Abstract
Non-Suicidal Self-Injury (NSSI) is associated with a heightened overall risk of future psychopathological problems. However, elucidating specific characteristics that determine an increased risk for certain individuals remains an area requiring further exploration. This study aimed to identify latent subgroups in a sample of college students with NSSI. Additionally, it sought to explore the differential associations of these subgroups with their psychopathological status (e.g., borderline symptoms and suicidal tendencies) both at baseline and after two years. The sample comprised 259 participants (89% females, Mage = 20.39, SD = 1.90) who reported engaging in NSSI in the last year. Three latent groups were found. The group exhibiting severe NSSI-features, high emotion dysregulation, and low perceived social support was the profile with high-risk of psychopathology both at baseline and follow-up. The findings enhance our understanding of the complex association between NSSI and future mental health issues, aiding in the early identification of at-risk individuals.
Similar content being viewed by others
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Bados, A., Solanas, A., & Andrés, R. (2005). Psychometric properties of the Spanish version of Depression, Anxiety and Stress Scales (DASS). Psicothema, 17(4), 679–683.
Barrera, M. (1986). Distinctions between social support concepts, measures, and models. American Journal of Community Psychology, 14(4), 413–445. https://doi.org/10.1007/BF00922627.
Barrocas, A. L., Giletta, M., Hankin, B. L., Prinstein, M. J., & Abela, J. R. Z. (2015). Nonsuicidal Self-Injury in Adolescence: Longitudinal Course, Trajectories, and Intrapersonal Predictors. Journal of Abnormal Child Psychology, 43(2), 369–380. https://doi.org/10.1007/s10802-014-9895-4.
Baiden, P., Stewart, S. L., & Fallon, B. (2017). The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings. Child abuse & neglect, 69, 163–176. https://doi.org/10.1016/j.chiabu.2017.04.011.
Bates, D., Mächler, M., Bolker, B. M., & Walker, S. C. (2015). Fitting linear mixed-effects models using lme4. Journal of Statistical Software, 67(1). https://doi.org/10.18637/jss.v067.i01
Beasley, T. M., & Schumacher, R. E. (1995). Multiple regression approach to analyzing contingency tables: Post hoc and planned comparison procedures. Journal of Experimental Education, 64(1), 79–93. https://doi.org/10.1080/00220973.1995.9943797.
Bresin, K., & Schoenleber, M. (2015). Gender differences in the prevalence of nonsuicidal self-injury: A meta-analysis. Clinical psychology review, 38, 55–64. https://doi.org/10.1016/j.cpr.2015.02.009.
Briones-Buixassa, L., Alí, Í., Schmidt, C., Nicolaou, S., Pascual, J. C., Soler, J., & Vega, D. (2021). Predicting Non-Suicidal Self-Injury in Young Adults with and without Borderline Personality Disorder: a Multilevel Approach Combining Ecological Momentary Assessment and Self-Report Measures. Psychiatric Quarterly, 92(3), 1035–1054. https://doi.org/10.1007/s11126-020-09875-7.
Brunstein Klomek, A., Snir, A., Apter, A., Carli, V., Wasserman, C., Hadlaczky, G., Hoven, C. W., Sarchiapone, M., Balazs, J., Bobes, J., Brunner, R., Corcoran, P., Cosman, D., Haring, C., Kahn, J. P., Kaess, M., Postuvan, V., Sisask, M., Tubiana, A., Varnik, A., & Wasserman, D. (2016). Association between victimization by bullying and direct self injurious behavior among adolescence in Europe: a ten-country study. European Child & Adolescent Psychiatry, 25(11), 1183–1193. https://doi.org/10.1007/s00787-016-0840-7.
Burke, T. A., Anne McArthur, B., Daryanani, I., Abramson, L. Y., & Alloy, L. B. (2018). Latent classes of trait affect and cognitive affective regulation strategies are associated with depression, non-suicidal self-injury, and well-being. Journal of Affective Disorders, 225, 180–187. https://doi.org/10.1016/j.jad.2017.08.015.
