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Emotion Regulation, Coping and Alcohol Use as Moderators in the Relationship Between Non-Suicidal Self-Injury and Psychological Distress

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Abstract

Non-suicidal self-injury is a risk factor for more severe self-injury and later suicide, yet is relatively under-researched in non-clinical populations. In order to prevent more severe self-injury and later suicide, understanding of non-suicidal self-injury is imperative. This study aimed to examine whether coping skills, emotion regulation and alcohol use moderate the relationship between psychological distress and non-suicidal self-injury. Two hundred eighty-nine young adults completed self-report questionnaires assessing the variables of interest. Of the sample, 47.4% reported a history of non-suicidal self-injury. Adaptive coping strategies protected those who were psychologically distressed from severe self-injury. However for those who reported greater distress, this protective effect was negated by heavy alcohol use. Coping skills training may serve to protect young people from self-injury, although those who are severely distressed may also benefit from strategies to limit alcohol use.

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References

  • Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Andover, M. S., Pepper, C. M., & Gibb, B. E. (2007). Self-mutilation and coping strategies in a college sample. Suicide & Life-Threatening Behavior, 37, 238–243. doi:10.1521/suli.2007.37.2.238.

    Article  Google Scholar 

  • Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002). Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder. Journal of Abnormal Psychology, 111, 198–202. doi:10.1037/0021-843X.111.1.198.

    Article  PubMed  Google Scholar 

  • Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267–283. doi:10.1037/0022-3514.56.2.267.

    Article  CAS  PubMed  Google Scholar 

  • Crowell, S. E., Beauchain, T. P., McCauley, E., et al. (2005). Psychological, autonomic, and serotonergic correlates of parasuicide among adolescent girls. Development and Psychopathology, 17, 1105–1127. doi:10.1017/S0954579405050522.

    Article  PubMed  Google Scholar 

  • Degenhardt, L. J., Conigrave, K. M., Wutzke, S. E., & Saunders, J. B. (2001). The validity of an Australian modification of the AUDIT questionnaire. Drug and Alcohol Review, 20, 143–154. doi:10.1080/09595230120058533.

    Article  Google Scholar 

  • Derogatis, L. R., & Melisaratos, N. (1983). The Brief Symptom Inventory: An introductory report. Psychological Medicine, 13, 595–605.

    Article  CAS  PubMed  Google Scholar 

  • Evans, E., Hawton, K., & Rodham, K. (2005). In what ways are adolescents who engage in self-harm or experience thoughts of self-harm different in terms of help-seeking, communication and coping strategies? Journal of Adolescence, 28, 573–587. doi:10.1016/j.adolescence.2004.11.001.

    Article  PubMed  Google Scholar 

  • Favazza, A. R. (1996). Bodies under siege: Self-mutilation and body modification in culture and psychiatry (2nd ed.). London: The Johns Hopkins University 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. doi:10.1097/01.yco.0000172059.55778.c9.

    Article  PubMed  Google Scholar 

  • Gratz, K. L., & Chapman, A. L. (2007). The role of emotional responding and childhood maltreatment in the development and maintenance of deliberate self-harm among male undergraduates. Psychology of Men & Masculinity, 8, 1–14. doi:10.1037/1524-9220.8.1.1.

    Article  Google Scholar 

  • Gratz, K. L., Conrad, S. D., & Roemer, L. (2002). Risk factors for deliberate self-harm among college students. The American Journal of Orthopsychiatry, 74, 128–140. doi:10.1037/0002-9432.72.1.128.

    Article  Google Scholar 

  • Gratz, K. L., Rosenthal, M. Z., Tull, M. T., Lejuez, C. W., & Gunderson, J. G. (2006). An experimental investigation of emotion dysregulation in borderline personality disorder. Journal of Abnormal Psychology, 115, 850–855. doi:10.1037/0021-843X.115.4.850.

