A comparison of linear versus non-linear models of aversive self-awareness, dissociation, and non-suicidal self-injury among young adults

Research has identified a significant increase in both the incidence and prevalence of non-suicidal self-injury (NSSI). The present study sought to test both linear and non-linear cusp catastrophe models by using aversive self-awareness, which was operationalized as a composite of aversive self-relevant affect and cognitions, and dissociation as predictors of NSSI. The cusp catastrophe model evidenced a better fit to the data, accounting for 6 times the variance (66%) of a linear model (9%-10%). These results support models of NSSI implicating emotion regulation deficits and experiential avoidance in the occurrence of NSSI and provide preliminary support for the use of cusp catastrophe models to study certain types of low base rate psychopathology such as NSSI. These findings suggest novel approaches to prevention and treatment of NSSI as well.