The Library
The development of first-episode direct self-injurious behavior and association with difficulties in emotional regulation in adolescence
Tools
Tools
Tools
Palmer, Colin, Connor, Charlotte, Channa, Sunita, Lavis, Anna, Leung, Newman, Parsons, Nicholas R. and Birchwood, Max (2019) The development of first-episode direct self-injurious behavior and association with difficulties in emotional regulation in adolescence. Suicide and Life-Threatening Behavior, 49 (5). pp. 1266-1280. doi:10.1111/sltb.12512 ISSN 0363-0234.
|
PDF
WRAP-development-first-episode-direct-self-injurious-behavior-association-emotional-regulation-adolescence-Palmer-2019.pdf - Accepted Version - Requires a PDF viewer. Download (1284Kb) | Preview |
Official URL: https://doi.org/10.1111/sltb.12512
Abstract
Objective
Self‐harm remains a serious public health concern; however, identifying adolescents at risk is challenging. While self‐harm has been linked with difficulties in emotional regulation postinjury, comparatively little is known about how such difficulties may impact on the future development of self‐harm behavior.
Methods
A total of 318 pupils aged 14–15 years completed measures on history of direct self‐injurious behavior (D‐SIB), emotional regulation, depression, and anxiety at two time points across a six‐month period.
Results
Of 13% (42) of participants reported their first episode of D‐SIB over the six‐month period and reported increased difficulties with emotional regulation prior to initial D‐SIB. Regression analyses found significant associations for emotional regulation and specifically lack of emotional clarity prior to first episode of D‐SIB. Lack of emotional awareness and difficulties with impulse control was significantly associated in those with ongoing D‐SIB.
Conclusions
Prior to first episode of D‐SIB, young people may experience difficulty regulating emotions, a difficulty which appears less pronounced following their engagement with D‐SIB. Our findings implicate difficulties in the early evaluation and understanding of emotions which may later impair attempts at emotion modulation and increase risk of D‐SIB. Such findings might help inform early identification of adolescents at risk of initial D‐SIB.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RJ Pediatrics | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||||
| SWORD Depositor: | Library Publications Router | ||||||||
| Library of Congress Subject Headings (LCSH): | Youth -- Mental health, Self-mutilation | ||||||||
| Journal or Publication Title: | Suicide and Life-Threatening Behavior | ||||||||
| Publisher: | Wiley | ||||||||
| ISSN: | 0363-0234 | ||||||||
| Official Date: | October 2019 | ||||||||
| Dates: |
|
||||||||
| Volume: | 49 | ||||||||
| Number: | 5 | ||||||||
| Page Range: | pp. 1266-1280 | ||||||||
| DOI: | 10.1111/sltb.12512 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Reuse Statement (publisher, data, author rights): | The views expressed in this article are those of the author(s) and not necessarily those of the NHS, the NIHR, or the Department of Health and Social Care. This is the peer reviewed version of the following article: Palmer, Colin, Connor, Charlotte, Channa, Sunita, Lavis, Anna, Leung, Newman, Parsons, Nick and Birchwood, Max (2019) The development of first-episode direct self-injurious behavior and association with difficulties in emotional regulation in adolescence. Suicide and Life-Threatening Behavior. doi:10.1111/sltb.12512 (in Press), which has been published in final form at https://doi.org/10.1111/sltb.12512. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 5 December 2018 | ||||||||
| Date of first compliant Open Access: | 3 September 2020 | ||||||||
| RIOXX Funder/Project Grant: |
|
||||||||
| Related URLs: |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
Downloads
Downloads per month over past year
