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Journal of Abnormal Child Psychology

, Volume 43, Issue 2, pp 369–380 | Cite as

Nonsuicidal Self-Injury in Adolescence: Longitudinal Course, Trajectories, and Intrapersonal Predictors

  • Andrea L. Barrocas
  • Matteo GilettaEmail author
  • Benjamin L. Hankin
  • Mitchell J. Prinstein
  • John R. Z. Abela
Article

Abstract

Although prevalence rates of nonsuicidal self-injury (NSSI) has been established throughout adolescence, little is known about the progression of NSSI, and consequently, about the risk factors for youth NSSI engagement. This study aimed to describe the overall longitudinal course of NSSI and the latent trajectory classes of NSSI in a population-based sample of adolescents using multi-wave data. Moreover, this study examined whether sex, lifetime history of depression, rumination, and negative attributional style predicted the longitudinal course of NSSI and trajectory group membership. Participants were 617 Chinese adolescents in Grades 10 through 12 (51.4 % girls). NSSI was assessed across eight waves of data. History of depression, rumination, and negative attributional style were assessed at baseline. Latent growth curve modeling revealed that only lifetime depression predicted the longitudinal course of NSSI from Grades 10 to 12, with depressed adolescents showing greater and more stable NSSI engagement over time than non-depressed adolescents. Group-based trajectory modeling yielded three distinct trajectory classes of NSSI engagement: low (69.2 %), moderate (26.1 %), and chronic (4.7 %). Negative attributional style distinguished adolescents in the chronic vs. low and moderate NSSI trajectory classes. Sex, rumination, and lifetime depression predicted membership in the chronic and/or moderate vs. low NSSI trajectory class. NSSI trajectory classes, based on frequency of NSSI, exist and are differentiated by sex, depression history, rumination, and negative attributional style. This study suggests that during this period of adolescence NSSI may be a relatively stable behavior, especially for some adolescents. Negative attributional style may be a salient risk factor for chronic NSSI engagement.

Keywords

NSSI Adolescents Latent trajectory classes Depression Attributional style Rumination 

Notes

Acknowledgments

This work was supported by a research grant from the Social Sciences and Research Council of Canada awarded to John R. Z. Abela. This article is dedicated to the loving memory of John R. Z. Abela, whose tragic and untimely death in June 2010 left him unable to complete analyses of these data.

Conflict of Interest

The authors of this manuscript have no conflicts of interest or financial interests relevant to the subject of this manuscript. The authors of this manuscript take responsibility for the integrity of the data and the accuracy of the data analysis, and all authors had full access to all the data in the study.

