Social Ties Cut Both Ways: Self-Harm and Adolescent Peer Networks
Peers play an important role in adolescence, a time when self-harm arises as a major health risk, but little is known about the social networks of adolescents who cut. Peer network positions can affect mental distress related to cutting or provide direct social motivations for self-harm. This study uses PROSPER survey data from U.S. high school students (n = 11,160, 48% male, grades 11 and 12), finding that social networks predict self-cutting net of demographics and depressive symptoms. In final models, bridging peers predicts higher self-cutting, while claiming more friends predicts lower cutting for boys. The findings suggest that researchers and practitioners should consider peer networks both a beneficial resource and source of risk associated with cutting for teens and recognize the sociostructural contexts of self-harm for adolescents more broadly.
KeywordsSelf-harm Social networks Adolescence Peer networks
We thank the members of working groups at Duke and PSU for their helpful comments and acknowledge the contributions of study participants, families, and the PROSPER staff to making this project possible.
M.C. contributed to study design, conducted analyses, wrote the manuscript and contributed to revisions; J.M. generated the networks; S.E.S., M.E.F. and J.M. contributed to study design, interpretation, and revisions; D.T.R. participated in revisions of analyses and draft. All authors read and approved the final manuscript.
This research is supported by grants from the W. T. Grant Foundation (8316) and National Institute on Drug Abuse (R01 A018225) to D. Wayne Osgood. The analyses used data from PROSPER, a project directed by R. L. Spoth, funded by the National Institute on Drug Abuse (R01 DA013709) and co-funded by the National Institute on Alcohol Abuse and Alcoholism.
Data sharing and Declaration
Due to the sensitive nature of data collected, the dataset is not available for public use at this time.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
The procurement of the data required for this study was approved by the Iowa State University and Pennsylvania State University institutional review boards.
All youth and families were informed about and consented to participate in the data collection for this project.
- Adler, P. A., & Adler, P. (2011). The Tender Cut. New York: NYU Press.Google Scholar
- Christoffersen, M. N., Mohl, B., DePanfilis, D., & Vammen, K. S. (2015). Non-suicidal self-injury—Does social support make a difference? An epidemiological investigation of a Danish national sample. Child Abuse and Neglect, 44, 106–116. https://doi.org/10.1016/j.chiabu.2014.10.023.CrossRefGoogle Scholar
- Claes, L., Houben, A., Vandereycken, W., Bijttebier, P., & Muehlenkamp, J. (2010). Brief report: the association between non-suicidal self-injury, self-concept and acquaintance with self-injurious peers in a sample of adolescents. Journal of Adolescence, 33(5), 775–778. https://doi.org/10.1016/j.adolescence.2009.10.012.CrossRefGoogle Scholar
- Cotterell, J. (2007). Social Networks in Youth & Adolescence. New York: Routledge.Google Scholar
- Douvan, E. (1983). Commentary: Theoretical perspectives on peer sssociation. In J. L. Epstein & N. Karweit (Eds.), Friends in School: Patterns of Selection and Influence in Secondary Schools (pp. 63–69). New York: Academic Press.Google Scholar
- Fortune, S. A., & Hawton, K. (2005). Deliberate self-harm in children and adolescents: a research update. Current Opinion in Psychiatry, 18, 401–406. https://doi.org/10.1097/01.yco.0000172059.55778.c9.CrossRefGoogle Scholar
- Geulayov, G., Casey, D., McDonald, K. C., Foster, P., Pritchard, K., Wells, C., & Hawton, K. (2018). Incidence of suicide, hospital-presenting non-fatal self-harm, and community-occurring non-fatal self-harm in adolescents in England (the iceberg model of self-harm): a retrospective study. The Lancet Psychiatry, 5(2), 167–174. https://doi.org/10.1016/S2215-0366(17)30478-9.