Calderón, C., Ferrando, P. J., Lorenzo-Seva, U., Gómez-Sánchez, D., Fernández-Montes, A., Palacín-Lois, M., Antoñanzas-Basa, M., Rogado, J., Manzano-Fernández, A., Ferreira, E., Asensio-Martínez, E., & Jiménez-Fonseca, P. (2021). Multidimensional scale of perceived social support (MSPSS) in cancer patients: Psychometric properties and measurement invariance. Psicothema, 33(1), 131–138. https://doi.org/10.7334/psicothema2020.263.
Chanen, A. M., Jovev, M., Djaja, D., McDougall, E., Yuen, H. P., Rawlings, D., & Jackson, H. J. (2008). Screening for borderline personality disorder in outpatient youth. Journal of Personality Disorders, 22(4), 353–364. https://doi.org/10.1521/pedi.2008.22.4.353.
Christoforou, R., Boyes, M., & Hasking, P. (2021). Emotion profiles of university students engaging in non-suicidal self-injury: Association with functions of self-injury and other mental health concerns. Psychiatry Research, 305, 114253 https://doi.org/10.1016/j.psychres.2021.114253.
Chugani, C. D. (2017). Adapting Dialectical Behavior Therapy for College Counseling Centers. Journal of College Counseling, 20(1), 67–80. https://doi.org/10.1002/jocc.12059.
Cipriano, A., Cella, S., & Cotrufo, P. (2017). Nonsuicidal Self-injury: A Systematic Review. Frontiers in Psychology, 8, 1946 https://doi.org/10.3389/fpsyg.2017.01946.
d’Arbeloff, T. C., Freedy, K. R., Knodt, A. R., Radtke, S. R., Brigidi, B. D., & Hariri, A. R. (2018). Emotion regulation and the experience of future negative mood: The importance of assessing social support. Frontiers in Psychology, 9, 2287 https://doi.org/10.3389/fpsyg.2018.02287.
Daukantaitė, D., Lundh, L. G., Wångby-Lundh, M., Claréus, B., Bjärehed, J., Zhou, Y., & Liljedahl, S. I. (2021). What happens to young adults who have engaged in self-injurious behavior as adolescents? A 10-year follow-up. European Child and Adolescent Psychiatry, 30(3), 475–492. https://doi.org/10.1007/s00787-020-01533-4.
Fonseca-Pedrero, E., Paino, M., Lemos-Giráldez, S., Sierra-Baigrie, S., González, M. P. G.-P., Bobes, J., & Muňiz, J. (2011). Borderline personality traits in nonclinical young adults. Journal of Personality Disorders, 25(4), 542–556. https://doi.org/10.1521/pedi.2011.25.4.542.
Gandhi, A., Luyckx, K., Baetens, I., Kiekens, G., Sleuwaegen, E., Berens, A., Maitra, S., & Claes, L. (2018). Age of onset of non-suicidal self-injury in Dutch-speaking adolescents and emerging adults: An event history analysis of pooled data. Comprehensive Psychiatry, 80, 170–178. https://doi.org/10.1016/j.comppsych.2017.10.007.
Ghinea, D., Edinger, A., Parzer, P., Koenig, J., Resch, F., & Kaess, M. (2020). Non-suicidal self-injury disorder as a stand-alone diagnosis in a consecutive help-seeking sample of adolescents. Journal of Affective Disorders, 274, 1122–1125. https://doi.org/10.1016/j.jad.2020.06.009.
Ghinea, D., Koenig, J., Parzer, P., Brunner, R., Carli, V., Hoven, C. W., Sarchiapone, M., Wasserman, D., Resch, F., & Kaess, M. (2019). Longitudinal development of risk-taking and self-injurious behavior in association with late adolescent borderline personality disorder symptoms. Psychiatry Research, 273, 127–133. https://doi.org/10.1016/j.psychres.2019.01.010.
Gratz, K. L., & Roemer, L. (2004). Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94.
