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    Predictors of Continuation and Cessation of Nonsuicidal Self-Injury

    Access Status
    Fulltext not available
    Authors
    Andrews, Tori
    Martin, Graham
    Hasking, Penelope
    Page, Andrew
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Andrews, Tori and Martin, Graham and Hasking, Penelope and Page, Andrew. 2013. Predictors of Continuation and Cessation of Nonsuicidal Self-Injury. Journal of Adolescent Health. 53: pp. 40-46.
    Source Title
    Journal of Adolescent Health
    DOI
    10.1016/j.jadohealth.2013.01.009
    ISSN
    1054-139X
    URI
    http://hdl.handle.net/20.500.11937/25254
    Collection
    • Curtin Research Publications
    Abstract

    Purpose: This paper reports the first prospective study of risk factors for continuation of non-suicidal self-injury (NSSI) during adolescence. Methods: We examined whether NSSI became more severe among those continuing to self-injure 1 year later, as well as characteristics and predictors of continuation, relative to cessation, drawn from a sample of 1,973 community-based adolescents from five states in Australia. Multiple sociodemographic and psychosocial factors were assessed in a series of sequential logistic regressions. Results: Of those reporting NSSI at follow-up (12% total sample), 4.1% (95% CI: 3.3%–5.0%; n = 80) continued from baseline and an additional 4.1% had stopped this behavior by follow-up (95% CI: 3.3%–5.1%, n = 81; 3.8% new cases). Frequency, potential lethality and number of methods of NSSI increased among adolescents continuing to self-injure. These individuals also had overall higher frequency and more serious wounds compared with those who had stopped self-injuring, possibly providing parameters to differentiate these groups. Continuation of NSSI was associated with higher frequency (OR = 1.06; 95% CI = .99–1.13, p = .08), lower cognitive reappraisal (OR = .86; 95% CI = .78–.95, p = .004) and higher emotional suppression (OR = 1.10; 95% CI = .98–1.22, p = .09) relative to cessation at T1. Conclusions: These findings may assist to better identify young people more likely to continue self-injuring and also highlight potentially modifiable factors to inform early intervention initiatives.

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