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Non-suicidal Self-injurious Thoughts and Behaviors Among Adolescent Inpatients

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Abstract

Non-suicidal self-injury (NSSI) is a serious public health concern that typically onsets during early adolescence. Adolescents (N = 980, ages 12–19 years) admitted for acute, residential psychiatric treatment completed baseline clinical interviews assessing mental disorders and questionnaires measuring demographics, early life adversity, and symptom severity. Prevalence rates of NSSI for lifetime (thoughts: 78%; behaviors: 72%), past year (thoughts: 74%; behaviors: 65%), and past month (thoughts: 68%; behaviors: 51%) were high. Although effect sizes were modest, the presence of a lifetime depressive disorder, sexual abuse, and comorbidity (i.e., three or more current disorders) were significant correlates of experiencing NSSI thoughts and behaviors. Furthermore, lifetime depressive disorder, current anxiety disorder, and comorbidity were associated with a greater odds of persistent NSSI thoughts and/or behaviors. Longitudinal studies are needed to determine whether targeting these factors reduces the persistence of NSSI thoughts and behaviors.

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Acknowledgements

This project was partially supported by funds from the National Institute of Mental Health to Randy P. Auerbach (NIMH; U01 MH116923) and David Pagliaccio (R01 MH126181). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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  1. Department of Psychiatry, Columbia University, New York, NY, USA

    Emma M. Millon, Kira L. Alqueza, Rahil A. Kamath, Rachel Marsh, David Pagliaccio & Randy P. Auerbach

  2. New York State Psychiatric Institute, 1051 Riverside Drive, Pardes 2407, New York, NY, 10032, USA

    Emma M. Millon, Kira L. Alqueza, Rahil A. Kamath, Rachel Marsh, David Pagliaccio & Randy P. Auerbach

  3. Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA

    Hilary P. Blumberg

  4. Department of Psychology and Centre for Neuroscience Studies, Queen’s University, Kingston, ON, Canada

    Jeremy G. Stewart

  5. Division of Clinical Developmental Neuroscience, Sackler Institute, New York, NY, USA

    Randy P. Auerbach

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Millon, E.M., Alqueza, K.L., Kamath, R.A. et al. Non-suicidal Self-injurious Thoughts and Behaviors Among Adolescent Inpatients. Child Psychiatry Hum Dev 55, 48–59 (2024). https://doi.org/10.1007/s10578-022-01380-1

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