Abstract
Non-suicidal self-injury (NSSI) in adolescence is a serious public health problem. Although self-compassion is a protective factor of mental health difficulties in adult populations, its potential impact on adolescence remains scarcely explored. Therefore, we aimed to test whether self-compassion can mitigate the impact of daily peer hassles and depressive symptoms on NSSI. The participants were 643 adolescents (51.6 % female) with ages between 12 and 18 years, from middle and secondary schools. Self-report questionnaires were used to measure daily peer hassles, depressive symptoms, self-compassion and NSSI. Daily peer hassles were positively correlated with depressive symptoms and NSSI. Self-compassion was inversely associated with daily peer hassles and depressive symptoms and NSSI. Path analysis showed that self-compassion had a moderator effect on the association between depressive symptoms and NSSI. Results suggest that self-compassion can be a protective process, as it may buffer against the impact of depressive symptoms on NSSI. This study presents preventive and clinical implications for educators and therapists working with adolescents.
This is a preview of subscription content, access via your institution.


References
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park: Sage.
Bailey, S. J., & Covell, K. (2011). Pathways among abuse, daily hassles, depression, and substance use in adolescents. The New School Psychology Bulletin, 8, 4–14.
Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, and interventions. Review of General Psychology, 15, 289–303. doi:10.1037/a0025754.
Bluth, K., & Blanton, P. W. (2014). Mindfulness and self-compassion: Exploring pathways to adolescent emotional well-being. Journal of Child and Family Studies, 23, 1298–1309. doi:10.1007/s10826-013-9830-2.
Bluth, K., & Blanton, P. W. (2015). The influence of self-compassion on emotional well-being among early and older adolescent males and females. The Journal of Positive Psychology, 10, 1–12. doi:10.1080/17439760.2014.936967.
Bluth, K., Gaylord, S. A., Campo, R. A., Mullarkey, M. C., & Hobbs, L. (2016). Making friends with yourself: A mixed methods pilot study of a mindful self-compassion program for adolescents. Mindfulness, 7, 479–492. doi:10.1007/s12671-015-0476-6.
Chang, E. C., & Sanna, L. J. (2003). Experience of life hassles and psychological adjustment among adolescents: Does it make a difference if one is optimistic or pessimistic? Personality and Individual Differences, 34, 867–879. doi:10.1016/S0191-8869(02)00077-6.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Earlbaum Associates.
Cohen, J., Cohen, P., West, S., & Aiken, L. (2003). Applied multiple regression/correlation analysis for the behavioural sciences (3rd ed.). New Jersey: Lawrence Erlbaum Associates.
Cunha, M., Martinho, M. I., Xavier, A., & Espírito Santo, H. (2013). 1405—Early memories of positive emotions and its relationships to attachment styles, self-compassion and psychopathology in adolescence. European Psychiatry, 28(Supplement 1), 1. doi:10.1016/S0924-9338(13)76444-7. (Abstracts of the 21th European Congress of Psychiatry).
Cunha, M., Xavier, A., & Castilho, P. (2016). Understanding self-compassion in adolescents: Validation study of the self-compassion scale. Personality and Individual Differences, 93, 56–62. doi:10.1016/j.paid.2015.09.023.
Garnefski, N., Boon, S., & Kraaij, V. (2003). Relationships between cognitive strategies of adolescents and depressive symptomatology across different types of life event. Journal of Youth and Adolescence, 32, 401–408. doi:10.1023/A:1025994200559.
Gilbert, P. (2009). The compassionate mind: A new approach to life’s challenges. London: Constable and Robinson.
Gilbert, P. (2010). An introduction to compassion focused therapy in cognitive behavior therapy. International Journal of Cognitive Psychotherapy, 3, 97–112. doi:10.1521/ijct.2010.3.2.97.
Gilbert, P., & Irons, C. (2009). Shame, self-criticism and self-compassion in adolescence. In N. B. Allen & L. B. Sheeber (Eds.), Adolescent emotional development and the emergence of depressive disorders (pp. 195–214). Cambridge: Cambridge University Press.
Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011). Fears of compassion: Development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice, 84, 239–255. doi:10.1348/147608310X526511.
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. doi:10.1016/j.psychres.2012.02.009.
Gratz, K. L., & Chapman, A. L. (2009). Freedom from self-harm: Overcoming self-injury with skills from DBT and other treatments. Oakland: New Harbinger Publications Inc.
