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Nonsuicidal Self-Harm Among Community Adolescents: Understanding the "Whats" and "Whys" of Self-Harm

NCJ Number
212344
Journal
Journal of Youth and Adolescence Volume: 34 Issue: 5 Dated: October 2005 Pages: 447-457
Author(s)
Aviva Laye-Gindhu; Kimberly A. Schonert-Reichl
Date Published
October 2005
Length
11 pages
Annotation
In examining nonsuicidal self-harm among community adolescents, this study identified the prevalence and types of self-harm; clarified the nature and underlying function of self-harm; and assessed the links of psychological adjustment, sociodemographic, and health-risk variables to self-harm.
Abstract
A total of 424 adolescents (236 girls and 188 boys, mean age 15.34 years), who were attending a public high school in a large western Canadian city, participated in the study. A range of ethnic groups was represented, and 75 percent of the participants reported living in a two-parent home. A questionnaire administered to the sample obtained information on participants' demographics, health behaviors, and health history. A self-report questionnaire asked participants about past-year and lifetime self-harm. Participants who reported self-harm were asked to describe specific self-harm behaviors, and descriptions were coded into conceptually distinguishing categories. A 29-item self-report questionnaire was developed to assess motivations and functions of self-harm. Forty-two percent of the adolescents reported self-harm ideation, with significantly more girls (53 percent) than boys (28 percent) reporting these thoughts. Sixty-four adolescents (16 boys and 48 girls), constituting 15 percent of the total sample, reported self-harming behaviors. Categories of self-harm by frequency were cutting-type behaviors, hitting or biting self, abusing pills, eating disordered behaviors, reckless behavior, and bonebreaking (falling/jumping). Those who reported self-harm behavior also indicated increased antisocial behavior, emotional distress, anger problems, health risk behaviors, and decreased self-esteem. Gender differences were found across behavior and motivations. Findings support the coping or affect regulation model of self-harm. 3 tables and 57 references