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Does function predict persistence? Nonsuicidal self-injury among adolescents during and after hospitalization
Olivia H Pollak1, Eugene J D'Angelo2, Christine B Cha1
1Department of Clinical Psychology, Teachers College, Columbia University, New York, USA.
Psychiatry Research
|February 24, 2020
Summary
Understanding the reasons for nonsuicidal self-injury (NSSI) in adolescents is key. Automatic functions predict NSSI during hospitalization, while social functions may reduce it, aiding risk assessment.
Area of Science:
- Psychiatry
- Adolescent Psychology
- Behavioral Science
Background:
- Nonsuicidal self-injury (NSSI) is common in adolescents and serves various functions.
- Adolescents may engage in NSSI for self-oriented (automatic) or social reasons.
- Understanding these functions is crucial for predicting NSSI persistence.
Purpose of the Study:
- To investigate if self-reported NSSI functions predict NSSI thoughts and behaviors in adolescent psychiatric inpatients.
- To differentiate the predictive value of automatic versus social NSSI functions.
- To examine the temporal stability of these predictions during and after hospitalization.
Main Methods:
- Adolescent psychiatric inpatients completed questionnaires on NSSI functions at admission.
- NSSI thoughts and behaviors were monitored during hospitalization and after discharge.
- Statistical analyses examined the relationship between NSSI functions and subsequent NSSI outcomes.
Main Results:
- Automatic NSSI functions predicted engagement in NSSI behavior during hospitalization.
- Automatic functions correlated with increased NSSI thoughts/behaviors, while social functions correlated with decreased outcomes.
- NSSI functions showed less predictive power for outcomes after hospital discharge.
Conclusions:
- Identifying adolescent inpatients' reasons for NSSI is valuable for predicting risk during hospitalization.
- Automatic and social functions have distinct predictive patterns for NSSI persistence.
- Further research should explore interventions tailored to specific NSSI functions.
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