    Article  PubMed  Google Scholar 

  • Groholt, B., Ekeberg, O., & Haldorsen, T. (2000). Adolescents hospitalised with deliberate self-harm: The significance of an intention to die. European Child & Adolescent Psychiatry, 9, 244–254. doi:10.1007/s007870070027.

    Article  CAS  Google Scholar 

  • Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships and well-being. Journal of Personality and Social Psychology, 85, 348–362. doi:10.1037/0022-3514.85.2.348.

    Article  PubMed  Google Scholar 

  • Haines, J., & Williams, C. L. (1997). Coping and problem solving of self-mutilators. Journal of Clinical Psychology, 53, 177–186. doi:10.1002/(SICI)1097-4679(199702)53:2<177::AID-JCLP11>3.0.CO;2-H.

    Article  CAS  PubMed  Google Scholar 

  • Hasking, P. A., Momeni, R., Swannell, S., & Chia, S. (2008). The nature and extent of non-suicidal self-injury in a non-clinical sample of young adults. Archives of Suicide Research, 12, 208–218. doi:10.1080/13811110802100957.

    Article  PubMed  Google Scholar 

  • Hasking, P. A., & Oei, T. P. S. (2002). Confirmatory factor analysis of the COPE questionnaire on community drinkers and an alcohol-dependent sample. Journal of Studies on Alcohol, 63, 631–640.

    CAS  PubMed  Google Scholar 

  • Haw, C., Hawton, K., Houston, K., & Townsend, E. (2001). Psychiatric and personality disorders in deliberate self-harm patients. The British Journal of Psychiatry, 178, 48–54. doi:10.1192/bjp.178.1.48.

    Article  CAS  PubMed  Google Scholar 

  • Hawton, K., Kingsbury, S., Steinhardt, K., James, A., & Fagg, J. (1999). Repetition of deliberate self-harm by adolescents: The role of psychological factors. Journal of Adolescence, 22, 369–378. doi:10.1006/jado.1999.0228.

    Article  CAS  PubMed  Google Scholar 

  • Hawton, K., Rodham, K., Evans, E., & Weatherall, R. (2002). Deliberate self harm in adolescents: Self report survey in schools in England. British Medical Journal, 325, 1207–1211. doi:10.1136/bmj.325.7374.1207.

    Article  PubMed  Google Scholar 

  • Kerfoot, M. (1996). Suicide and deliberate self-harm in children and adolescents. Children & Society, 10, 236–241. doi:10.1002/(SICI)1099-0860(199609)10:3<236::AID-CHI35>3.0.CO;2-I.

    Article  Google Scholar 

  • Kessler, R. C., McGonagle, K. A., & Zhao, S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.

    CAS  PubMed  Google Scholar 

  • Kirkcaldy, B. D., Eysenck, M. W., & Siefen, G. R. (2004). Psychological and social predictors of suicidal ideation among young adolescents. School Psychology International, 25, 301–316. doi:10.1177/0143034304046903.

    Article  Google Scholar 

  • Klingman, A., & Hochdorf, Z. (1993). Coping with distress and self harm: The impact of a primary prevention program among adolescents. Journal of Adolescence, 16, 121–140. doi:10.1006/jado.1993.1012.

    Article  CAS  PubMed  Google Scholar 

  • Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27, 226–239. doi:10.1016/j.cpr.2006.08.002.

    Article  PubMed  Google Scholar 

  • Linehan, M. (Ed.) (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford.

  • Lyne, K., & Roger, D. (2000). A psychometric re-assessment of the COPE questionnaire. Personality and Individual Differences, 29, 321–335. doi:10.1016/S0191-8869(99)00196-8.

    Article  Google Scholar 

  • McLennan, W. (1998). Mental health and wellbeing: Profile of adults, Australia. Canberra: Australian Bureau of Statistics.