Hankin, B. L., & Abela, J. R. (2011). Nonsuicidal self-injury in adolescence: Prospective rates and risk factors in a 2 ½ year longitudinal study. Psychiatry Research, 186, 65–70. doi:10.1016/j.psychres.2010.07.056.
Hawton, K., Saunders, K. E. A., & O’Connor, R. C. (2012). Self-harm and suicide in adolescents. Lancet, 379, 2373–2382. doi:10.1016/S0140-6736(12)60322-5.
Holm, J. E., & Holroyd, K. A. (1992). The daily hassles scale (revised): Does it measure stress or symptoms? Behavioral Assessment, 14, 465–482.
Johnson, J. G., & Sherman, M. F. (1997). Daily hassles mediate the relationship between major life events and psychiatric symptomatology: Longitudinal findings from an adolescent sample. Journal of Social and Clinical Psychology, 16, 389–404. doi:10.1521/jscp.1997.16.4.389.
Jose, P.E. (2013). ModGraph-I: A programme to compute cell means for the graphical display of moderational analyses: The internet version, Version 3.0. Victoria University of Wellington, Wellington, New Zealand. http://pavlov.psyc.vuw.ac.nz/paul-jose/modgraph/.
Jutengren, G., Kerr, M., & Stattin, H. (2011). Adolescents’ deliberate self-harm, interpersonal stress, and the moderating effects of self-regulation: A two-wave longitudinal analysis. Journal of School Psychology, 49, 249–264. doi:10.1016/j.jsp.2010.11.001.
Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford.
Klonsky, E.D., Muehlenkamp, J.J., Lewis, S., & Walsh, B. (2011). Non-suicidal self-injury. Advances in psychotherapy: Evidence-based practice. Hogrefe, Cambridge, MA.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–343. doi:10.1016/0005-7967(94)00075-U.
MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552. doi:10.1016/j.cpr.2012.06.003.
Marshall, S. L., Parker, P. D., Ciarrochi, J., Sahdra, B., Jackson, C. J., & Heaven, P. C. (2015). Self-compassion protects against the negative effects of low self-esteem: A longitudinal study in a large adolescent sample. Personality and Individual Differences, 74, 116–121. doi:10.1016/j.paid.2014.09.013.
Marshall, S. K., Tilton-Weaver, L. C., & Stattin, H. (2013). Non-suicidal self-injury and depressive symptoms during middle adolescence: A longitudinal analysis. Journal of Youth and Adolescence, 42, 1234–1242. doi:10.1007/s10964-013-9919-3.
Mazza, J. J., & Reynolds, W. M. (1998). A longitudinal investigation of depression, hopelessness, social support, and major and minor life events and their relation to suicidal ideation in adolescents. Suicide and Life-Threatening Behavior, 28, 358–374. doi:10.1111/j.1943-278X.1998.tb00972.x.
Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. doi:10.1080/15298860309027.
Neff, K. D. (2003b). Self-compassion: An alternative conceptualization of healthy attitude toward oneself. Self and Identity, 2, 85–101. doi:10.1080/15298860309032.
Neff, K. D. (2016). Does self-compassion entail reduced self-judgment, isolation, and over-identification? A response to Muris, Otgaar, and Petrocchi (2016). Mindfulness,. doi:10.1007/s12671-016-0531-y. (Advance online publication).
Neff, K. D., Kirkpatrick, K. L., & Rude, S. S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41, 139–154. doi:10.1016/j.jrp.2006.03.004.
Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9, 225–240. doi:10.1080/15298860902979307.
Nock, M. K., & Prinstein, M. J. (2005). Contextual features and behavioral functions of self-mutilation among adolescents. Journal of Abnormal Psychology, 114, 140–146. doi:10.1037/0021-843X.114.1.140.
Nolen-Hoeksema, S. (2001). Gender differences in depression. Current Directions in Psychological Science, 10, 173–176.
Osher, D., Dwyer, K. P., & Jackson, S. (2004). Safe, supportive and successful schools step by step. Longmont, CO: Sopris West Educational Services.
Pais-Ribeiro, J. L., Honrado, A., & Leal, I. (2004). Contribuição para o estudo da adaptação portuguesa das escalas de ansiedade, depressão e stress (EADS) de 21 itens de Lovibond e Lovibond [Contribution to the adaptation study of the Portuguese adaptation of the Lovibond and Lovibond depression anxiety stress scales (EADS) with 21 items]. Psicologia, saúde and doenças, 5, 229–239.