- Hawton, K., Bergen, H., Kapur, N., Cooper, J., Steeg, S., Ness, J., & Waters, K. (2012). Repetition of self-harm and suicide following self-harm in children and adolescents: findings from the Multicentre Study of Self-harm in England. Journal of Child Psychology and Psychiatry and Allied Disciplines, 53(12), 1212–1219. https://doi.org/10.1111/j.1469-7610.2012.02559.x.CrossRefGoogle Scholar
- Kornienko, O., & Santos, C. E. (2014). The effects of friendship network popularity on depressive symptoms during early adolescence: moderation by fear of negative evaluation and gender. Journal of Youth and Adolescence, 43(4), 541–553. https://doi.org/10.1007/s10964-013-9979-4.CrossRefGoogle Scholar
- Laukkanen, E., Rissanen, M. L., Honkalampi, K., Kylmä, J., Tolmunen, T., & Hintikka, J. (2009). The prevalence of self-cutting and other self-harm among 13- to 18-year-old Finnish adolescents. Social Psychiatry and Psychiatric Epidemiology, 44(1), 23–28. https://doi.org/10.1007/s00127-008-0398-x.CrossRefGoogle Scholar
- Nixon, M. K., & Heath, N. L. (2009). Introduction to self-Injury in adolescence. In M. K. Nixon & N. L. Heath (Eds.), Self-Injury in Youth: The Essential Guide to Assessment and Intervention (pp. 1–6) New York: Taylor & Francis.Google Scholar
- Nock, M. K. (2010). Self-injury. Annual Review of Clinical Psychology, 6, 339–363. https://doi.org/10.1146/annurev.clinpsy.121208.131258.CrossRefGoogle Scholar
- Pickering, T. A., Wyman, P. A., Schmeelk-Cone, K., Hartley, C., Valente, T. W., Pisani, A. R., & LoMurray, M. (2018). Diffusion of a peer-led suicide preventive intervention through school-based student peer and adult networks. Frontiers in Psychiatry, 9, 1–16. https://doi.org/10.3389/fpsyt.2018.00598.
- Prinstein, M. J., & Wang, S. S. (2005). False consensus and adolescent peer contagion: examining discrepancies between perceptions and actual reported levels of friends’ deviant and health risk behaviors. Journal of Abnormal Child Psychology, 33(3), 293–306. https://doi.org/10.1007/s10802-005-3566-4.CrossRefGoogle Scholar
- Rose, A. J., Carlson, W., & Waller, E. M. (2007). Prospective associations of co-rumination with friendship and emotional adjustment: considering the socioemotional trade-offs of co-rumination. Developmental Psychology, 43(4), 1019–1031. https://doi.org/10.1037/0012-16188.8.131.529.CrossRefGoogle Scholar
- Spoth, R., Greenberg, M., Bierman, K., & Redmond, C. (2004). PROSPER Community-University Partnership Model for Public Education Systems: Capacity-Building for Evidence-Based, Competence-Building Prevention. Prevention Science, 5(1), 31–39. https://doi.org/10.1023/B:PREV.0000013979.52796.8b.CrossRefGoogle Scholar
- Spoth, R., Redmond, C., Shin, C., Greenberg, M., Feinberg, M., & Schainker, L. (2013). PROSPER community-university partnership delivery system effects on substance misuse through 6 1/2 years past baseline from a cluster randomized controlled intervention trial. Preventive medicine, 56(3–4), 190–196.CrossRefGoogle Scholar
- Tuisku, V., Kiviruusu, O., Pelkonen, M., Karlsson, L., Strandholm, T., & Marttunen, M. (2014). Depressed adolescents as young adults—predictors of suicide attempt and non-suicidal self-injury during an 8-year follow-up. Journal of Affective Disorders, 152–154(1), 313–319. https://doi.org/10.1016/j.jad.2013.09.031.CrossRefGoogle Scholar
- Umberson, D., Crosnoe, R., & Reczek, C. (2010). Social relationships and health behavior across life course. Annual Review of Sociology, 36, 139–157. https://doi.org/10.1146/annurev-soc-070308-120011.Social.CrossRefGoogle Scholar
- Walsh, B. W. (2006). Treating Self Injury: A Practical Guide. New York: The Guilford Press.Google Scholar
- Wasserman, S. S., & Faust, K. (1994). Social Network Analysis: Methods and Applications (Vol. 8). Cambridge: Cambridge University Press.Google Scholar
- Zahn-Waxler, C., Klimes-Dougan, B., & Slattery, M. J. (2000). Internalizing problems of childhood and adolescence: prospects, pitfalls, and progress in understanding the development of anxiety and depression. Development and Psychopathology, 12, 443–466. http://journals.cambridge.org/abstract_S0954579400003102.