours seem to constitute a unique and latent dimension. Thus, there is a need for intervention programmes focused on managing problems of emotional regulation and maladaptive self-injury behaviours

Erreferentzia bibliografikoak

  • American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th Ed.) (DSM- 5). American Psychiatric Publishing.
  • Bildik, T., Somer, O., Basay, B., Basay, Ö., & Özbaran, B. (2013). The validity and reliability of the Turkish version of the inventory of statements about self-injury. Turkish Journal of Psychiatry, 24(1), 49-57. https://doi.org/10.5080/u6901
  • Bjärehed, J., Wångby-Lundh, M., & Lundh, L. G. (2012). Nonsuicidal self-injury in a community sample of adolescents: Subgroups, stability, and associations with psychological difficulties. Journal of Research on Adolescence, 22(4), 678-693. https://doi.org/10.1111/j.1532-7795.2012.00817.x
  • Calvete, E., Orue, I., Aizpuru, L., & Brotherton, H. (2015). Prevalence and functions of non-suicidal self-injury in Spanish adolescents. Psicothema, 27(3), 223-228. https://doi.org/10.7334/psicothema2014.262
  • Dahlström, Ö., Zetterqvist, M., Lundh, L. G., & Svedin, C. G. (2015). Functions of nonsuicidal self-injury: Exploratory and confirmatory factor analyses in a large community sample of adolescents. Psychological Assessment, 27(1), 302. https://doi.org/10.1037/pas0000034
  • Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2010). Multivariate data analysis (Vol. 7). Prentice Hall.
  • Crumbaugh, J. C., & Maholick, L. T. (1969/1981). Manual of instructions for the purpose in life test. Viktor Frankl Institute of Logotherapy.
  • Evans, C.M., & Simms L.J. (2019). The latent structure of self-harm. Journal of Abnormal Psychology, 128(1), 12-24. https://doi.org/10.1037/abn0000398
  • Fox, K. R., Franklin, J. C., Ribeiro, J. D., Kleiman, E. M., Bentley, K. H., & Nock, M. K. (2015). Meta-analysis of risk factors for nonsuicidal self-injury. Clinical Psychology Review, 42, 156-167. https://doi.org/10.1016/j.cpr.2015.09.002
  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the diffi culties in emotion regulation scale. Journal of Psychopathological Behavior, 26(1), 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  • Gratz, K. L., Conrad, S. D., & Roemer, L. (2002). Risk factors for deliberate self-harm among college students. American Journal of Orthopsychiatry, 72(1), 128-140. https://doi.org/10.1037/0002-9432.72.1.128
  • Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W. C. (2006). Multivariate Data Analysis (6th. ed.). Pearson Prentice Hall.
  • Hervás, G., & Jódar, R. (2008). Adaptación al castellano de la Escala de Dificultades en la Regulación Emocional [Spanish adaptation of the Difficulties in Emotion Regulation Scale]. Clínica y Salud, 19(2), 139-156.
  • Hilt, L. M., Nock, M. K., Lloyd-Richardson, E. E., & Prinstein, M. J. (2008). Longitudinal study of non-suicidal self-injury among young adolescents: Rates, correlates, and preliminary test of an interpersonal model. Journal of Early Adolescence, 28(3), 455-469. https://doi.org/10.1177/0272431608316604
  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
  • JASP Team. (2020). JASP (Version 0.14). [Computer software]. https://jasp-stats.org/download/
  • Joiner, T. (2005). Why people die by suicide. Harvard University Press.
  • Klonsky, E. D., & Glenn, C. R. (2009). Assessing the functions of nonsuicidal self-injury: Psychometric properties of the Inventory of Statements about Self-injury (ISAS). Journal of Psychopathological Behavior, 31(3), 215-219. https://doi.org/10.1007/s10862-008-9107-z
  • Klonsky, E. D., May, A. M., & Glenn, C. R. (2013). The relationship between nonsuicidal self-injury and attempted suicide: Converging evidence from four samples. Journal of Abnormal Psychology, 122(1), 231. https://doi.org/10.1037/a0030278
  • Klonsky, E. D., & Olino, T. (2008). Identifying clinically distinct subgroups of self-injurers among young adults: A latent class analysis. Journal of Consulting and Clinical Psychology, 76(1), 22-27. https://doi.org/10.1037/0022-006X.76.1.22
  • Klonsky, E. D., Muehlenkamp, J. J., Lewis, S. P., & Walsh, B. (2011). Nonsuicidal self-injury. Hogrefe.