Guérin-Marion, C., Bureau, J. F., Lafontaine, M. F., Gaudreau, P., & Martin, J. (2021). Profiles of Emotion Dysregulation Among University Students Who Self-Injure: Associations with Parent–Child Relationships and Non-Suicidal Self-Injury Characteristics. Journal of Youth and Adolescence, 50(4), 767–787. https://doi.org/10.1007/s10964-020-01378-9.
Hamza, C. A., & Willoughby, T. (2013). Nonsuicidal Self-Injury and Suicidal Behavior: A Latent Class Analysis among Young Adults. PLoS ONE, 8(3). https://doi.org/10.1371/journal.pone.0059955
Hankin, B. L., & Abela, J. R. Z. (2011). Nonsuicidal self-injury in adolescence: Prospective rates and risk factors in a 2 ½ year longitudinal study. Psychiatry Research, 186(1), 65–70. https://doi.org/10.1016/J.PSYCHRES.2010.07.056.
Heath, N. L., Ross, S., Toste, J. R., Charlebois, A., & Nedecheva, T. (2009). Retrospective Analysis of Social Factors and Nonsuicidal Self-Injury Among Young Adults. Canadian Journal of Behavioural Science/Revue Canadienne Des Sciences Du Comportement, 41(3), 180–186. https://doi.org/10.1037/a0015732.
Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27(2), 226–239. https://doi.org/10.1016/j.cpr.2006.08.002.
Klonsky, E. D., & Glenn, C. R. (2009). Assessing the functions of non-suicidal self-injury: Psychometric properties of the Inventory of Statements About Self-injury (ISAS). Journal of Psychopathology and Behavioral Assessment, 31(3), 215–219. https://doi.org/10.1007/s10862-008-9107-z.
Klonsky, E. D., & Olino, T. M. (2008). Identifying Clinically Distinct Subgroups of Self-Injurers Among Young Adults: A Latent Class Analysis. Journal of Consulting and Clinical Psychology, 76(1), 22–27. https://doi.org/10.1037/0022-006X.76.1.22.
Lakey, B. (2010). Social support: Basic research and new strategies for intervention. In J. E. Maddux & J. P. Tangney (Eds.), Social psychological foundations of clinical psychology (pp. 177–194). New York: Guilford.
Linehan, M. M., Korslund, K. E., Harned, M. S., Gallop, R. J., Lungu, A., Neacsiu, A. D., McDavid, J., Comtois, K. A., & Murray-Gregory, A. M. (2015). Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: a randomized clinical trial and component analysis. JAMA Psychiatry, 72(5), 475–482. https://doi.org/10.1001/jamapsychiatry.2014.3039.
Lloyd-Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37(8), 1183–1192. https://doi.org/10.1017/S003329170700027X.
Marroquín, B., & Nolen-Hoeksema, S. (2015). Emotion regulation and depressive symptoms: Close relationships as social context and influence. Journal of Personality and Social Psychology, 109(5), 836–855. https://doi.org/10.1037/pspi0000034.
Mendez, I., Sintes, A., Pascual, J. C., Puntí, J., Lara, A., Briones-Buixassa, L., Nicolaou, S., Schmidt, C., Romero, S., Fernández, M., Carmona i Farrés, C., Soler, J., Santamarina-Perez, P., & Vega, D. (2022). Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents. Journal of Affective Disorders, 302, 204–213. https://doi.org/10.1016/j.jad.2022.01.065.
Muehlenkamp, J., Brausch, A., Quigley, K., & Whitlock, J. (2013). Interpersonal features and functions of nonsuicidal self-injury. Suicide and Life-Threatening Behavior, 43(1), 67–80. https://doi.org/10.1111/j.1943-278X.2012.00128.x.
Musser, N., Zalewski, M., Stepp, S., & Lewis, J. (2018). A systematic review of negative parenting practices predicting borderline personality disorder: Are we measuring biosocial theory’s ‘invalidating environment’? Clinical Psychology Review, 65, 1–16. https://doi.org/10.1016/j.cpr.2018.06.003.
