Abstract
Health-risk behaviors represent a form of direct and indirect self-injury, and examples include behaviors such as suicide, non-suicidal self-injury (NSSI), alcohol misuse, nicotine use, illicit and licit drug use, disordered eating behaviors, unsafe sexual practices, and other forms of risky or reckless and thrill-seeking behaviors. NSSI and eating disorders (ED) frequently co-occur with other health-risk behaviors among youth and young adults. Studies examining the prevalence of various health-risk behaviors are reviewed from clinical and community NSSI, eating disorders (ED), and NSSI/ED populations of youth and young adults. Trends and patterns regarding the scope and nature of co-occurring health-risk behaviors and NSSI/ED are discussed. Concluding comments center on the implications for the researcher and practitioner with a focus on assessment of health-risk behaviors among at-risk populations.
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References
Boudewyn, A. C., & Liem, J. H. (1995). Psychological, interpersonal, and behavioral correlates of chronic self-destructiveness: An exploratory study. Psychological Reports, 77, 1283–1297.
Brausch, A. M., Decker, K. M., & Hadley, A. G. (2011). Risk of suicidal ideation in adolescents with both self-asphyxial risk-taking behavior and non-suicidal self-injury. Suicide and Life-Threatening Behavior, 41, 424–434.
Brausch, A. M., & Gutierrez, P. M. (2010). Differences in non-suicidal self-injury and suicide attempts in adolescents. Journal of Youth and Adolescents, 39, 233–242.
Brown, L. K., Houck, C. D., Grossman, C. I., Lescano, C. M., & Frenkel, J. L. (2008). Frequency of adolescent self-cutting as a predictor of HIV risk. Journal of Developmental and Behavioral Pediatrics, 29, 161–165.
Brown, L. K., Houck, C. D., Hadley, W. S., & Lescano, C. M. (2005). Self-cutting and sexual risk among adolescents in intensive psychiatric treatment. Psychiatric Services, 56, 216–218.
Claes, L., Jiménez-Murcia, S., Agüera, Z., Castro, R., Sánchez, I., Menchón, J. M., & Fernández-Aranda, F. (2012). Male eating disorder patients with and without non-suicidal self-injury: A comparison of psychopathological and personality features. European Eating Disorders Review, 20, 335–338.
Claes, L., Klonsky, E. D., Muehlenkamp, J., Kuppens, P., & Vandereycken, W. (2010). The affect-regulation function of non-suicidal self-injury in eating-disordered patients: Which affect states are regulated? Comprehensive Psychiatry, 51, 386–392.
Claes, L., Vanderycken, W., & Vertommen, H. (2003). Eating-disordered patients with and without self-injurious behaviours: A comparison of psychopathological features. European Eating Disorders Review, 11, 379–396.
Deliberto, T. L., & Nock, M. K. (2008). An exploratory study of correlates, onset, and offset of non-suicidal self-injury. Archives of Suicide Research, 12, 219–231.
DiClemente, R. J., Ponton, L. E., & Hartley, D. (1991). Prevalence and correlates of cutting behavior: Risk for HIV transmission. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 733–739.
Duggan, J. M., Toste, J. R., & Heath, N. L. (2012). An examination of the relationship between body image factors and non-suicidal self-injury in young adults: The mediating influence of emotion dysregulation. Psychiatry Research, 1996, 1–9.
Favaro, A., Ferrara, S., & Santonastaso, P. (2003). The spectrum of eating disorders in young women: A prevalence study in a general population sample. Psychosomatic Medicine, 65, 701–708.
Favazza, A. R., DeRosear, L., & Conterio, K. (1989). Self-mutilation and eating disorders. Suicide and Life-Threatening Behavior, 19, 352–361.
Field, A. E., Sonneville, K. R., Micali, N., Crosby, R. D., Swanson, S. A., Laird, N. M., Treasure, J., et al. (2012). Prospective association of common eating disorders and adverse outcomes. Pediatrics, 130, 289–295.
Fisher, C. B., Higgins-D’Alessandro, A., Rau, J., Kuther, T., & Belanger, S. (1996). Referring and reporting research participants at risk: Views from urban adolescents. Child Development, 67, 2086–2100.
Gadalla, T., & Piran, N. (2007). Co-occurrence of eating disorders and alcohol use disorders in women: A meta analysis. Archives of Women's Mental Health, 10, 133–140.
