Massey Documents by Type

Permanent URI for this communityhttps://mro.massey.ac.nz/handle/10179/294

Browse

Filters

2013 - 201912020 - 20232

Settings

Subject: search.filters.subject.Self-harm

Search Results

Now showing 1 - 3 of 3
  • Thumbnail Image
    Item
    Communicating distress: suicide threats/gestures among clinical and community youth.
    (Springer Nature, 2023-08-01) Robinson K; Scharinger C; Brown RC; Plener PL
    Although self-injurious thoughts and behaviors are a global health concern, little is known about suicidal threat/gesture(s) where a person leads others to believe they want to end their lives when they have no intention to do so. This study assessed the lifetime prevalence of self-injurious thoughts and behaviors among both community adolescents (n = 1117) and in clinical youth (n = 191). Suicide threats/gestures were common among youth; 12.2% of community adolescents and 18.0% of clinical youth reporting having made a suicide threat/gesture, most commonly in the context of other self-injurious thoughts and behaviors. Across both samples, suicide threats/gestures were not uniquely associated with suicide attempts, and youth who reported suicide threats/gestures in the context of a history of self-harm or suicide plan(s) were no more likely to report a history of suicide attempt(s). Suicide threats/gestures were distinguished from suicide attempts in that they primarily fulfilled positive social functions, rather than autonomic functions. Findings suggest that suicidal threats/gestures are common in both community and clinical youth, and are not uniquely associated with suicide attempts, but rather function to communicate distress to others.
  • Thumbnail Image
    Item
    Does treatment method matter? A meta-analysis of the past 20 years of research on therapeutic interventions for self-harm and suicidal ideation in adolescents
    (BioMed Central Ltd, part of Springer Nature, 2020-05-11) Kothgassner OD; Robinson K; Goreis A; Ougrin D; Plener PL
    Background: Self-harm is a clinically relevant and prevalent behaviour which peaks in adolescence. Given the high prevalence of self-harm, the high levels of psychiatric comorbidity, and its role as a risk factor for suicide, delivering evidence-based care is critical. Methods: We conducted a systematic review and meta-analysis of the literature on treating self-harm in adolescents (12-19 years) published in the last 20 years, identifying 25 randomised controlled trials. We calculated the effect of treatment interventions relative to active control conditions in reducing self-harm, suicidal ideation and depressive symptoms. Results: Overall, treatment interventions fared slightly better than active controls in decreasing self-harm (d = 0.13, 95% CI 0.04-0.22, p =.004), suicidal ideation (d = 0.31, 95% CI 0.12-0.50, p =.001) and depressive symptoms (d = 0.22, 95% CI 0.07-0.38, p =.006). Subgroup analysis of specific therapies revealed moderate effects of DBT-A in reducing self-harm (d = 0.51, 95% CI 0.18-0.85, p =.002) and suicidal ideation (d = 0.48, 95% CI 0.17-0.80, p =.003), as well as moderate effects of family-centred therapy in the treating suicidal ideation (d = 0.58, 95% CI 0.01-1.15, p =.049). Conclusions: The findings of our meta-analysis indicate that, overall, currently available treatments are effective in treating self-harm, suicidal ideation, and depressive symptoms in adolescence. Although the treatment intervention conditions showed only small to moderate effects in comparison to active controls, these differences were statistically significant and are clinically important. Further research is needed to understand the reduction in self-harm within active controls, which may arise due to the natural course of self-harm, or the potential efficacy of treatment as usual and enhanced usual care. Given the significant reduction of self-harm in active control conditions, delivering effective care to a large number of adolescents with self-harm may require developing stepped-care models in clinical practice. Expensive and poorly available treatments should be targeted at young people who most need them.
  • Thumbnail Image
    Item
    Has cutting become cool? : Normalising, social influence and socially-motivated deliberate self-harm in adolescent girls : a research project presented in partial fulfilment of the requirements for the degree of Doctor of Clinical Psychology at Massey University, Albany, New Zealan
    (Massey University, 2013) James, Shelley Anika
    The literature focusing on deliberate self-harm (DSH) has grown exponentially over the last decade. The most commonly understood reasons for DSH are based on distress relief and attenuation of emotional numbness. However, few studies have explored the social aspects of DSH. With the advent of some youth subcultures where DSH appears to be routine, the possibility arises that DSH may have become a normalised, social behaviour which is influenced by peers and which may not always be rooted in underlying psychopathology, such as borderline personality disorder (BPD), or it may derive from a somewhat different pattern of underlying psychopathology than that which is usually found among those who engage in DSH. This study aimed to explore the differences between self-harming and non-self-harming adolescent girls, and between girls who self-harm for social reasons and those who endorse other reasons for DSH, in terms of social influence, underlying psychopathology and normalising of DSH. Participants were 387 adolescent girls (303 non-self-harmers and 84 self-harmers) from schools in the greater Auckland area. Results showed that socially-motivated selfharmers were more susceptible to peer pressure and endorsed higher levels of normalisation of DSH than their counterparts, although overall levels of normalisation were low. However, those who endorsed social reasons for harm did not do so exclusively and were just as likely to endorse emotional reasons. Social harmers did not differ from other harmers in terms of psychological problems but indicated that the impact of their problems was less. When compared to non-self-harmers, the selfharming girls scored higher in peer influence and lower in parent influence, and also scored higher on measures of psychopathology. Clinical implications and suggestions for further research are discussed.