Muthén, B. O., & Muthén, L. K. (2000). Integrating person-centered and variable-centered analyses: Growth mixture modeling with latent trajectory classes. Alcoholism: Clinical and Experimental Research, 24(6), 882–891. https://doi.org/10.1111/j.1530-0277.2000.tb02070.x.
Nakar, O., Brunner, R., Schilling, O., Chanen, A., Fischer, G., Parzer, P., Carli, V., Wasserman, D., Sarchiapone, M., Wasserman, C., Hoven, C. W., Resch, F., & Kaess, M. (2016). Developmental trajectories of self-injurious behavior, suicidal behavior and substance misuse and their association with adolescent borderline personality pathology. Journal of Affective Disorders, 197, 231–238. https://doi.org/10.1016/j.jad.2016.03.029.
Nock, M. K. (2010). Self-Injury. Annual Review of Clinical Psychology, 6, 339–363. https://doi.org/10.1146/annurev.clinpsy.121208.131258.
Oberski, D. (2016). Mixture models: Latent profile and latent class analysis. In J. Robertson, & M. Kaptein (Eds.), Modern statistical methods for HCI. Human–computer interaction series, (pp. 275–287). Springer. https://doi.org/10.1007/978-3-319-26633-6_12.
Pinheiro, J. C & Bates, D. M. (2000). Mixed-effects models in S and S-PLUS. Springer. https://doi.org/10.1007/b98882.
Pistorello, J., Fruzzetti, A. E., Maclane, C., Gallop, R., & Iverson, K. M. (2012). Dialectical behavior therapy (DBT) applied to college students: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 80(6), 982–994. https://doi.org/10.1037/a0029096.
Peng, Z., Klomek, A. B., Li, L., Su, X., Sillanmäki, L., Chudal, R., & Sourander, A. (2019). Associations between Chinese adolescents subjected to traditional and cyber bullying and suicidal ideation, self-harm and suicide attempts. BMC Psychiatry, 19(1), 1–8. https://doi.org/10.1186/s12888-019-2319-9.
Peterson, A. L., Chen, J. I., Karver, M. S., & Labouliere, C. D. (2019). Frustration with feeling: Latent classes of non-suicidal self-injury and emotion regulation difficulties. Psychiatry Research, 275, 61–70. https://doi.org/10.1016/j.psychres.2019.03.014.
Plener, P. L., Schumacher, T. S., Munz, L. M., & Groschwitz, R. C. (2015). The longitudinal course of non-suicidal self-injury and deliberate self-harm: a systematic review of the literature. Borderline Personality Disorder and Emotion Dysregulation, 2, 2 https://doi.org/10.1186/s40479-014-0024-3.
R Core Team. (2017). R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing. http://www.R-project.org/
Rissanen, M. L., Kekkonen, V., Kraav, S. L., Kivimäki, P., Laukkanen, E., Hintikka, J., & Tolmunen, T. (2021). Social support may prevent self-cutting in adolescence: A 5-year follow-up study. Journal of Child and Adolescent Psychiatric Nursing, 34(4), 343–351. https://doi.org/10.1111/jcap.12341.
Rizvi, S. L., & Steffel, L. M. (2014). A pilot study of 2 brief forms of dialectical behavior therapy skills training for emotion dysregulation in college students. Journal of American College Health, 62(6), 434–439. https://doi.org/10.1080/07448481.2014.907298.
Sachs-Ericsson, N., Carr, D., Sheffler, J., Preston, T. J., Kiosses, D., & Hajcak, G. (2021). Cognitive reappraisal and the association between depressive symptoms and perceived social support among older adults. Aging & Mental Health, 25(3), 453–461. https://doi.org/10.1080/13607863.2019.1698516.
Scardera, S., Perret, L. C., Ouellet-Morin, I., Gariépy, G., Juster, R. P., Boivin, M., Turecki, G., Tremblay, R. E., Côté, S., & Geoffroy, M. C. (2020). Association of social support during adolescence with depression, anxiety, and suicidal ideation in young adults. JAMA Network Open, 3(12), 1–12. https://doi.org/10.1001/jamanetworkopen.2020.27491.