Glenn, C. R., & Klonsky, E. D. (2011). Prospective prediction of non-suicidal self-injury: A 1-year longitudinal study in young adults. Behavior Therapy, 42, 751–762.
Haw, C., Hawton, K., Casey, D., Bale, E., & Shepherd, A. (2005). Alcohol dependence, excessive drinking and deliberate self-harm: Trends and patterns in Oxford, 1989–2002. Social Psychiatry and Psychiatric Epidemiology, 40, 964–971.
Haw, C., Houston, K., Townsend, E., & Hawton, K. (2002). Deliberate self-harm patients with depressive disorders: Treatment and outcome. Journal of Affective Disorders, 70, 57–65.
Hilt, L. M., Nock, M. K., Lloyd-Richardson, E. E., & Prinstein, M. J. (2008). Longitudinal study of non-suicidal self-injury among young adolescents: Rates, correlates, and preliminary test of an interpersonal model. The Journal of Early Adolescence, 28, 455–469.
Holderness, C. C., Brooks-Gunn, J., & Warren, M. P. (1994). Co-morbidity of eating disorders and substance abuse: Review of the literature. International Journal of Eating Disorders, 16, 1–34.
Hooley, J. M., & St. Germain, S. A. (2009). Expanding the conceptualization of self-injurious behavior. In M. K. Nock (Ed.), Oxford handbook of suicide and self-injury. New York: University Press.
Hopley, A. A. B., & Nicki, R. M. (2010). Predictive factors of excessive online poker playing. Cyberpsychology, Behavior and Social Networking, 13, 379–385.
Klonsky, E. D., & Muehlenkamp, J. J. (2007). Self-injury: A research review for the practitioner. Journal of Clinical Psychology, 63, 1045–1056.
Krahn, D. D., Kurth, C. L., Gomberg, E., & Drewnowski, A. (2005). Pathological dieting and alcohol use in college women-a continuum of behaviors. Eating Behaviors, 6, 43–52.
Laye-Gindhu, A., & Schonert-Reichl, K. A. (2005). Non-suicidal self-harm among community adolescents: Understanding the “whats” and “whys” of self-harm. Journal of Youth and Adolescence, 34, 447–457.
Lewis, S. P., Heath, N. L., Michal, N. J., & Duggan, J. M. (2012). Non-suicidal self-injury, youth, and the Internet: What mental health professionals need to know. Child and Adolescent Psychiatry and Mental Health, 6, 13.
Lloyd-Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37, 1183–1192.
Lock, J., Reisel, B., & Steiner, H. (2001). Associated health risks of adolescents with disordered eating: How different are they from their peers? Results from a high school survey. Child Psychiatry and Human Development, 31, 249–265.
Matsumoto, T., & Imamura, F. (2008). Self-injury in Japanese junior and senior high-school students: Prevalence and association with substance use. Psychiatry and Clinical Neurosciences, 62, 123–125.
Miller, A. L., Muehlenkamp, J. J., & Jacobson, C. M. (2009). Special issues in treating adolescent non-suicidal self-injury. In M. K. Nock (Ed.), Understanding non-suicidal self-injury: Origins, assessment, and treatment (pp. 251–270). Washington, DC: APA.
Muehlenkamp, J. J., Peat, C. M., Claes, L., & Smits, D. (2012). Self-injury and disordered eating: Expressing emotion dysregulation through the body. Suicide and Life-Threatening Behavior, 42, 416–425.
Muehlenkamp, J. J., Swanson, J. D., & Brausch, A. M. (2005). Self-objectification, risk taking, and self-harm in college women. Psychology of Women Quarterly, 29, 24–32.
Nagata, T., Oshima, J., Wada, A., Yamada, H., & Kiriike, N. (2003). Repetitive self-mutilation among Japanese eating disorder patients with drug use disorder: Comparison with patients with methamphetamine use disorder. The Journal of Nervous and Mental Disease, 191, 319–323.
Nelson, A., & Muehlenkamp, J. J. (2012). Body attitudes and objectification in non-suicidal self-injury: Comparing males and females. Archives of Suicide Research, 16, 1–12.
Neumark-Sztainer, D., Story, M., Dixon, L. B., & Murray, D. M. (1998). Adolescents engaging in unhealthy weight control behaviors: Are they at risk for other health-compromising behaviors? American Journal of Public Health, 88, 952–955.
Nock, M. K. (2010). Self-injury. Annual Review of Clinical Psychology, 6, 339–363.