    Google Scholar 

  • Muehlenkamp, J. J., & Gutierrez, P. M. (2004). An investigation of differences between self-injurious behavior and suicide attempts in a sample of adolescents. Suicide & Life-Threatening Behavior, 34, 12–23. doi:10.1521/suli.34.1.12.27769.

    Article  Google Scholar 

  • 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, 69–82. doi:10.1080/13811110600992902.

    Article  PubMed  Google Scholar 

  • Murray, C. D., Warm, A., & Fox, J. (2005). An internet survey of adolescent self-injurers. Australian e-Journal for the Advancement of Mental Health, 4, 1–9.

    Google Scholar 

  • Nixon, M. K., Cloutier, P. F., & Aggarwal, S. (2002). Affect regulation and addictive aspects of repetitive self-injury in hospitalized adolescents. Journal of American Academy of Child and Adolescent Psychiatry, 41, 1333–1341.

    Article  Google Scholar 

  • 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. doi:10.1016/j.psychres.2006.05.010.

    Article  PubMed  Google Scholar 

  • Paivio, S. C., & McCulloch, C. R. (2004). Alexithymia as a mediator between childhood trauma and self-injurious behaviour. Child Abuse & Neglect, 28, 339–354. doi:10.1016/j.chiabu.2003.11.018.

    Article  Google Scholar 

  • Patton, G. C., Harris, R., Carlin, J. B., Hibbert, M. E., Coffey, C., Schwartz, M., & Bowes, G. (1997). Adolescent suicidal behaviours: A population-based study of risk. Psychological Medicine, 27, 715–724. doi:10.1017/S003329179600462X.

    Article  CAS  PubMed  Google Scholar 

  • Poorasl, A. M., Vahidi, R., Fakhari, A., Rostami, F., & Dastghiri, S. (2007). Substance abuse in Iranian high school students. Addictive Behaviors, 32, 622–627. doi:10.1016/j.addbeh.2006.05.008.

    Article  Google Scholar 

  • RANZCP (2004). Australian and New Zealand clinical practice guidelines for the management of adult deliberate self-harm. The Australian and New Zealand Journal of Psychiatry, 38, 868–884. doi:10.1111/j.1440-1614.2004.01399.x.

    Google Scholar 

  • Scott, S. W., & Powell, J. C. (1993). Adolescent self-mutilation in a rural area. Journal of Adolescence, 16, 101–105. doi:10.1006/jado.1993.1008.

    Article  CAS  PubMed  Google Scholar 

  • Sinclair, J., & Green, J. (2005). Understanding resolution of deliberate self harm: Qualitative interview study of patients’ experiences. British Medical Journal, 330, 1112. doi:10.1136/bmj.38441.503333.8F.

    Article  PubMed  Google Scholar 

  • Whitlock, J., Eckenrode, J., & Silverman, D. (2006). Self-injurious behaviors in a college population. Pediatrics, 117, 1939–1948. doi:10.1542/peds.2005-2543.

    Article  PubMed  Google Scholar 

  • Wong, J. P. S., Stewart, S. M., Ho, S. Y., Rao, U., & Lam, T. H. (2005). Exposure to suicide and suicidal behaviors among Hong Kong adolescents. Social Science & Medicine, 61, 591–599. doi:10.1016/j.socscimed.2004.12.012.

    Article  Google Scholar 

  • Zlotnick, C., Shea, T. M., Pearlstein, T., Simpson, E., Costello, E., & Begin, A. (1996). The relationship between dissociative symptoms, alexithymia, impulsivity, sexual abuse and self-mutilation. Comprehensive Psychiatry, 37, 12–16. doi:10.1016/S0010-440X(96)90044-9.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Penelope Hasking.

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Williams, F., Hasking, P. Emotion Regulation, Coping and Alcohol Use as Moderators in the Relationship Between Non-Suicidal Self-Injury and Psychological Distress. Prev Sci 11, 33–41 (2010). https://doi.org/10.1007/s11121-009-0147-8

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