References

  1. Abela, J. R. Z., & Hankin, B. L. (2011). Rumination as a vulnerability factor to depression during the transition from early to middle adolescence: a multiwave longitudinal study. Journal of Abnormal Psychology, 120, 259–271.PubMedCrossRefGoogle Scholar
  2. Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: a theory based subtype of depression. Psychological Review, 96, 358–372.CrossRefGoogle Scholar
  3. Adrian, M., Zeman, J., Erdley, C., Lisa, L., & Sim, L. (2011). Emotional dysregulation and interpersonal difficulties as risk factors for nonsuicidal self-injury in adolescent girls. Journal of Abnormal Child Psychology, 39, 389–400.PubMedCrossRefGoogle Scholar
  4. Andrews, T., Martin, G., Hasking, P., & Page, A. (2013). Predictors of continuation and cessation of nonsuicidal self-injury. Journal of Adolescent Health, 53, 40–46.PubMedCrossRefGoogle Scholar
  5. Barrocas, A. L., Jenness, J. L., Davis, T. S., Oppenheimer, C. W., Technow, J. R., Gulley, L. D., et al. (2011). Developmental perspectives on vulnerability to nonsuicidal self-injury in youth. In J. Benson (Ed.), Advances in child development and behavior (Vol. 40, pp. 301–336). London: Elseiver.CrossRefGoogle Scholar
  6. Barrocas, A. L., Hankin, B. L., Young, J. L., & Abela, J. R. Z. (2012). Rates of nonsuicidal self- injury in youth: age, sex, and behavioral methods in a community sample. Pediatrics, 130, 39–45. doi: 10.1542/peds.2011-2094.PubMedCentralPubMedCrossRefGoogle Scholar
  7. Bjärehed, J., Wångby- Lundh, M., & Lundh, L. G. (2012). Nonsuicidal self- injury in a community sample of adolescents: subgroups, stability, and associations with psychological difficulties. Journal of Research on Adolescence, 22, 678–693.CrossRefGoogle Scholar
  8. Brunner, R., Parzer, P., Haffner, J., Steen, R., Roos, J., Klett, M., et al. (2007). Prevalence and psychological correlates of occasional and repetitive deliberate self-harm in adolescents. Archives of Pediatrics & Adolescent Medicine, 161, 641.CrossRefGoogle Scholar
  9. Chambers, W. J., Puig-Antich, J., Hirsch, M., Paez, P., Ambrosini, P. J., Tabrizi, M. A., et al. (1985). The assessment of affective disorders in children and adolescents by semistructured interview: test-retest reliability of the schedule for affective disorders and schizophrenia for school-Age children, present episode version. Archives of General Psychiatry, 42, 696–702.PubMedCrossRefGoogle Scholar
  10. Cornette, M., Abramson, L. Y., & Bardone, A. (2000). Toward an integrated theory of suicidal behaviors: Merging the hopelessness, self-discrepancy, and escape theories. In T. E. Joiner & M. D. Rudd (Eds.), Suicide science: Expanding the boundaries (pp. 43–66). Boston: Kluwer.Google Scholar
  11. Curran, P. J., & Willoughby, M. T. (2003). Implications of latent trajectory models for the study of developmental psychopathology. Development and Psychopathology, 15, 581–612.PubMedCrossRefGoogle Scholar
  12. Dekker, M. C., Ferdinand, R. F., van Lang, N. D. J., Bongers, I. L., van der Ende, J., & Verhulst, F. C. (2007). Developmental trajectories of depressive symptoms from early childhood to late adolescence: gender differences and adult outcome. Journal of Child Psychology and Psychiatry, 48, 657–666.PubMedCrossRefGoogle Scholar
  13. Giletta, M., Scholte, R. H., Engels, R. C., Ciairano, S., & Prinstein, M. J. (2012). Adolescent non-suicidal self-injury: a cross-national study of community samples from Italy, the Netherlands and the United States. Psychiatry Research, 197, 66–72.PubMedCentralPubMedCrossRefGoogle Scholar
  14. Giletta, M., Burk, W. J., Scholte, R. H. J., Engels, R. C. M. E., & Prinstein, M. J. (2013). Direct and indirect peer socialization of adolescent nonsuicidal self-injury. Journal of Research on Adolescence, 23, 450–463.CrossRefGoogle Scholar
  15. Guan, K., Fox, K. R., & Prinstein, M. J. (2012). Nonsuicidal self-injury as a time-invariant predictor of adolescent suicide ideation and attempts in a diverse community sample. Journal of Consulting and Clinical Psychology, 80, 842–849.PubMedCentralPubMedCrossRefGoogle Scholar
