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Profile of Non-suicidal Self-injury in Adolescents: Interface with Impulsiveness and Loneliness

Abstract

Objective: Comprehend the profile and prevalence of non-suicidal self-injury (NSSI) in adolescents and its association with impulsiveness and loneliness.

Methods: Cross-sectional study carried out in 2017 in Maceió-Alagoas, Northeast Brazil, in the households of 505 adolescents aged 12-17 years, using a sample stratified and randomized by gender and neighborhood. The following instruments were used: a sociodemographic questionnaire, Brazilian version of Functional Assessment of Self-Mutilation (FASM), the Brazilian Barratt Impulsiveness Scale (BIS-11), and the Brazilian Loneliness Scale (UCLA-BR).

Results: A prevalence of 6.53% was found for non-suicidal self-injury disorder (DSM-5). Significant differences ( p ≤ 0.05) were observed regarding: the most frequently used forms of NSSI were the items "cut oneself" and "scratch oneself"; engaging in three or more different forms of self-injurious behavior (66.67%) and, reporting as reasons, "to relieve feelings of emptiness or indifference" and "to stop bad feelings/sensations." Significance was also related to the sociodemographic profile: 72.73% were females and 63.54% had family income below one minimum wage. Individuals with self-injurious behavior also had higher impulsiveness and loneliness scores (p ≤ 0.05).

Conclusions: The study identified a direct association between NSSI and impulsiveness and loneliness among adolescents, being more prevalent in females and in young individuals with socioeconomic vulnerability. The data provide support for improving public health policies, aimed at education, prevention, and treatment of adolescents with NSSI.

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References
1.
von Diemen L, Szobot C, Kessler F, Pechansky F . Adaptation and construct validation of the Barratt Impulsiveness Scale (BIS 11) to Brazilian Portuguese for use in adolescents. Braz J Psychiatry. 2007; 29(2):153-6. DOI: 10.1590/s1516-44462006005000020. View

2.
Zetterqvist M . The DSM-5 diagnosis of nonsuicidal self-injury disorder: a review of the empirical literature. Child Adolesc Psychiatry Ment Health. 2015; 9:31. PMC: 4584484. DOI: 10.1186/s13034-015-0062-7. View

3.
Buelens T, Luyckx K, Kiekens G, Gandhi A, Muehlenkamp J, Claes L . Investigating the DSM-5 criteria for non-suicidal self-injury disorder in a community sample of adolescents. J Affect Disord. 2019; 260:314-322. DOI: 10.1016/j.jad.2019.09.009. View

4.
Albores-Gallo L, Mendez-Santos J, Xochitl-Garcia Luna A, Delgadillo-Gonzalez Y, Chavez-Flores C, Martinez O . Nonsuicidal self-injury in a community sample of older children and adolescents of Mexico City. Actas Esp Psiquiatr. 2014; 42(4):159-68. View

5.
Tang J, Li G, Chen B, Huang Z, Zhang Y, Chang H . Prevalence of and risk factors for non-suicidal self-injury in rural China: Results from a nationwide survey in China. J Affect Disord. 2017; 226:188-195. DOI: 10.1016/j.jad.2017.09.051. View