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Self-reported frequency of sex as self-injury (SASI) in a national study of
Swedish adolescents and association to sociodemographic factors, sexual
behaviors, abuse and mental health
#MMPMID28265299
Fredlund C
; Svedin CG
; Priebe G
; Jonsson L
; Wadsby M
Child Adolesc Psychiatry Ment Health
2017[]; 11
(?): 9
PMID28265299
show ga
BACKGROUND: Sex as self-injury has become a concept in Swedish society; however
it is a largely unexplored area of research, not yet conceptualized and far from
accepted in the research field. The use of sex as a way of affect regulation is
known in the literature and has, in interviews with young women who sell sex,
been compared to direct self-injury, such as cutting or burning the skin. The aim
of this study was to investigate the self-reported frequency of sex as
self-injury and the association to sociodemographic factors, sexual orientation,
voluntary sexual experiences, sexual risk-taking behaviors, sexual, physical and
mental abuse, trauma symptoms, healthcare for psychiatric disorders and
non-suicidal self-injury. METHODS: A representative national sample of 5750
students in the 3rd year of Swedish high school, with a mean age of 18 years was
included in the study. The study was questionnaire-based and the response rate
was 59.7%. Mostly descriptive statistics were used and a final logistic
regression model was made. RESULTS: Sex as self-injury was reported by 100 (3.2%)
of the girls and 20 (.8%) of the boys. Few correlations to sociodemographic
factors were noted, but the group was burdened with more experiences of sexual,
physical and emotional abuse. Non-heterosexual orientation, trauma symptoms,
non-suicidal self-injury and healthcare for suicide attempts, depression and
eating disorders were common. CONCLUSIONS: Sex used as self-injury seems to be
highly associated with earlier traumas such as sexual abuse and poor mental
health. It is a behavior that needs to be conceptualized in order to provide
proper help and support to a highly vulnerable group of adolescents.
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