Self-Injuries and Their Functions with Respect to Suicide Risk in Adolescents with Conduct Disorder: Findings from a Path Analysis
Non-suicidal self-injuries (NSSIs) have been identified as one of the most predictive factors of suicidal behaviours in adolescents. However, it remains unknown whether certain functions of NSSIs are associated with suicide risk, and what are the underlying mechanisms. Therefore, we aimed to investi...
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| Format: | Article |
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MDPI AG
2021-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/19/4602 |
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| author | Monika Szewczuk-Bogusławska Małgorzata Kaczmarek-Fojtar Joanna Halicka-Masłowska Błażej Misiak |
| author_facet | Monika Szewczuk-Bogusławska Małgorzata Kaczmarek-Fojtar Joanna Halicka-Masłowska Błażej Misiak |
| author_sort | Monika Szewczuk-Bogusławska |
| collection | DOAJ |
| description | Non-suicidal self-injuries (NSSIs) have been identified as one of the most predictive factors of suicidal behaviours in adolescents. However, it remains unknown whether certain functions of NSSIs are associated with suicide risk, and what are the underlying mechanisms. Therefore, we aimed to investigate the association between functions of NSSIs and suicide risk in adolescents with conduct disorder (CD), which shares some common characteristics with NSSIs. Participants were 215 adolescents (155 females, 72.1%) with CD. Functions of NSSIs, depressive symptoms, the levels of impulsivity, anxiety, self-esteem and aggression were examined. There were 77 adolescents with lifetime history of NSSIs (35.8%). Among them, adolescents with lifetime history of suicide attempt were significantly more likely to report anti-dissociation and anti-suicide function of NSSIs. They had significantly higher levels of anxiety as well as significantly lower self-esteem. Higher lifetime number of NSSIs was associated with higher odds of reporting anti-dissociation and anti-suicide functions. Moreover, these two functions fully mediated the association between lifetime number of NSSIs and suicide risk after co-varying for depressive and anxiety symptoms as well as self-esteem. The present findings indicate that anti-suicide and anti-dissociation functions of NSSIs might be crucial predictors of suicide risk in adolescents with CD. |
| first_indexed | 2024-03-10T06:57:02Z |
| format | Article |
| id | doaj.art-7e304f69db1a4ada86d9857d8e0d69eb |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T06:57:02Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-7e304f69db1a4ada86d9857d8e0d69eb2023-11-22T16:21:54ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011019460210.3390/jcm10194602Self-Injuries and Their Functions with Respect to Suicide Risk in Adolescents with Conduct Disorder: Findings from a Path AnalysisMonika Szewczuk-Bogusławska0Małgorzata Kaczmarek-Fojtar1Joanna Halicka-Masłowska2Błażej Misiak3Department of Psychiatry, Wroclaw Medical University, 50-367 Wrocław, PolandDepartment of Emergency Medicine, Wroclaw Medical University, 50-556 Wrocław, PolandDepartment of Psychiatry, Wroclaw Medical University, 50-367 Wrocław, PolandDepartment of Psychiatry, Wroclaw Medical University, 50-367 Wrocław, PolandNon-suicidal self-injuries (NSSIs) have been identified as one of the most predictive factors of suicidal behaviours in adolescents. However, it remains unknown whether certain functions of NSSIs are associated with suicide risk, and what are the underlying mechanisms. Therefore, we aimed to investigate the association between functions of NSSIs and suicide risk in adolescents with conduct disorder (CD), which shares some common characteristics with NSSIs. Participants were 215 adolescents (155 females, 72.1%) with CD. Functions of NSSIs, depressive symptoms, the levels of impulsivity, anxiety, self-esteem and aggression were examined. There were 77 adolescents with lifetime history of NSSIs (35.8%). Among them, adolescents with lifetime history of suicide attempt were significantly more likely to report anti-dissociation and anti-suicide function of NSSIs. They had significantly higher levels of anxiety as well as significantly lower self-esteem. Higher lifetime number of NSSIs was associated with higher odds of reporting anti-dissociation and anti-suicide functions. Moreover, these two functions fully mediated the association between lifetime number of NSSIs and suicide risk after co-varying for depressive and anxiety symptoms as well as self-esteem. The present findings indicate that anti-suicide and anti-dissociation functions of NSSIs might be crucial predictors of suicide risk in adolescents with CD.https://www.mdpi.com/2077-0383/10/19/4602self-injuriessuicidalityadolescencemental disorders |
| spellingShingle | Monika Szewczuk-Bogusławska Małgorzata Kaczmarek-Fojtar Joanna Halicka-Masłowska Błażej Misiak Self-Injuries and Their Functions with Respect to Suicide Risk in Adolescents with Conduct Disorder: Findings from a Path Analysis Journal of Clinical Medicine self-injuries suicidality adolescence mental disorders |
| title | Self-Injuries and Their Functions with Respect to Suicide Risk in Adolescents with Conduct Disorder: Findings from a Path Analysis |
| title_full | Self-Injuries and Their Functions with Respect to Suicide Risk in Adolescents with Conduct Disorder: Findings from a Path Analysis |
| title_fullStr | Self-Injuries and Their Functions with Respect to Suicide Risk in Adolescents with Conduct Disorder: Findings from a Path Analysis |
| title_full_unstemmed | Self-Injuries and Their Functions with Respect to Suicide Risk in Adolescents with Conduct Disorder: Findings from a Path Analysis |
| title_short | Self-Injuries and Their Functions with Respect to Suicide Risk in Adolescents with Conduct Disorder: Findings from a Path Analysis |
| title_sort | self injuries and their functions with respect to suicide risk in adolescents with conduct disorder findings from a path analysis |
| topic | self-injuries suicidality adolescence mental disorders |
| url | https://www.mdpi.com/2077-0383/10/19/4602 |
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