  • Larsson, B., & Sund, A.M. (2008). Prevalence, course, incidence and 1-year prediction of deliberate self-harm and suicide attempts in early adolescents. Suicide and Life-Threatening Behaviour, 38(2), 152-165. https://doi.org/10.1521/suli.2008.38.2.152
  • Lloyd-Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37(8), 1183-1192. https://doi.org/10.1017/S
  • Madge, N., Hewitt, A., Hawton, K., De Wilde, E. J., Corcoran, P., Fekete, S., van Heeringen, K., De Leo, D., & Ystgaard, M. (2008). Deliberate self-harm within an international community sample of young people: Comparative findings from the Child & Adolescent Self-harm in Europe (CASE) Study. Journal of Child Psychology and Psychiatry, 49(6), 667-677. https://doi.org/10.1111/j.1469-7610.2008.01879.x
  • Muehlenkamp, J. J., Claes, L., Havertape, L., & Plener, P. L. (2012). International prevalence of non-suicidal self-injury and deliberate selfharm. Child and Adolescent Psychiatry and Mental Health, 6(1), 1-10. https://doi.org/10.1186/1753-2000-6-10
  • Muehlenkamp, J. J., Suzuki, T., Brausch, A. M., & Peyerl, N. (2019). Behavioral functions underlying NSSI and eating disorder behaviors. Journal of Clinical Psychology, 75(7), 1219-1232. https://doi.org/10.1002/jclp.22745
  • Muthen, L. K., & Muthen, B. O. (2007). Mplus statistical software. Muthén & Muthén.
  • Nock, M. K., & Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72(5), 885. https://doi. org/10.1037/0022-006X.72.5.885
  • Nunnally, J. C. (1967). Psychometric theory. McGraw-Hill.
  • Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric Theory (McGrawHill Series in Psychology. Vol. 3). McGraw-Hill.
  • O’Connor, R. C., Rasmussen, S., & Hawton, K. (2009). Predicting deliberate self-harm in adolescents: A six month prospective study. Suicide and Life-Threatening Behavior, 39(4), 364-375. https://doi.org/10.1521/suli.2009.39.4.364
  • O’Connor, R. C., Rasmussen, S., & Hawton, K. (2012). Distinguishing adolescents who think about self-harm from those who engage in self-harm. British Journal of Psychiatry, 200(4), 330-335. https://doi.org/10.1192/bjp.bp.111.097808
  • Olfson, M., Gameroff, M. J., Marcus, S. C., Greenberg, T., & Shaffer, D. (2005). Emergency treatment of young people following deliberate self-harm. Archives of General Psychiatry, 62(10), 1122-1128. https://doi.org/10.1001/archpsyc.62.10.1122
  • Pérez, S., García-Alandete, J., Cañabate, M., & Marco, J.H. (2020). Confirmatory factor analysis of the Inventory of Statements about Selfinjury in a Spanish clinical sample. Journal of Clinical Psychology, 76(1), 102-117. https://doi.org/10.1002/jclp.22844
  • Pérez, S., Ros, M. C., Folgado, J. E., & Marco, J. H. (2019). Non-suicidal Self-injury Differentiates Suicide Ideators and Attempters and Predicts Future Suicide Attempts in Patients with Eating Disorders. Suicide and Life-Threatening Behavior, 49(5), 1220-1231. https://doi.org/10.1111/sltb.12521
  • Plener, P. L., Schumacher, T. S., Munz, L. M., & Groschwitz, R. C. (2015). The longitudinal course of non-suicidal self-injury and deliberate selfharm: A systematic review of the literature. Borderline Personality Disorder and Emotional Dysregulation, 2, 1-11. https://doi.org/10.1186/s40479-014-0024-3
  • Preston, C.C., & Colman, A.M. (2000). Optimal number of response categories in rating scales: Reliability, validity, discriminating power, and respondent preferences. Acta Psychologica, 104(1), 1-15. https://doi.org/10.1016/s0001-6918(99)00050-5
  • Rassmussen, S., Hawton, K., Philpott-Morgan, S., & O’connor, R. C. (2016). Why do adolescents self-harm? Crisis, 37(3), 173-186. https://doi.org/10.1027/0227-5910/a000369
  • Schermellech-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23-74.
  • Scott, L. N., Pilkonis, P. A., Hipwell, A. E., Keenan, K., & Stepp, S. D. (2015). Non-suicidal self-injury and suicidal ideation as predictors of suicide attempts in adolescent girls: A multi-wave prospective study. Comprehensive Psychiatry, 58, 1-10. https://doi.org/10.1016/j.comppsych.2014.12. 011
  • Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St. John, N. J. (2014). Prevalence of nonsuicidal self-injury in nonclinical samples: Systematic review, meta-analysis and meta-regression. Suicide and Life-Threatening Behavior, 44(3), 273-303. https://doi. org/10.1111/sltb.12070
  • World Health Organization (2003). Adolescent friendly health services: An agenda for change. World Health Organization. https://apps.who.int/iris/handle/10665/67923
  • Zetterqvist, M., Lundh, L. G., Dahlström, Ö., & Svedin, C. G. (2013). Prevalence and function of non-suicidal self-injury (NSSI) in a community sample of adolescents, using suggested DSM-5 criteria for a potential NSSI disorder. Journal of Abnormal Child Psychology, 41(5), 759-773. https://doi.org/10.1007/s10802-013-9712-5