Journal of the American Academy of Child & Adolescent Psychiatry
3.57 Clinical Characteristics and Associations With Psychiatric Disorders of NonSuicidal Self-Injury in Korean Adolescents
Section snippets
Objectives
Nonsuicidal self-injury (NSSI) is more common among adolescents than other age-groups and has a high co-occurrence with suicide attempts in adolescents. The purpose of this study is to examine the prevalence, clinical characteristics, and associations with psychiatric disorders of nonsuicidal self-injury in Korean adolescents.
Methods
One hundred-forty depressed adolescents (aged 13–18 years; mean age = 15.5 ±1.5 years) in South Korea were enrolled in this study. The participants of this study were assessed using the Korean version of semi-structured diagnostic interviews (Korean-Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime) for DSM-IV diagnoses and various self-reported scales for clinical risk factors, including Child Depression Inventory (CDI), Rosenberg Suicide Ideation Questionnaire
Results
Among 129 depressed participants, 35 (27.1%) adolescents were classified into the NSSI group. In the NSSI group, there were significantly more females, higher RSIQ score, higher-state anger score, less anger expression, and lower CGAS scores than those in the non-NSSI group. In addition, in the NSSI group, MDD was 4.5 times more common (P = 0.007), and bipolar disorder (BD) was 9.6 times more common than in the non-NSSI group (P = 0.002)
Conclusions
NSSI is common among female adolescents with MDD and BD, particularly those who present high suicidal ideation and high anger state but difficult anger expression. These results support the importance of evaluation not only about self-injury behavior but also anger and the tendency toward overcontrolling a stressful situation in this clinical population. Teaching adaptive skills for dealing with anger may decrease and prevent NSSI in Korean adolescents with mood disorders.
SIB, DEMF, S
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Supported by Inje University Research Fund 20110877