Nock, M. K., Joiner, T. E., Gordon, K. H., Lloyd-Richardson, E., & Prinstein, M. J. (2006). Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Research, 144, 65–72.
Nock, M. K., Prinstein, M. J., & Sterba, S. K. (2009). Revealing the form and function of self-injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults. Journal of Abnormal Psychology, 118, 816–827.
Orbach, I. (1996). The role of body experience in self-destruction. Clinical Child Psychology and Psychiatry, 1, 607–619.
Peebles, R., Wilson, J. L., & Lock, J. D. (2011). Self-injury in adolescents with eating disorders: Correlates and provider bias. The Journal of Adolescent Health, 48, 310–313.
Piran, N., & Robinson, S. R. (2006). Associations between disordered eating behaviors and licit and illicit substance use and abuse in a university sample. Addictive Behaviors, 31, 1761–1775.
Pisetsky, E. M., Chao, Y. M., Dierker, L. C., May, A. M., & Striegel-Moore, R. H. (2008). Disordered eating and substance use in high-school students: Results from the Youth Risk Behavior Surveillance System. The International Journal of Eating Disorders, 41, 464–470.
Rodham, K., & Hawton, K. (2009). Epidemiology and phenomenology of non-suicidal self-injury. In M. Nock (Ed.), Understanding non-suicidal self-injury: Origins, assessment, and treatment (pp. 37–62). Washington, DC: APA Books.
Ross, S., & Heath, N. (2002). A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence, 31, 67–77.
Ross, S., Heath, N. L., & Toste, J. R. (2009). Non-suicidal self‐injury and eating pathology in high school students. American Journal of Orthopsychiatry, 79, 83–92.
Serras, A., Saules, K. K., Cranford, J. A., & Eisenberg, D. (2010). Self-injury, substance use, and associated risk factors in a multi-campus probability sample of college students. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 24, 119–128.
Silverman, M. M., Berman, A. L., Sanddal, N. D., Carroll, P. W. O., & Joiner, T. E. (2007). Rebuilding the tower of Babel: A revised nomenclature for the study of suicide and suicidal behaviors Part 2: Suicide-related ideations, communications, and behaviors. Suicide and Life-Threatening Behaviors, 37, 264–277.
Solano, R., Fernández Aranda, F., Aitken, A., López, C., & Vallejo, J. (2005). Self-injurious behaviour in people with eating disorders. European Eating Disorders Review, 13, 3–10.
St. Germain, S. A., & Hooley, J. M. (2012). Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction. Psychiatry Research, 197, 78–84.
Svirko, E., & Hawton, K. (2007). Self-injurious behaviour and eating disorders: The extent and nature of the association. Suicide and Life-Threatening Behavior, 37, 409–421.
Taliaferro, L. A., Muehlenkamp, J. J., Borowsky, I. W., McMorris, B. J., & Kugler, K. C. (2012). Factors distinguishing youth who report self-injurious behavior: A population-based sample. Academic Pediatrics, 12, 205–213.
Vrouva, I., Fonagy, P., Fearon, P. R. M., & Roussow, T. (2010). The risk-taking and self-harm inventory for adolescents: Development and psychometric evaluation. Psychological Assessment, 22, 852–865.
Whitlock, J., Eckenrode, J., & Silverman, D. (2006). Self-injurious behaviours in a college population. Pediatrics, 117, 1939–1948.
Wiederman, M. W., & Pryor, T. (1996). Multi-impulsivity among women with bulimia nervosa. International Journal of Eating Disorders, 20, 359–365.
Williams, F., & Hasking, P. (2010). Emotion regulation, coping and alcohol use as moderators in the relationship between non-suicidal self-injury and psychological distress. Prevention Science, 11, 33–41.
Wolfe, W. L., & Maisto, S. A. (2000). The relationship between eating disorders and substance use: Moving beyond co-prevalence research. Clinical Psychology Review, 20, 617–631.
Wu, L. T., Gersing, K., Burchett, B., Woody, G. E., & Blazer, D. G. (2011). Substance use disorders and comorbid Axis I and II psychiatric disorders among young psychiatric patients: Findings from a large electronic health records database. Journal of Psychiatric Research, 45, 1453–1462.
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Duggan, J.M., Heath, N.L. (2014). Co-occurring Health-Risk Behaviors of Non-suicidal Self-injury and Eating Disorders. In: Claes, L., Muehlenkamp, J. (eds) Non-Suicidal Self-Injury in Eating Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40107-7_13
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