Year: 2023
Type: article
Abstract: OBJECTIVES: There is a dearth of literature on the prevalence and predictors of nonsuicidal self-injury (NSSI) history and onset among preadolescent youth. This gap in the literature is significant given evidence suggesting that NSSI is a robust predictor of negative mental health outcomes, and that early onset NSSI may be associated with a more severe course of self-injurious thoughts and behaviors. This study aimed to evaluate sociodemographic characteristics, psychiatric disorders, and suicidal ideation (SI) in relation to NSSI onset and history in preadolescents. METHODS: Data were drawn from the Adolescent Brain and Cognitive Development (ABCD) study, which recruited a diverse sample of 11 875 youth aged 9 to 10 years. The primary outcome measures were lifetime history and recent onset of NSSI. Measures included sociodemographics and the K-SADS diagnostic interview assessing psychopathology and SI. RESULTS: Female sex and identifying as Black were associated with lower odds of lifetime NSSI. Identifying as a sexual minority, having unmarried parents, and a low family income were associated with higher odds of lifetime NSSI. Although depression was most predictive of NSSI history and onset, a range of internalizing and externalizing disorders, greater comorbidity, and SI also were predictive. CONCLUSIONS: Given that NSSI was associated with a range of mental health disorders and comorbidity, it may be best conceptualized as a transdiagnostic phenomenon. Findings highlight key sociodemographic and diagnostic factors that may help to direct screening efforts in preadolescents, particularly sexual minority status and depression.
Source: PEDIATRICS
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
Awards: Multimodal Dynamics of Parent-child Interactions and Suicide Risk, Emotion Regulation Flexibility and Suicide Risk, Leveraging Computer Vision to Augment Suicide Risk Prediction, Temporal dynamics of stress, sleep, and arousal in short-term risk for adolescentsuicidal behavior, Neurocognitive characteristics of short-term risk for suicidal behavior in adolescents , Life Stressors, Impulsivity, and Adolescent Suicidal Behavior, Passive Assessment of Behavioral Warning Signs for Suicide Risk in Adolescents: An Idiographic Approach, Research Training in Child Mental Health
OpenAlex ID: W4388231548