Abstract
Currently little research exists examining self-mutilation (SM) in community samples of adolescents, despite tentative findings suggesting that self-harming behaviors, including SM may be increasing. The present study provides a comprehensive review of previous literature on the frequency of SM as well as preliminary epidemiological data concerning the frequency of SM in a community sample of high schools students. The relationship between SM, anxiety, and depressive symptomatology was also assessed. Four hundred and forty students from two schools, an urban and a suburban high school, were given a screening measure designed to assess for SM. Students who indicated that they hurt themselves on purpose also participated in a follow-up interview. Based on interviews it was found that 13.9% of all students reported having engaged in SM behavior at some time. Girls reported significantly higher rates of SM than did boys (64 vs. 36%, respectively). Self-cutting was found to be the most common type of SM, followed by self-hitting, pinching, scratching, and biting. Finally, students who self-mutilate reported significantly more anxiety and depressive symptomatology than students who did not self-mutilate. Results are also presented concerning demographic information and patterns of SM behavior.
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REFERENCES
Ambrosini, P. J., Metz, C., Bianchi, M. D., Rabinovich, H., and Undie, A. (1991). Concurrent validity and psychometric properties of the Beck Depression Inventory in outpatient adolescents. J. Am. Acad. Child Adolesc. Psychiatry 30: 51–57.
Barrera, M., and Garrison-Jones, C.V. (1988). Properties of the Beck Depression Inventory as a screening measure for adolescent depression. J. Abnorm. Child Psychol. 16: 263–273.
Beck, A. T., Epstein, N., Brown, G., and Steer, R.A. (1988). An inventory for measuring clinical anxiety. Psychometric properties. J. Consult. Clin. Psychol. 56: 893–897.
Beck, A. T., Schuyler, D., and Herman, J. (1974). Development of the Suicide Intent Scales. In Beck, A. T., Resnick, H. L. P., and Lettieri, D. J. (eds.), Prediction of Suicide. Charles Press, New York, pp. 54–56.
Beck, A. T., and Steer, R. A. (1993a). Manual for the Beck Anxiety Inventory. Psychological Corporation, San Antonio.
Beck, A. T., and Steer, R. A. (1993b). Manual for the Beck Depression Inventory. Psychological Corporation, San Antonio.
Bennum, I. (1984). Psychological models of self-mutilation. Suicide Life Threat. Behav. 14: 166–186.
Bennum, I., and Phil, M. (1983). Depression and hostility in selfmutilation. Suicide Life Threat. Behav. 13: 71–84.
Brittlebank, A. D., Cole, A., Hassanyeh, F., Kenny, M., Simpson, D., and Scott, J. (1990). Hostility, hopelessness and deliberate self-harm: A prospective follow-up study. Acta Psychiatr. Scand. 81: 280–283.
Brodsky, B. S., Cloitre, M., and Dulit, R. A. (1995). Relationship of dissociation to self-mutilation and childhood abuse in borderline personality disorder. Am. J. Psychiatry 152: 1788–1792.
Brooksbank, D. J. (1985). Suicide and parasuicide in childhood and early adolescence. Br. J. Psychiatry 146: 459–463.
Burgess, J. W. (1991). Relationship of depression and cognitive impairment to self-injury in borderline personality disorder, major depression and schizophrenia. Psychiatr. Res. 38: 77–87.
Clarke, L. A., Steer, R. A., and Beck, A. T. (1994). Common and specific dimensions of self-reported anxiety and depression: Implications for the cognitive and tripartite models. J. Abnorm. Psychol. 103: 645–654.
Dulit, R. A., Fryer, M. R., Leon, A. C., Brodsky, B. S., and Frances, A. J. (1994). Clinical correlates of self-mutilation in borderline personality disorder. Am. J. Psychiatry 151: 1305–1311.
Endler, N. S., Cox, B. J., Parker, J. D., and Bagby, R. M. (1992). Selfreport of depression and state-trait anxiety: Evidence for differential assessment. J. Pers. Soc. Psychol. 63: 832–838.
Ennis, J., Barnes, R. A., Kennedy, S., and Trachtenberg, D. (1989). Depression in self-harm patients. Br. J. Psychiatry 154: 41–47.
Favazza, A. R. (1998). The coming of age of self-mutilation. J. Nervous Ment. Dis. 186: 259–268.
Favazza, A. R. (1989). Why patients self-mutilate. Hosp. Comm. Psychiatry 40: 137–145.
Favazza, A. R., and Conterio, K. (1989). Habitual female self-mutilators. Acta Psychiatr. Scand. 79: 283–289.
Favazza, A. R., DeRosear, L., and Conterio, K. (1989). Self-mutilation and eating disorders. Suicide Life Threat. Behav. 19: 352–361.
Favazza, A. R., and Rosenthal, R. J. (1993). Diagnostic issue in selfmutilation. Hosp. Comm. Psychiatry 44: 134–141.
Feldmen, M. D. (1988). The challenge of self-mutilation: A review. Compr. Psychiatry 29: 252–269.
Friedrich, W. N., Reams, R., and Jacobs, J. H. (1988). Sex differences in depression in early adolescence. Psycholog. Rep. 62: 475–481.
