Non-suicidal self-injury (NSSI), defined as the direct, intentional destruction of one's own body tissue without the intent to die (1), is more common than once believed; approximately 14% to 35% of college students (2,3) engage in the behavior. Additionally, NSSI is associated with numerous adverse outcomes, including tissue damage/scarring, disruptions in interpersonal relationships, and future suicidal behavior (4-10). Although research on NSSI is increasing, most studies continue to use non-experimental methods that limit our ability to examine causal relationship between NSSI and its correlates. The inclusion of behavioral paradigms would allow for empirical investigations of NSSI in a way that mimics real-life behavior, providing richer information about NSSI behavior and putatively related variables. One such variable of interest is interpersonal stress, which is thought to have a substantial impact on self-injurious thoughts and behaviors. For example, interpersonal problems have been found to precipitate self-harming thoughts (28) and more severe self-harming behaviors (e.g., suicide attempts; 29-31). There is little empirical evidence, however, examining the immediate impact of interpersonal stress on NSSI, and related potential deficits, such as interpersonal problem solving abilities (32). The proposed study will experimentally examine the effect of interpersonally-focused acute negative mood on self-injurious behavior/attitudes, and interpersonal problem solving. Given the high rate of NSSI among college-aged individuals, the participants of the proposed study will be college students with and without a recent history of NSSI. Participants will complete a diagnostic assessment and self-report measures of constructs related to self-injurious behavior. Following, they will receive either (a) an interpersonal negative mood induction (b) a general negative mood induction or (c) an interpersonal neutral mood induction, after which they will complete behavioral measures of interpersonal problem solving, self-injurious behavior, and implicit NSSI associations. The multi-group, multi-method design of this study will allow for a powerful assessment and comparison of the specific impact of an interpersonally- focused negative mood on NSSI behaviors. Thus, this study has the potential to provide a better understanding of the emotional and behavioral responses to acute negative mood and could provide new insights into extant theories of self-injury and may help guide NSSI treatment and prevention efforts.

Public Health Relevance

Non-suicidal self-injury (NSSI; e.g., cutting) represents a serious public health concern with at least one- quarter of college students engaging in the behavior (3,4); it is also associated with numerous adverse outcomes, including tissue damage/scarring, problems with interpersonal relationships, and suicidal behavior (5-11). The proposed project is designed to experimentally examine self-injurious behavior/attitudes and interpersonal problem solving as a function of an interpersonally focused acute negative mood among those with and without a recent history of NSSI. This study has the potential to provide a better understanding of the emotional and behavioral responses to acute negative mood and could provide new insights into extant theories of self-injury, and, further, may help guide NSSI treatment and prevention efforts.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
5F31MH107156-02
Application #
9153001
Study Section
Special Emphasis Panel (ZRG1-F16-L (20)L)
Program Officer
Chavez, Mark
Project Start
2015-09-07
Project End
2017-09-06
Budget Start
2016-09-07
Budget End
2017-09-06
Support Year
2
Fiscal Year
2016
Total Cost
$33,029
Indirect Cost
Name
Temple University
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
057123192
City
Philadelphia
State
PA
Country
United States
Zip Code
19122
Ammerman, Brooke A; Berman, Mitchell E; McCloskey, Michael S (2018) Assessing Non-Suicidal Self-Injury in the Laboratory. Arch Suicide Res 22:193-223
Ammerman, Brooke A; Brown, Seth (2018) The Mediating Role of Self-Criticism in the Relationship between Parental Expressed Emotion and NSSI. Curr Psychol 37:325-333
Burke, Taylor A; Jacobucci, Ross; Ammerman, Brooke A et al. (2018) Identifying the relative importance of non-suicidal self-injury features in classifying suicidal ideation, plans, and behavior using exploratory data mining. Psychiatry Res 262:175-183
Ammerman, Brooke A; Steinberg, Laurence; McCloskey, Michael S (2018) Risk-Taking Behavior and Suicidality: The Unique Role of Adolescent Drug Use. J Clin Child Adolesc Psychol 47:131-141
Ammerman, Brooke A; Jacobucci, Ross; McCloskey, Michael S (2018) Using Exploratory Data Mining to Identify Important Correlates of Nonsuicidal Self-Injury Frequency. Psychol Violence 8:515-525
Burke, Taylor A; Ammerman, Brooke A; Hamilton, Jessica L et al. (2017) Impact of Non-Suicidal Self-Injury Scale: Initial Psychometric Validation. Cognit Ther Res 41:130-142
Ammerman, Brooke A; Jacobucci, Ross; Kleiman, Evan M et al. (2017) Development and validation of empirically derived frequency criteria for NSSI disorder using exploratory data mining. Psychol Assess 29:221-231
Ammerman, Brooke A; Burke, Taylor A; Alloy, Lauren B et al. (2016) Subjective pain during NSSI as an active agent in suicide risk. Psychiatry Res 236:80-85
Burke, Taylor A; Hamilton, Jessica L; Ammerman, Brooke A et al. (2016) Suicide risk characteristics among aborted, interrupted, and actual suicide attempters. Psychiatry Res 242:357-364