  16. Haeffel, G. J., & Howard, G. S. (2010). Self-report: psychology’s four-letter word. American Journal of Psychology, 123, 181–188.PubMedCrossRefGoogle Scholar
  17. Hamza, C. A., & Willoughby, T. (2013). A longitudinal person-centered evaluation of nonsuicidal self-injury among university students. PloS One, 8(3), e59955. doi: 10.1371/journal.pone.0059955.PubMedCentralPubMedCrossRefGoogle Scholar
  18. Hankin, B. L. (2008). Stability of cognitive vulnerabilities to depression: a short-term prospective multiwave study. Journal of Abnormal Psychology, 117, 324.PubMedCentralPubMedCrossRefGoogle Scholar
  19. Hankin, B. L., & Abela, J. R. Z. (2011). Nonsuicidal self-injury in adolescence: prospective rates and risk factors in a 2 1/2 year longitudinal study. Psychiatry Research, 186, 65–70.PubMedCentralPubMedCrossRefGoogle Scholar
  20. Hankin, B. L., & Abramson, L. Y. (2001). Development of gender differences in depression: an elaborated cognitive vulnerability–transactional stress theory. Psychological Bulletin, 127, 773.PubMedCrossRefGoogle Scholar
  21. Hankin, B. L., & Abramson, L. Y. (2002). Measuring cognitive vulnerability to depression in adolescence: reliability, validity, and gender differences. Journal of Clinical Child and Adolescent Psychology, 31, 491–504.PubMedCrossRefGoogle Scholar
  22. Hankin, B. L., Carter, I., Lakdawalla, Z., Abela, J. R. Z., & Adams, P. (2007). Are neuroticism, cognitive vulnerability and self-esteem overlapping or distinct risks for depression? Evidence from exploratory and confirmatory factor analyses. Journal of Social and Clinical Psychology, 26, 29–63.CrossRefGoogle Scholar
  23. Heilbron, N., & Prinstein, M. J. (2008). Peer influence and adolescent nonsuicidal self-injury: a theoretical review of mechanisms and moderators. Applied and Preventative Psychology, 12, 169–177.CrossRefGoogle Scholar
  24. Hilt, L. M., Nock, M. K., Lloyd-Richardson, E. E., & Prinstein, M. J. (2008). Longitudinal study of nonsuicidal self-Injury among young adolescents rates, correlates, and preliminary test of an interpersonal model. The Journal of Early Adolescence, 28(3), 455–469.CrossRefGoogle Scholar
  25. Hoff, E. R., & Muehlenkamp, J. J. (2009). Nonsuidical self-injury in college students: the role of perfectionism and rumination. Suicide and Life-Threatening Beahvior, 39, 576–587.CrossRefGoogle Scholar
  26. Hong, W., Abela, J. R. Z., Cohen, J. R., Sheshko, D. M., Shi, X. T., Van Hamel, A., et al. (2010). Rumination as a vulnerability factor to depression in adolescents in mainland China: lifetime history of clinically significant depressive episodes. Journal of Clinical Child & Adolescent Psychology, 39, 849–857.CrossRefGoogle Scholar
  27. Hopcroft, R. L., & Bradley, D. B. (2007). The sex difference in depression across 29 countries. Social Forces, 85, 1483–1507.CrossRefGoogle Scholar
  28. Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K., & Prince, S. E. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64, 295–304.PubMedCrossRefGoogle Scholar
  29. Joiner, T. E. (2001). Negative attributional style, hopelessness depression, and endogenous depression. Behavior Research and Therapy, 39, 139–149.CrossRefGoogle Scholar
  30. Joiner, T. E. (2005). Why people die by suicide. Cambridge: Harvard University Press.Google Scholar
  31. Kaufman, J., Birmaher, B., Brent, D., Rao, U., & Ryan, N. (1996). Kiddie-Sads-Present and Lifetime Version (K-SADS-PL). Pittsburgh: Western Psychiatric Institute and Clinic.Google Scholar
  32. Kessler, R. C., Angermeyer, M., Anthony, J. C., de Graaf, R., Demyttenaere, K., Gasquet, I., et al. (2007). Lifetime prevalence and age-of-onset distributions of mental disorders in the world health Organization’s world mental health survey initiative. World Psychiatry, 6, 168–176.PubMedCentralPubMedGoogle Scholar
  33. Klein, D. N., Dougherty, L. R., & Olino, T. M. (2005). Toward guidelines for evidence-based assessment of depression in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 412–432.PubMedCrossRefGoogle Scholar
