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Prevalence and Function of Non-Suicidal Self-Injury (NSSI) in a Community Sample of Adolescents, Using Suggested DSM-5 Criteria for a Potential NSSI Disorder

Zetterqvist, Maria; Lundh, Lars-Gunnar LU ; Dahlström, Örjan and Svedin, Carl Göran (2013) In Journal of Abnormal Child Psychology 41(5). p.759-773
Abstract
Previous prevalence rates of non-suicidal self-injury(NSSI) in adolescents have varied considerably. In the present cross-sectional study, prevalence rates, characteristics and functions of NSSI were assessed in a large randomized community sample consisting of 3,060

(50.5 % female) Swedish adolescents aged 15–17 years. The suggested criteria for NSSI disorder in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) were used to assess prevalence rates with the aim of arriving at a more precise estimate. Out of the whole sample, 1,088 (35.6 %) adolescents (56.2 % female)

reported at least one episode of NSSI during the last year, of which 205 (6.7 %) met suggested DSM-5 criteria for a potential... (More)
Previous prevalence rates of non-suicidal self-injury(NSSI) in adolescents have varied considerably. In the present cross-sectional study, prevalence rates, characteristics and functions of NSSI were assessed in a large randomized community sample consisting of 3,060

(50.5 % female) Swedish adolescents aged 15–17 years. The suggested criteria for NSSI disorder in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) were used to assess prevalence rates with the aim of arriving at a more precise estimate. Out of the whole sample, 1,088 (35.6 %) adolescents (56.2 % female)

reported at least one episode of NSSI during the last year, of which 205 (6.7 %) met suggested DSM-5 criteria for a potential NSSI disorder diagnosis. The NSSI disorder diagnosis was significantly more common in girls (11.1 % vs. 2.3 %, χ2 (1, N=3046) = 94.08, p<0.001, cOR=5.43, 95 % CI [3.73, 7.90]). The NSSI disorder group consisted of significantly more smokers and drug users compared to

adolescents with NSSI that did not meet DSM-5 criteria for NSSI disorder, and also differed concerning demographic variables. A confirmatory factor analysis (CFA) was conducted on reported functions of NSSI, with the aim of validating Nock and Prinstein’s (Journal of Consulting and Clinical Psychology 72:885–890, 2004, Journal of Abnormal Psychology 114:140–146, 2005) four-factor

model on a Swedish community sample, resulting in a close to acceptable fit. A two-factor model (social and automatic reinforcement) resulted in a slightly better fit. The most frequently reported factors were positive and negative automatic reinforcement. A majority of functions were significantly more often reported by girls than boys. The implications of the suggested DSM-5 criteria and reported functions are discussed. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Non-suicidal self-injury disorder, DSM-5, Prevalence, Function, Adolescents
in
Journal of Abnormal Child Psychology
volume
41
issue
5
pages
759 - 773
publisher
Springer New York LLC
external identifiers
  • wos:000320279900007
  • scopus:84879096271
ISSN
0091-0627
DOI
10.1007/s10802-013-9712-5
language
English
LU publication?
yes
id
cec67fb1-a1ae-4d4d-80a4-129ae7d6e957 (old id 3411231)
date added to LUP
2013-01-29 13:52:04
date last changed
2019-05-19 04:07:11
@article{cec67fb1-a1ae-4d4d-80a4-129ae7d6e957,
  abstract     = {Previous prevalence rates of non-suicidal self-injury(NSSI) in adolescents have varied considerably. In the present cross-sectional study, prevalence rates, characteristics and functions of NSSI were assessed in a large randomized community sample consisting of 3,060<br/><br>
(50.5 % female) Swedish adolescents aged 15–17 years. The suggested criteria for NSSI disorder in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) were used to assess prevalence rates with the aim of arriving at a more precise estimate. Out of the whole sample, 1,088 (35.6 %) adolescents (56.2 % female)<br/><br>
reported at least one episode of NSSI during the last year, of which 205 (6.7 %) met suggested DSM-5 criteria for a potential NSSI disorder diagnosis. The NSSI disorder diagnosis was significantly more common in girls (11.1 % vs. 2.3 %, χ2 (1, N=3046) = 94.08, p&lt;0.001, cOR=5.43, 95 % CI [3.73, 7.90]). The NSSI disorder group consisted of significantly more smokers and drug users compared to<br/><br>
adolescents with NSSI that did not meet DSM-5 criteria for NSSI disorder, and also differed concerning demographic variables. A confirmatory factor analysis (CFA) was conducted on reported functions of NSSI, with the aim of validating Nock and Prinstein’s (Journal of Consulting and Clinical Psychology 72:885–890, 2004, Journal of Abnormal Psychology 114:140–146, 2005) four-factor<br/><br>
model on a Swedish community sample, resulting in a close to acceptable fit. A two-factor model (social and automatic reinforcement) resulted in a slightly better fit. The most frequently reported factors were positive and negative automatic reinforcement. A majority of functions were significantly more often reported by girls than boys. The implications of the suggested DSM-5 criteria and reported functions are discussed.},
  author       = {Zetterqvist, Maria and Lundh, Lars-Gunnar and Dahlström, Örjan and Svedin, Carl Göran},
  issn         = {0091-0627},
  keyword      = {Non-suicidal self-injury disorder,DSM-5,Prevalence,Function,Adolescents},
  language     = {eng},
  number       = {5},
  pages        = {759--773},
  publisher    = {Springer New York LLC},
  series       = {Journal of Abnormal Child Psychology},
  title        = {Prevalence and Function of Non-Suicidal Self-Injury (NSSI) in a Community Sample of Adolescents, Using Suggested DSM-5 Criteria for a Potential NSSI Disorder},
  url          = {http://dx.doi.org/10.1007/s10802-013-9712-5},
  volume       = {41},
  year         = {2013},
}