Scrucca, L., Fop, M., Murphy, T. B., & Raftery, A. E. (2016). mclust 5: Clustering, Classification and Density Estimation Using Gaussian Finite Mixture Models. The R journal, 8(1), 289–317. https://doi.org/10.32614/rj-2016-021.
Skegg, K. (2005). Self-harm. Lancet (London, England), 366(9495), 1471–1483. https://doi.org/10.1016/S0140-6736(05)67600-3.
Stead, V. E., Boylan, K., & Schmidt, L. A. (2019). Longitudinal associations between non-suicidal self-injury and borderline personality disorder in adolescents: A literature review. Borderline Personality Disorder and Emotion Dysregulation, 6(1), 1–12. https://doi.org/10.1186/s40479-019-0100-9.
Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St John, N. J. (2014). Prevalence of nonsuicidal self-injury in nonclinical samples: systematic review, meta-analysis and meta-regression. Suicide & Life-Threatening Behavior, 44(3), 273–303. https://doi.org/10.1111/sltb.12070.
Taylor, P. J., Jomar, K., Dhingra, K., Forrester, R., Shahmalak, U., & Dickson, J. M. (2018). A meta-analysis of the prevalence of different functions of non-suicidal self-injury. Journal of Affective Disorders, 227, 759–769. https://doi.org/10.1016/j.jad.2017.11.073.
Tilton-Weaver, L., Latina, D., & Marshall, S. K. (2023). Trajectories of nonsuicidal self-injury during adolescence. Journal of Adolescence, 95(3), 437–453. https://doi.org/10.1002/jad.12126.
Tuna, E., & Bozo, Ö. (2014). Exploring the link between emotional and behavioral dysregulation: A test of the emotional cascade model. Journal of General Psychology, 141(1), 1–17. https://doi.org/10.1080/00221309.2013.834289.
Uliaszek, A. A., Rashid, T., Williams, G. E., & Gulamani, T. (2016). Group therapy for university students: A randomized control trial of dialectical behavior therapy and positive psychotherapy. Behaviour Research and Therapy, 77, 78–85. https://doi.org/10.1016/j.brat.2015.12.003.
Uliaszek, A. A., Hamdullahpur, K., Chugani, C. D., & Tayyab Rashid (2018). Mechanisms of change in group therapy for treatment-seeking university students. Behaviour Research and Therapy, 109, 10–17. https://doi.org/10.1016/j.brat.2018.07.006.
Vega, D., Torrubia, R., Soto, À., Ribas, J., Soler, J., Pascual, J. C., Rodríguez-Fornells, A., & Marco-Pallarés, J. (2017). Exploring the relationship between non suicidal self-injury and borderline personality traits in young adults. Psychiatry Research, 256, 403–411. https://doi.org/10.1016/j.psychres.2017.07.008.
Victor, S. E., Davis, T., & Klonsky, E. D. (2017). Descriptive Characteristics and Initial Psychometric Properties of the Non-Suicidal Self-Injury Disorder Scale. Archives of Suicide Research, 21(2), 265–278. https://doi.org/10.1080/13811118.2016.1193078.
Victor, S. E., & Klonsky, E. D. (2016). Validation of a Brief Version of the Difficulties in Emotion Regulation Scale (DERS-18) in Five Samples. Journal of Psychopathology and Behavioral Assessment, 38(4), 582–589. https://doi.org/10.1007/s10862-016-9547-9.
Wan, Y., Chen, R., Ma, S., McFeeters, D., Sun, Y., Hao, J., & Tao, F. (2019). Associations of adverse childhood experiences and social support with self-injurious behaviour and suicidality in adolescents. British Journal of Psychiatry, 214(3), 146–152. https://doi.org/10.1192/bjp.2018.263.
Wang, Q., Wang, H., & Liu, X. (2020). Loneliness, non-suicidal self-injury, and friendship quality among Chinese left-behind adolescents: The role of parent-child cohesion. Journal of Affective Disorders, 271(19), 193–200. https://doi.org/10.1016/j.jad.2020.03.112.
