Non-suicidal self-injury (NSSI) refers to the intentional injuring of one's body tissue without suicidal intent and for purposes not socially sanctioned. Examples include skin-cutting, burning, and scratching. NSSI is a robust risk-factor for psychiatric disorders and suicide and has become a significant public health problem in adolescents. Recent research finds that approximately 8% of middle school students, 14-15% of high-school students, and 80% of adolescent inpatients have engaged in NSSI. Because most NSSI research has focused on prevalence and psychosocial correlates, little is known about the functions of NSSI in adolescents. Understanding the functions of NSSI would facilitate case conceptualization and treatment planning for patients who self-injure, and provide a meaningful context for research on the etiology, classification, prevention, and treatment of NSSI.
The specific aims are to: 1) determine the suitability of a new, comprehensive measure of NSSI functions for adolescent populations, 2) establish the factor structure of NSSI functions in adolescents, and 3) examine the implications of different NSSI functions for diagnosis and treatment, including the identification of clinically distinct subgroups of self-injurers. Thus, the study will provide basic data on the covariation and clinical implications of NSSI functions, as well as produce the first comprehensive and valid measure of NSSI functions.

Public Health Relevance

Non-suicidal self-injury (NSSI) is a robust risk-factor for psychiatric disorders and suicide and has become a significant public health problem in adolescents. Because most NSSI research has focused on prevalence and psychosocial correlates, the present project focuses on the functions of adolescent NSSI, including their measurement, structure, and clinical implications.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Small Research Grants (R03)
Project #
5R03MH080096-02
Application #
7631170
Study Section
Child Psychopathology and Developmental Disabilities Study Section (CPDD)
Program Officer
Avenevoli, Shelli A
Project Start
2008-06-06
Project End
2011-05-31
Budget Start
2009-06-01
Budget End
2011-05-31
Support Year
2
Fiscal Year
2009
Total Cost
$76,068
Indirect Cost
Name
State University New York Stony Brook
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
804878247
City
Stony Brook
State
NY
Country
United States
Zip Code
11794
Glenn, Catherine R; Klonsky, E David (2013) Nonsuicidal self-injury disorder: an empirical investigation in adolescent psychiatric patients. J Clin Child Adolesc Psychol 42:496-507
Victor, Sarah Elizabeth; Glenn, Catherine Rose; Klonsky, Elisha David (2012) Is non-suicidal self-injury an ""addiction""? A comparison of craving in substance use and non-suicidal self-injury. Psychiatry Res 197:73-7
Glenn, Catherine R; Klonsky, E David (2011) Prospective prediction of nonsuicidal self-injury: a 1-year longitudinal study in young adults. Behav Ther 42:751-62
Klonsky, E David; Glenn, Catherine R (2009) Assessing the functions of non-suicidal self-injury: Psychometric properties of the Inventory of Statements About Self-injury (ISAS). J Psychopathol Behav Assess 31:215-219