  34. Klonsky, E. D. (2011). Non-suicidal self-injury in United States adults: prevalence, sociodemographics, topography, and functions. Psychological Medicine, 41, 1981–1986.PubMedCrossRefGoogle Scholar
  35. 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, 22.PubMedCrossRefGoogle Scholar
  36. Madge, N., Hewitt, A., Hawton, K., de Wilde, E. J., Corcoran, P., Fekete, S., et al. (2008). Deliberate self-harm within an international community sample of young people: comparative findings from the Child & Adolescent Self-harm in Europe (CASE) study. Journal of Psychology and Psychiatry, 49, 667–677.CrossRefGoogle Scholar
  37. Moffitt, T. E. (1993). Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychological Review, 100, 674.PubMedCrossRefGoogle Scholar
  38. Muehlenkamp, J. J., & Gutierrez, P. M. (2004). An investigation of differences between self-injurious behavior and suicide attempts in a sample of adolescents. Suicide and Life-Threatening Behavior, 34, 12–23.PubMedCrossRefGoogle Scholar
  39. Muehlenkamp, J. J., & Gutierrez, P. M. (2007). Risk for suicide attempts among adolescents who engage in non-suicidal self-injury. Archives of Suicide Research, 11(1), 69–82.PubMedCrossRefGoogle Scholar
  40. Muehlenkamp, J. J., Claes, L., Havertape, L., & Plener, P. L. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 6, 1–9.CrossRefGoogle Scholar
  41. Muthén & Muthén (1998–2010). Mplus user’s guide. Sixth edition. Los Angeles, CA: Muthén & Muthén.Google Scholar
  42. Muthén, B., & Muthén, L. K. (2000). Integrating person-centered and variable-centered analyses: growth mixture modeling with latent trajectory classes. Alcoholism: Clinical and Experimental Research, 24, 882–891.CrossRefGoogle Scholar
  43. Nagin, D. S. (2005). Group-based modeling of development. Cambridge: Harvard University Press.Google Scholar
  44. Nagin, D. S., & Odgers, C. L. (2010). Group-based trajectory modeling in clinical research. Annual Review of Clinical Psychology, 6, 109–138.PubMedCrossRefGoogle Scholar
  45. National Bureau of Statistics of China. (2006). The China 2005 statistical yearbook. Beijing: China Statistics Press.Google Scholar
  46. Nock, M. K. (2009). Why do people hurt themselves. Current Directions on Psychological Science, 18, 78–83.CrossRefGoogle Scholar
  47. Nock, M. K., & Favazza, A. R. (2009). Nonsuicidal self-injury: Definition and classification. In M. K. Nock (Ed.), Understanding non-suicidal self-injury: Origins, assessment, and treatment (pp. 9–18). Washington: American Psychological Association.CrossRefGoogle Scholar
  48. Nock, M. K., & Prinstein, M. J. (2005). Contextual features and behavioral functions of self-mutilation among adolescents. Journal of Abnormal Psychology, 114, 140–146.PubMedCrossRefGoogle Scholar
  49. Nock, M. K., Joiner, T. E., Gordon, K. H., Lloyd-Richardson, E., & Prinstein, M. J. (2006). Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Research, 144, 65–72.PubMedCrossRefGoogle Scholar
  50. Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115–121.PubMedCrossRefGoogle Scholar
  51. Otten, R., Barker, E. D., Maughan, B., Arseneault, L., & Engels, R. C. (2010). Self-control and its relation to joint developmental trajectories of cannabis use and depressive mood symptoms. Drug and Alcohol Dependence, 112, 201–208.PubMedCrossRefGoogle Scholar
  52. Phillips, M. R., Li, X., & Zhang, Y. (2002). Suicide rates in China, 1995–99. The Lancet, 359, 835–840.CrossRefGoogle Scholar
  53. Plener, P. L., Libal, F., Keller, F., Fegert, J. M., & Muehlenkamp, J. J. (2009). An international comparison of adolescent Non-Suicidal Self-Injury (NSSI) and suicide attempts: Germany and the USA. Psychological Medicine, 39, 1549–1558.PubMedCrossRefGoogle Scholar
  54. Priester, M. J., & Clum, G. A. (1992). Attributional style as a diathesis in predicting depression, hopelessness, and suicide ideation in college students. Journal of Psychopathology and Behavioral Assessment, 14, 111–122.CrossRefGoogle Scholar
  55. Prinstein, M. J., Nock, M. K., Simon, V., Aikins, J. W., Cheah, C. S. L., & Spirito, A. (2008). Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. Journal of Consulting and Clinical Psychology, 76, 92–103.PubMedCentralPubMedCrossRefGoogle Scholar
