Risk and protective factors for self-harm in adolescents and young adults: An umbrella review of systematic reviews

Journal of Psychiatric Research, Journal Year: 2023, Volume and Issue: 168, P. 353 - 380

Published: Oct. 20, 2023

We conducted an umbrella review to synthesise the evidence from systematic reviews and meta-analyses that examined risk protective factors for self-harm in young people. searched six different databases used AMSTAR-2 checklist quality assessment. The importance of each factor was determined based on (1) number times it identified by general examining any or factor, (2) effect sizes meta-analyses. There were 61 included this review. most frequently people childhood abuse, depression/anxiety, bullying, trauma, psychiatric illnesses, substance use/abuse, parental divorce, poor family relationships, lack friends, exposure behaviour others. with strongest association behavioural disorders, personality disorders depression anxiety. a dearth but good family/friend relationships identified. also show non-suicidal suicidal shared many same factors. Clinicians other professionals who work should be particularly cognisant adverse life event as well use, education-related individual-level (e.g. being LGB) self-harm. Knowledge can potentially inform design implementation prevention measures further research is needed

Language: Английский

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Childhood Trauma and Non-suicidal Self-Injury Among Chinese Adolescents: The Mediating Role of Psychological Sub-health

Frontiers in Psychiatry, Journal Year: 2022, Volume and Issue: 13

Published: Feb. 10, 2022

The factors associated with non-suicidal self-injury (NSSI) of adolescents have been widely researched. However, the underlying mechanism relationship between childhood trauma and NSSI is limited. This study aimed to explore risk for among Chinese adolescents. Our hypothesis was that psychological sub-health (PSH) played a mediating role NSSI. Childhood Trauma Questionnaire, Multidimensional Sub-health Questionnaire Adolescent, self-report were used measure trauma, PSH, Structural equation model (SEM) performed verify our hypothesis. results showed 33.9% participants in survey had engaged past year. Adolescents who left-behind children or primary schools more likely engage Additionally, 56.2% moderate severe 26.1% PSH. Furthermore, PSH would increase by 2 times (B = 0.79, p < 0.01) 5 1.64, 0.01), respectively. SEM established (p 0.512) goodness-of-fit indices examined (CMIN/DF 0.892; GFI 0.997; AGFI 0.992; NFI 0.991; RFI 0.980; IFI 1.00; TLI CFI RMSEA 0.001). indicated positively predicted both directly indirectly through has confirmed partial effects assessment may be an operable effective method screen predict Meanwhile, intervention effectively prevent reduce occurrence

Language: Английский

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Specific and cumulative effects of childhood maltreatment on nonsuicidal self-injury in Chinese adolescents: The moderating effect of sleep disturbance

Child Abuse & Neglect, Journal Year: 2024, Volume and Issue: 149, P. 106627 - 106627

Published: Jan. 15, 2024

Language: Английский

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The associations of pre-sleep and after-sleep mobile phone use with nonsuicidal self-injury among Chinese college students (Preprint)

Published: Jan. 6, 2025

Nonsuicidal self-injury (NSSI) is regarded as the gateway behavior of suicide. This situation has been identified a critical public health concern that requires immediate attention. study aimed to explore associations mobile phone use before bedtime and getting up with NSSI among Chinese college students. A multistage random cluster sampling survey were conducted from six universities in Shaanxi province, found Northwest China, during October November 2022, total 18,585 students included for final analyses. Four different logistic models used analyze links between usage behaviors past month, restricted cubic splines regression estimate dose-response relationship pre-sleep after-sleep odds NSSI. The proportions participants exhibiting 3.8% month. Prolonged more than two hours was associated an increased risk month (odds ratio [OR], 1.74; 95% confidence interval [CI], 1.38-2.20). While does not significantly affect No significant gender differences these observed. Restricted Cubic Spline (RCS) model results shows P non-linear association time ＞0.05. sleep Early intervention strategies at regulating night should be implemented mitigate

Language: Английский

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Sleep duration in adolescence buffers the impact of childhood trauma on anxiety and depressive symptoms

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 4, 2025

Language: Английский

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Personality and Sleep Psychopathology: Associations Between the DSM‐5 Maladaptive Trait Domains and Multiple Sleep Problems in an Adult Population

Personality and Mental Health, Journal Year: 2025, Volume and Issue: 19(1)

Published: Feb. 1, 2025

ABSTRACT Given the lack of sufficient studies exploring nature sleep problems from perspective alternative model personality disorders (AMPD) proposed by DSM‐5, present study is aimed at determining associations between five trait domains such as negative affectivity and (insomnia, parasomnia, hypersomnia, circadian rhythm disorder, restless legs syndrome, sleep‐disordered breathing) in an adult population. Adults aged 18–65 western Iran were invited to via virtual platforms ( N = 928; 62% female) responded online Brief Form Personality Inventory for DSM‐5 Holland Sleep Disorder Questionnaire assess problems. The regression analyses indicated that AMPD could significantly predict both specific R 2 ranges 0.13 0.17; all p ≤ 0.001) total score 0.23; < 0.001). Psychoticism β 0.26 0.39; 0.14 0.29; 0.002) strongest associated with findings highlighted links maladaptive multiple unique profiles each problem are useful selecting treatments tailored adults.

