Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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Factors Contributing to Non-suicidal Self Injury in Korean Adolescents

  • Kim, MiYoung (Department of Nursing, Kaya University) ;
  • Yu, Jungok (Department of Nursing, Dong-A University)
  • Received : 2017.03.26
  • Accepted : 2017.07.27
  • Published : 2017.09.30
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Abstract

Purpose: Non-Suicidal Self-Injury (NSSI), a highly prevalent behavior in adolescents, refers to the direct destruction of one's body tissue without suicidal intent. To date, the prevalence of adolescent self-injury in South Korea and its associated factors remain unknown. This study aims to determine the prevalence of self-injury in Korean adolescents as well as its associated factors. Methods: We assessed 717 middle school students by means of an anonymous self-report survey. Information about demographic characteristics, lifestyle, anxiety and depression, self-esteem, and parenting behavior was obtained. Data were analyzed using $x^2$ test, t-test and multiple logistic regression. Results: NSSI was reported by 8.8% of respondents. Univariate analyses showed associations of exposure to alcohol use, anxiety, depression, self-esteem, and parenting methods with self-injury. In multiple analyses, alcohol use, anxiety, and parental abuse were associated with lifetime self-injury. Conclusion: The rate of NSSI in the South Korea was found to be lower than those of other countries. As our study suggests that alcohol use, anxiety, and parental abuse are associated with lifetime self-injury, health care providers at school should take these factors into account when developing prevention and intervention programs for adolescents.

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References

  1. Nock MK. Self-injury. Annual Review of Clinical Psychology. 2010;6:339-363. https://doi.org/10.1146/annurev.clinpsy.121208.131258
  2. Klonsky ED, Oltmanns TF, Tukheimer E. Deliberate selfharm in a nonclinical population: Prevalence and psychological correlates. American Journal of Psychiatry. 2003;160(8):1501-1508. https://doi.org/10.1176/appi.ajp.160.8.1501
  3. Giletta M, Scholte RHJ, Engels RCME, Ciairano S, Prinstein M. Adolescent non-suicidal self-injury: A cross-national study of community samples from Italy, the Netherlands and the United States. Psychiatry Research. 2012;197(1-2):66-72. https://doi.org/10.1016/j.psychres.2012.02.009
  4. Muehlenkamp J, Claes L, Havertape L, Plener P. International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child Adolescent Psychiatry and Mental Health. 2012;6(10):1-9. https://doi.org/10.1186/1753-2000-6-10
  5. Klonsky ED, Muehlenkamp JJ, Lewis SP, Walsh B. Nonsuicidal Self-Injury, in the series advances in psychotherapy, evidence based practice. 1st ed. Cambridge, MA: Hogrefe Publishing; 2011. 98 p.
  6. Ross S, Heath NA. A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence. 2002;31:67-77. https://doi.org/10.1023/A:1014089117419
  7. Whitlock J, Muehlenkamp J, Eckenrode J, Purington A, Abrams GB, Barreira P, et al. Nonsuicidal self-injury as a gateway to suicide in young adults. Journal of Adolesccent Health. 2013;52(4):486-492. https://doi.org/10.1016/j.jadohealth.2012.09.010
  8. Nock MK, Prinstein MJ. A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology. 2004;72(5):885-890. https://doi.org/10.1037/0022-006X.72.5.885
  9. Fox KR, Franklin JC, Ribeiro JD, Kleiman EM, Bentley KH, Nock MK. Meta-analysis of risk factors for nonsuicidal selfinjury. Clinical Psychology Review. 2015;42:156-167. https://doi.org/10.1016/j.cpr.2015.09.002
  10. Fliege H, Lee JR, Grimm A, Klapp BF. Risk factors and correlates of deliberate self-harm behavior: A systematic review. Journal of Psychosomatic Research. 2009;66(6):477-493. https://doi.org/10.1016/j.jpsychores.2008.10.013
  11. O'Connor R, Rasmussen S, Hawton K. Adolescent self-harm: A school-based study in Northern Ireland. Journal of Affective Disorders. 2014;159:46-52. https://doi.org/10.1016/j.jad.2014.02.015
  12. Kim YS. Strategies of terapeutic intervention on self-Injurious behaviour in children with mental retardation. The Journal of the Korean Association on Developmental Disabilities. 2003;7(1):153-170.
  13. Kong SS, Lee JH, Shin MY. Impact of childhood trauma on self-harm behavior in patients with eating disorders and the mediating effect of parental conflict. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2009;18(1):31-40
  14. Lee DH, Yang MJ, Kim SL. Understanding adolescents' self injurious behaviors: A review of the literature. The Korea Journal of Youth Counseling. 2010;18(1):1-24
  15. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington: American Psychiatric Press; 2013. 991 p.
  16. Gratz KL. Measurement of deliberate self-harm: Preliminary data on the deliberate self-harm inventory. Journal of Psychopathology Behavioral Assessment. 2001;23(4):253-263. https://doi.org/10.1023/A:1012779403943
  17. Zigmond As, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67(6):361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  18. Oh SM, Min BJ, Park DB. A comparison of normal, depressed and anxious groups: A study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of the Korean Neuropsychiatric Association. 1999;38(2):289-296.
  19. Rosenberg M. Society and the adolescent self image. Princeton: Princeton University Press NJ; 1965. 347 p.
  20. The Nation Youth Policy Institute. Questionnaire of KCYPS (W1-W6) [Internet]. Sejong: The Nation Youth Policy Institute. 2015 [cited 2015 May 21]. Available from: http://archive.nypi.re.kr/brdartcl/boardarticleList.do?brd_id=BDIDX_k9Fd9oFi29nooCcJ7kX1I4&srch_ctgry_idx=CTIDX00043&menu_nix=qZc474Ak
  21. Hilt LM, Nock MK, Lloyd-Richardson EE, Prinstein MJ. Longitudinal study of nonsuicidal self-injury among young adolescents: Rates, correlates, and preliminary test of an interpersonal model. Journal of Early Adolescence. 2008;28(3):43-69. https://doi.org/10.1177/0272431608316604
  22. Kiekens G, Bruffaerts R, Nock MK, Van de Ven M, Witteman C, Mortier P, et al. Non-suicidal self-injury among Dutch and Belgian adolescents: Personality, stress and coping. European Psychiatry. 2015;30(6):743-749. https://doi.org/10.1016/j.eurpsy.2015.06.007
  23. Aseltine RH, Gore SL. The variable effects of stress on alcohol use from adolescence to early adulthood. Substance Use Misuse. 2000;35(5):643-668. https://doi.org/10.3109/10826080009148415
  24. Tatnell R, Hasking P, Newman L, Taffe J, Martin G. Attachment, emotion regulation, childhood abuse and assault: Examining predictors of NSSI among adolescents. Archives of Suicide Research. 2016;11:1-11. https://doi.org/10.1080/13811118.2016.1246267
  25. Gratz KL, Conrad SD, Roemer L. Risk factors for deliberate self-harm among college students. American Journal of Orthopsychiatry. 2002;72(1):128-140. https://doi.org/10.1037/0002-9432.72.1.128
  26. Gratz KL. Risk factors for and functions of deliberate self harm: An empirical and conceptual review. Clinical Psychology: Science and Practice. 2003;10(2):192-205. https://doi.org/10.1093/clipsy.bpg022

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