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[Non-suicidal self-injurious behavior in adolescents]
J V Khutoryanskaya1, V V Pozdnyak1, S V Grechanyy1
1Saint Petersburg State Pediatric Medical University, St Petersburg, Russia.
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|December 20, 2022
Summary
Non-suicidal self-injurious behavior (NSSI) motives show gender and age differences, not linked to specific diagnoses. Understanding these patterns is key for targeted interventions in adolescents and young adults.
Area of Science:
- Psychiatry
- Clinical Psychology
- Developmental Psychology
Context:
- Non-suicidal self-injurious behavior (NSSI) is a complex phenomenon observed across various mental health conditions.
- Understanding the diverse motives behind NSSI is crucial for effective clinical intervention and treatment.
- Previous research has explored NSSI motives, but comparisons across diagnostic groups, genders, and age are less defined.
Purpose:
- To investigate and compare the underlying motives of non-suicidal self-injurious behavior (NSSI) based on diagnostic categories, gender, and age groups.
- To identify specific motivational differences in NSSI that may be associated with demographic factors rather than diagnostic labels.
Summary:
- This study examined NSSI motives in 91 patients (13-24 years old) across three clinical groups: behavioral disorders/personality disorder, depressive episodes, and eating disorders.
- Results indicated no significant differences in NSSI types or motives based on nosological affiliation, confirming NSSI as a transnosological phenomenon.
- However, significant gender differences emerged, with males reporting higher "sensation seeking" and "peer-bonding" motives. Younger individuals (under 18) more frequently endorsed "self-punishment" and "peer-bonding" motives.
Impact:
- The findings suggest that NSSI should be viewed as a dimensional characteristic of mental illness, influenced more by individual factors like gender and age than by specific diagnostic categories.
- This perspective can inform more personalized treatment approaches for NSSI, focusing on underlying emotional regulation and social-cognitive processes.
- Highlights the need for tailored interventions that address gender-specific and age-specific NSSI motivations.
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