Paiva, A. (2009). Temperament and life events as risk factors of depression in adolescence. Unpublished Master’s Thesis. University of Coimbra, Portugal.
Pinquart, M. (2009). Moderating effects of dispositional resilience on associations between hassles and psychological distress. Journal of Applied Developmental Psychology, 30, 53–60. doi:10.1016/j.appdev.2008.10.005.
Reddy, S. D., Negi, L. T., Dodson-Lavelle, B., Ozawa-de Silva, B., Pace, T. W., Cole, S. P., et al. (2013). Cognitive-based compassion training: A promising prevention strategy for at-risk adolescents. Journal of Child and Family Studies, 22, 219–230. doi:10.1007/s10826-012-9571-7.
Seidman, E., Allen, L., Aber, J. L., Mitchell, C., Feinman, J., Yoshikawa, H., et al. (1995). Development and validation of adolescent-perceived microsystem scales: Social support, daily hassles, and involvement. American Journal of Community Psychology, 23, 355–388. doi:10.1007/BF02506949.
Tanaka, M., Wekerle, C., Schmuck, M. L., Paglia-Boak, A., & MAP Research Team. (2011). The linkages among childhood maltreatment, adolescent mental health, and self-compassion in child welfare adolescents. Child Abuse and Neglect, 35, 887–898. doi:10.1016/j.chiabu.2011.07.003.
Van Vliet, K. J., & Kalnins, G. R. (2011). A compassion-focused approach to nonsuicidal self-injury. Journal of Mental Health Counseling, 33, 295–311.
Vettese, L. C., Dyer, C. E., Li, W. L., & Wekerle, C. (2011). Does self-compassion mitigate the association between childhood maltreatment and later emotion regulation difficulties? A preliminary investigation. International Journal of Mental Health and Addiction, 9, 480–491. doi:10.1007/s11469-011-9340-7.
Vrouva, I., Fonagy, P., Fearon, P. R., & Roussow, T. (2010). The risk-taking and self-harm inventory for adolescents: Development and psychometric evaluation. Psychological Assessment, 22, 852. doi:10.1037/a0020583.
Welford, M., & Langmead, K. (2015). Compassion-based initiatives in educational settings. Educational and Child Psychology, 32, 71–80.
Wheaton, B. (1999). The nature of stressors. In A. V. Horwitz & T. L. Scheid (Eds.), A handbook for the study of mental health: Social contexts, theories, and systems (pp. 176–197). New York: Cambridge University Press.
Xavier, A., Cunha, M., & Pinto-Gouveia, J. (2015). Deliberate self-harm in adolescence: The impact of childhood experiences, negative affect and fears of compassion. Revista de Psicopatología y Psicología Clínica,. doi:10.5944/rppc.vol.1.num.1.2015.14407.
Xavier, A., Cunha, M., Pinto-Gouveia, J., & Paiva, C. (2013). Exploratory study of the Portuguese version of the risk-taking and self-harm inventory for adolescents. Atención Primaria, vol. 45, Especial Congreso I (I World Congress of Children and Youth Health Behaviors/IV National Congress on Health Education), 165.
Xavier, A., Pinto-Gouveia, José, & Cunha, M. (2016). Non-suicidal self-injury in adolescence: The role of shame, self-criticism and fear of self-compassion. Child and Youth Care Forum,. doi:10.1007/s10566-016-9346-1.
Acknowledgments
This research has been supported by the first author, Ana Xavier, Ph.D. Grant (Grant Number: SFRH/BD/77375/2011), sponsored by the Portuguese Foundation for Science and Technology (FCT) and the European Social Fund (POPH).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
All the authors declare that they have no conflict of interest.
Ethical Approval
This article does not contain any studies with animals performed by any of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standard.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Xavier, A., Pinto-Gouveia, J. & Cunha, M. The Protective Role of Self-Compassion on Risk Factors for Non-suicidal Self-Injury in Adolescence. School Mental Health 8, 476–485 (2016). https://doi.org/10.1007/s12310-016-9197-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12310-016-9197-9
Keywords
- Adolescence
- Depression
- Life hassles
- Non-suicidal self-injury
- Self-compassion