  56. Prinstein, M. J., Heilbron, N., Guerry, J. D., Franklin, J. C., Rancourt, D., Simon, V., et al. (2010). Peer influence and nonsuicidal self injury: longitudinal results in community and clinically-referred adolescent samples. Journal of Abnormal Child Psychology, 38, 669–682.PubMedCentralPubMedCrossRefGoogle Scholar
  57. Reinecke, M. A., Ryan, N. E., & DuBois, D. I. (1998). Cognitive-behavioral therapy of depression and depressive symptoms during adolescence: a review of meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 26–34.PubMedCrossRefGoogle Scholar
  58. Robinson, M. S., & Alloy, L. A. (2003). Negative cognitive styles and stress-reactive rumination interact to predict depression: a prospective study. Cognitive Therapy and Research, 27, 275–292.CrossRefGoogle Scholar
  59. Rodham, K., & Hawton, K. (2009). Epidemiology and phenomenology of nonsuicidal selfinjury. In M. K. Nock (Ed.), Understanding non-suicidal self-injury: Origins, assessment, and treatment (pp. 37–62). Washington: American Psychological Association.CrossRefGoogle Scholar
  60. Ross, S., & Heath, N. (2002). A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence, 31(1), 67–77.CrossRefGoogle Scholar
  61. Ryder, A. G., Yang, J., Zhu, X., Yao, S., Yi, J., Heine, S. J., et al. (2008). The cultural shaping of depression: somatic symptoms in China, psychological symptoms in North America? Journal of Abnormal Psychology, 117, 300–313.PubMedCrossRefGoogle Scholar
  62. Selby, E. A., Anestis, M. D., & Joiner, T. E. (2008). Understanding the relationship between emotional and behavioral dysregulation: emotional cascades. Behaviour Research and Therapy, 46, 593–611.PubMedCrossRefGoogle Scholar
  63. Selby, E. A., Anestis, M. D., Bender, T. W., & Joiner, T. E. (2009). An exploration of the emotional cascade model in borderline personality disorder. Journal of Abnormal Psychology, 118, 375.PubMedCentralPubMedCrossRefGoogle Scholar
  64. Selby, E. A., Franklin, J., Carson-Wong, A., & Rizvi, S. L. (2013). Emotional cascades and self-injury: investigating instability of rumination and negative emotion. Journal of Clinical Psychology. doi: 10.1002/jclp.21966.PubMedGoogle Scholar
  65. Sterba, S. K., & Bauer, D. J. (2010). Matching method with theory in person-oriented developmental psychopathology research. Development and Psychopathology, 22, 239254.Google Scholar
  66. Triandis, H. C. (1995). Individualism & Collectivism. Westview Press.Google Scholar
  67. Twenge, J. M., & Nolen-Hoeksema, S. (2002). Age, gender, race, socioeconomic status, and birth cohort difference on the children’s depression inventory: a meta-analysis. Journal of Abnormal Psychology, 111, 578–588.PubMedCrossRefGoogle Scholar
  68. Weissman, M. N., Bland, R. C., Canino, G. J., Faravelli, C., Greenwald, S., Hwu, H. G., et al. (1996). Cross-national epidemiology of major depression and bipolar disorder. JAMA, 276, 293–299.PubMedCrossRefGoogle Scholar
  69. 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, 725–735.PubMedCrossRefGoogle Scholar
  70. You, J., Leung, F., Fu, K., & Lai, C. M. (2011). The prevalence of nonsuicidal self-injury and different subgroups of self-injurers in Chinese adolescents. Archives of Suicide Research, 15, 75–86.PubMedCrossRefGoogle Scholar
  71. You, J., Leung, F., & Fu, K. (2012). Exploring the reciprocal relations between nonsuicidal self-injury, negative emotions and relationship problems in Chinese adolescents: a longitudinal cross-lag study. Journal of Abnormal Child Psychology, 40, 829–836.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Andrea L. Barrocas
    • 1
  • Matteo Giletta
    • 2
    Email author
  • Benjamin L. Hankin
    • 1
  • Mitchell J. Prinstein
    • 2
  • John R. Z. Abela
    • 3
  1. 1.Department of PsychologyUniversity of DenverDenverUSA
  2. 2.Department of PsychologyUniversity of North CarolinaChapel HillUSA
  3. 3.Department of PsychologyRutgers UniversityPiscatawayUSA

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