Language: Английский

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Adolescent campus bullying and non-suicide self-injury: chain mediating effect of negative affect and sleep quality

Frontiers in Psychology, Journal Year: 2025, Volume and Issue: 16

Published: Feb. 18, 2025

This study aimed to explore the chain mediating role of negative affect and sleep quality between campus bullying non - suicidal self injury (NSSI) among adolescents. 569 adolescents were selected through convenience sampling. Participants completed Olweus Bully/Victim Questionnaire, Positive Negative Affect Schedule, Pittsburgh Sleep Quality Index, Adolescent Non Self Assessment Questionnaire. Our result showed significant positive correlations bullying, affect, NSSI. identified as independent sequential mediators in relationship These findings elucidate mechanisms linking NSSI, providing a preliminary basis for exploring causal relationships these variables. this offers theoretical support future research inform development targeted interventions reduce NSSI improve overall mental health China.

Language: Английский

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Predictability of Lifetime Nonsuicidal Self-injury by Symptoms of Sleep Disorders Using a Neural Network Model

Annals of Indian Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 24, 2025

Abstract Background: Nonsuicidal self-injury (NSSI), which pertains to self-induced actions that cause harm the body, comprises repetitive, intentional, and direct do not adhere social norms expectations. The present study aimed predict NSSI by sleep disorders (poor quality, insomnia severity, risk of apnea, circadian rhythms) utilizing a neural network model Methods: Using multi-stage cluster sampling, group 400 health-care personnel (70% female, aged 32.5 ± 8.8 years) from western region Iran was selected. subjects completed Inventory Statements about Self-Injury, Pittsburgh Sleep Quality Index, Berlin Questionnaire, Insomnia Severity Munich Chronotype Questionnaire. receiver operating characteristic (ROC) curve were used examine association between Results: use architecture resulted in discovery single hidden layer containing three units. Both training testing models predicted more than 85% cases with correctly. results area under ROC completely acceptable (0.834). findings suggest severity (0.418) poor quality (0.333) serve as potent indicators associated both subgroups, normalized importance values ranging 80% 100% Conclusion: algorithm can be effectively employed predicting several disorders. Future research test complexity connected comorbid other psychiatric conditions.

Language: Английский

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Sleep Disturbances, ADHD, and Self-Harm Among Youth

Journal of Attention Disorders, Journal Year: 2025, Volume and Issue: unknown

Published: March 19, 2025

Objective: Previous studies have linked ADHD with self-harm, but the processes underlying this association are not fully understood. This research aims to investigate role of sleep disturbances as a potential pathway between diagnosis and self-harm behaviors. Materials Methods: The study included 90 youth aged 11 18 years, divided into two groups: case group 45 diagnosed control without ADHD. Both groups completed Inventory Statements About Self-Injury evaluate behaviors Sleep Disturbance Scale for Children assess disturbances. A path analysis was conducted examine whether significant proportion shared disturbances, while controlling gender, education, family income, maternal overall anxiety depression scores. Results: An significantly associated (β = .62, p < .001) .35, .03). Additionally, were .51, .002) played in (indirect effect β .32, .001). Conclusion: These findings suggest that account substantial variance self-harm. While cross-sectional design limits causal interpretations, these results highlight importance addressing issues clinical care potentially reduce risks improve outcomes at-risk youth.

Language: Английский

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The Many Faces of Sleep Disorders in Post-Traumatic Stress Disorder: An Update on Clinical Features and Treatment

Neuropsychobiology, Journal Year: 2021, Volume and Issue: 81(2), P. 85 - 97

Published: Sept. 2, 2021

Sleep disorders and nightmares are core symptoms of post-traumatic stress disorder (PTSD). The relationship seems to be bidirectional, persistent disturbed sleep may influence the course disorder. With regard quality, insomnia nocturnal anxiety symptoms, as well stressful dreams, most prominent symptoms. Polysomnographic measurements reveal alterations architecture fragmentation rapid eye movement sleep. In addition, disorders, such sleep-related breathing parasomnias frequent comorbid conditions. complex etiology symptomatology trauma-related with psychiatric comorbidity require application multimodal treatment concepts, including psychological pharmacological interventions. However, there is little empirical evidence on effectiveness long-term drug for nightmares. For nondrug interventions, challenges arise from current lack PTSD-treatment concepts integrating sleep- trauma-focused therapies. Effective therapy disturbances consequently also improve well-being during day probably even PTSD. Whether early interventions exert a preventive effect development PTSD remains clarified in future studies.

Language: Английский

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