Depression and posttraumatic stress disorder in adolescents with nonsuicidal self-injury: comparisons of the psychological correlates and suicidal presentations across diagnostic subgroups

被引:6
作者
Seong, Eunice [1 ]
Lee, Kyung Hwa [1 ]
Lee, Jong-Sun [2 ]
Kim, Sojung [3 ]
Seo, Dong Gi [4 ]
Yoo, Jae Hyun [5 ]
Han, Doug Hyun [6 ]
Hwang, Hyunchan [6 ]
Choi, Chi-Hyun [7 ]
Kim, Jae-Won [1 ,8 ]
机构
[1] Seoul Natl Univ Hosp, Dept Psychiat, Div Child & Adolescent Psychiat, 101 Daehak Ro, Seoul 03080, South Korea
[2] Kangwon Natl Univ, Dept Psychol, 1 Gangwondaehak Gil, Chunchon 24341, Gangwon Do, South Korea
[3] Yeungnam Univ, Dept Psychol, 280 Daehak Ro, Gyongsan 38541, Gyeongbuk, South Korea
[4] Hallym Univ, Dept Psychol, 1 Hallymdaehak Gil, Chunchon 24252, Gangwon Do, South Korea
[5] Catholic Univ Korea, Seoul St Marys Hosp, Coll Med, Dept Psychiat, 222 Banpo Daero, Seoul 06591, South Korea
[6] Chung Ang Univ, Coll Med, Dept Psychiat, 84 Heukseok Ro, Seoul 06973, South Korea
[7] Seoul Alpha Neuropsychiat Clin, 511 Nonhyeon Ro, Seoul 06131, South Korea
[8] Seoul Natl Univ, Inst Human Behav Med, Coll Med, Dept Psychiat, 103 Daehak Ro, Seoul 03080, South Korea
关键词
Adolescents; Nonsuicidal self-injury; Suicidal cognitions; Suicidal behaviors; Depression; TOWER-OF-BABEL; YOUNG-ADULTS; REVISED NOMENCLATURE; EMOTION REGULATION; RISK-FACTORS; SYMPTOMS; SCALE; CHILDREN; BEHAVIORS; VERSION;
D O I
10.1186/s12888-024-05533-5
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Nonsuicidal self-injury (NSSI) combined with suicide ideation increases the risk of suicidal behaviors. Depression and posttraumatic stress disorder (PTSD) are comorbidities of NSSI compounding this relationship. The present study compared diagnostic subgroups of NSSI based on current depression and PTSD on psychological correlates (i.e., vulnerabilities and impairment) and suicidal presentations (i.e., suicidal cognitions and behaviors) in a psychiatric sample of adolescents. Methods Eighty-seven adolescents meeting DSM-5 criteria for NSSI and 104 age-range-matched nonclinical controls (NC) participated. Participants completed self-report measures on psychological vulnerabilities and impairment (e.g., emotion regulation difficulties, negative cognitions). Adolescents with NSSI also completed clinical interviews on psychiatric diagnoses and a recent self-injurious behavior (SIB). Scores on the psychological correlates of NSSI were compared between adolescents with NSSI and NC, and across three diagnostic subgroups of NSSI (A: NSSI+/depression-/PTSD-, n = 14; B: NSSI+/depression+/PTSD-, n = 57; C: NSSI+/depression+/PTSD+, n = 14). Differences between NSSI diagnostic subgroups were tested on the motives for SIB and accompanying suicidal presentations (e.g., desire, intent, motive, lethality). Results Common comorbidities of NSSI included depression, panic disorder, generalized anxiety disorder, and PTSD. The NSSI subgroup classification was significantly associated with panic disorder, which was controlled for in the subsequent group comparisons. Overall, adolescents who engage in NSSI with vs. without depression reported more psychological vulnerabilities and impairment and a greater degree of suicidal thoughts/desire in SIB (i.e., groups B, C >A), which remained significant after controlling for panic disorder. An increased odds of the suicidal motive for SIB was found in adolescents with all three conditions (i.e., group C: NSSI+/depression+/PTSD+) compared to those with NSSI but neither depression nor PTSD (i.e., group A: NSSI+/depression-/PTSD-); however, this was not significant after controlling for panic disorder. Conclusions Psychological underpinnings of adolescent NSSI in clinical contexts may be largely associated with concurrent depression. Suicidal motives in adolescents who engage in NSSI in the presence of depression and PTSD may be confounded by the co-occurrence of panic disorder. This study warrants the importance of attending to the comorbid depression with NSSI in adolescents as it is related to an increase in suicidal desire accompanying SIB.
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页数:15
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