Wångby-Lundh, M., Lundh, L. G., Claréus, B., Bjärehed, J., & Daukantaitė, D. (2023). Developmental pathways of repetitive non-suicidal self-injury: predictors in adolescence and psychological outcomes in young adulthood. Child and Adolescent Psychiatry and Mental Health, 17(1), 1–19. https://doi.org/10.1186/s13034-023-00660-5.
Wardenaar, K. J. (2021, April 9). Latent Profile Analysis in R: A tutorial and comparison to Mplus. https://doi.org/10.31234/osf.io/wzftr
West, B.T., Welch, K.B., & Galecki, A.T. (2014). Linear Mixed Models: A Practical Guide Using Statistical Software, Second Edition (2nd ed.). Chapman and Hall/CRC. https://doi.org/10.1201/b17198
Whitlock, J., Muehlenkamp, J., & Eckenrode, J. (2008). Variation in nonsuicidal self-injury: Identification and features of latent classes in a college population of emerging adults. Journal of Clinical Child and Adolescent Psychology, 37(4), 725–735. https://doi.org/10.1080/15374410802359734.
Wolff, J. C., Frazier, E. A., Esposito-Smythers, C., Becker, S. J., Burke, T. A., Cataldo, A., & Spirito, A. (2014). Negative cognitive style and perceived social support mediate the relationship between aggression and NSSI in hospitalized adolescents. Journal of Adolescence, 37(4), 483–491. https://doi.org/10.1016/j.adolescence.2014.03.016.
Wolff, J. C., Thompson, E., Thomas, S. A., Nesi, J., Bettis, A. H., Ransford, B., Scopelliti, K., Frazier, E. A., & Liu, R. T. (2019). Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis. European Psychiatry, 59, 25–36. https://doi.org/10.1016/j.eurpsy.2019.03.004.
Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric Characteristics of the Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 55(3–4). https://doi.org/10.1080/00223891.1990.9674095
Acknowledgements
The authors are grateful to all participants in the study for their contribution.
Authors’ Contributions
C.S. performed the statistical analysis of the data and drafted the manuscript; S.N. drafted and edited the manuscript; J.C.P. supported the statistical analysis of the data, edited and reviewed the manuscript; J.P., participated in the conceptualization and design of the study, edited and reviewed the manuscript; A.L. participated in the conceptualization and design of the study, edited and reviewed the manuscript; A.S. participated in the design and coordination of the study and reviewed the manuscript; I.M. participated in the design and coordination of the study and reviewed the manuscript; S.R. participated in the design and coordination of the study and reviewed the manuscript; P.S-P. participated in the conceptualization and design of the study, managed the data acquisition, edited and reviewed the manuscript; L.B-B. coordinated and collected the data acquisition; J.S. supported the statistical analysis of the data, edited and reviewed the manuscript; D.V. conceived the study, managed the project and obtained funding, drafted and edited the manuscript, and participated in the statistical analysis of the data. All authors read and approved the final manuscript.
Funding
This project was funded by the Catalan government with a PERIS project fellowship (Departament de Salut, Generalitat de Catalunya) [reference number SLT006/17/00159]; CS was supported by the National Agency for Research and Development (ANID) / Scholarship Program / Doctorado Becas Chile [reference number 72190624]; SN is supported by a fellowship from “La Caixa” Foundation [ID 100010434; code: LCF/BQ/DR21/11880013].
Data Sharing and Declaration
The data supporting this study are available from the corresponding author upon request.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare no competing interests.
Ethical Approval
All procedures were approved by the Clinical Research Ethics Committee of Bellvitge University Hospital (protocol number: PR330/17).
Informed Consent
All participants in this study provided informed consent electronically.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Schmidt, C., Nicolaou, S., Pascual, J.C. et al. Identifying High-Risk Subgroups of College Students with Non-Suicidal Self-Injury: A Latent Profile Analysis and Two-Years Follow-up Study. J. Youth Adolescence 53, 1370–1382 (2024). https://doi.org/10.1007/s10964-024-01970-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10964-024-01970-3