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2014 ; 220
(1-2
): 579-84
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Adolescent nonsuicidal self-injury: examining the role of child abuse,
comorbidity, and disinhibition
#MMPMID25095754
Auerbach RP
; Kim JC
; Chango JM
; Spiro WJ
; Cha C
; Gold J
; Esterman M
; Nock MK
Psychiatry Res
2014[Dec]; 220
(1-2
): 579-84
PMID25095754
show ga
The purpose of the study is to examine how several well-known correlates of
nonsuicidal self-injury (NSSI) might work together to contribute to the
occurrence of this behavior. Specifically, we examined models including child
abuse, psychiatric comorbidity, and disinhibition, testing how these factors may
work together to lead to NSSI in the past month. Participants (n=194; 144 female;
age 13-18 years) were recruited from a short-term, acute adolescent residential
unit. Within 48 hours of admission to the hospital participants completed
structured clinical interviews assessing mental disorders and patterns of NSSI.
Following the interviews, participants completed a self-report questionnaire
assessing childhood abuse and a computerized continuous performance task.
Consistent with study hypotheses, results revealed that the association between
child abuse and NSSI is partially mediated by comorbidity. Although disinhibition
is associated with comorbidity, contrary to our hypothesis, disinhibition does
not mediate the relation between child abuse and NSSI. Collectively, these
findings provide new information about how comorbidity may increase risk for
NSSI, and critically, discuss the potential importance of creating targeted
programs to reduce the prevalence of child abuse.