Hawton, K., and Fagg, J. (1992). Deliberate self-poisoning and selfinjury in adolescents: A study of the characteristics and trends in Oxford, 1976–1989. Br. J. Psychiatry 161: 816–823.
Hawton, K., and Fagg, J. (1992). Trends in deliberate self-poisoning and self-injury in Oxford, 1976–1990. BMJ 304: 1409–1411.
Hawton, K., Fagg, J., and Simkin, S. (1996). Deliberate self-poisoning and self-injury in children and adolescents under 16 years of age in Oxford, 1976–1993. Br. J. Psychiatry 169: 202–208.
Hawton, K., Fagg, J., Simkin, S., Bale, E., and Bond, A. (1997). Trends in deliberate self-harm in Oxford, 1985–1995. Br. J. Psychiatry 171: 556–560.
Herpertz, S. (1995). Self-injurious behavior: Psychopathological and nosological characteristics in subtypes of self-injurers. Acta Psychiatr. Scand. 91: 57–68.
Kashani, J. H., Sherman, D. D., Parker, D. R., and Reid, J. C. (1990). Utility of the Beck Depression Inventory with clinic-referred adolescents. J. Am. Acad. Child Adolesc. Psychiatry 29: 278–282.
Kauth, M. R., and Zettle, R. D. (1990).Validation of depression measures in adolescent populations. J. Clin. Psychol. 46: 291–295.
Larsson, B., and Melin, L. (1990). Depressive symptoms in Swedish adolescents. J. Abnorm. Child Psychol. 18: 91–103.
Lena, S. M., and Bijoor, S. (1990). Wrist cutting: A dare game among adolescents. Can. Med. Assoc. J. 142: 131–132.
Martin, G., Rozanes, P., Pearce, C., and Allison, S. (1995). Adolescent suicide, depression and family dysfunction. Acta Psychiatr. Scand. 92: 336–344.
McLaughlin, J., Miller, P., and Warwick, H. (1996). Deliberate self-harm in adolescents: Hopelessness, depression and problem-solving. J. Adolesc. 18: 523–532.
Pattison, E. M., and Kahan, J. (1983). The deliberate self-harm syndrome. Am. J. Psychiatry 140: 867–872.
Patton, G. C., Harris, R., Carlin, J. B., Hibbert, M., Coffey, C., Schwartz, M., and Bowes, G. (1997). Adolescent suicidal behaviors: A population based study of risk. Psychol. Med. 27: 715–724.
Pipher, M. (1994). Reviving Ophelia. Ballantine Books, New York.
Reynolds,W. M. (1994). Assessment of depression in children and adolescents by self-report questionnaires. In Reynolds, W. M., and Johnston, H. F. (eds.), Handbook of Depression in Children and Adolescents. Plenum Press, New York, pp. 209–244.
Rosen, P. M., and Heard, K. V. (1995). A method for reporting self-harm according to level of injury and location on the body. Suicide Life Threat. Behav. 25: 381–385.
Rosen, P. M., Walsh, B. W., and Rode, S. A. (1990). Interpersonal loss and self-mutilation. Suicide Life Threat. Behav. 20: 177–184.
Rosenthal, R. J., Rinzler, C., Wallsh, R., and Klausner, E. (1972). Wristcutting syndrome: The meaning of the gesture. Am. J. Psychiatry 128: 47–52.
Schwartz, R. H., Cohen, P., Hoffman, N. G., and Meeks, J. E. (1989). Self-harm behaviors (carving) in female adolescent drug abusers. Clin. Pediatrics 28: 340–346.
Scott, S. W., and Powell, J. C. (1993). Adolescent self-mutilation in a rural area. J. Adolesc. 16: 101–105.
Shearer, S. L. (1994). Phenomenology of self-injury among inpatient women with borderline personality disorder. J. Nervous Ment. Dis. 182: 524–526.
Simeon, D., Stanley, B., Frances, A., Mann, J. J., Winchel, R., and Stanley, M. (1992). Self-mutilation in personality disorders: Psychological and biological correlates. Am. J. Psychiatry 149: 221–227.
Simpson, C. A., and Porter, G. L. (1981). Self-mutilation in children and adolescents. Bull. Menninger Clin. 45: 428–438.
Solomon, Y., and Farrand, J. (1996). “Why don't you do it properly?” Young women who self-injure. J. Adolesc. 19: 111–119.
Steer, R. A. (1997). Beck Anxiety Inventory. In Zalaquett, C. P., and Wood, R. J. (eds.), Evaluating Stress: A Book of Resources. The Scarecrow Press, London, pp. 23–40.
Taiminen, T. J., Kallio-Soukainen, K., Nokso-Koivisto, H., Kaljonen, A., and Helenius, H. (1998). Contagion of deliberate self-harm among adolescent inpatients. J. Am. Acad. Child Adolesc. Psychiatry 37: 211–217.
Tantam, D., and Whittaker, J. (1992). Personality disorder and selfwounding. Br. J. Psychiatry 161: 451–464.
van der Kolk, B. A., Perry, J. C., and Herman, J. L. (1991). Childhood origins of self-destructive behavior. Am. J. Psychiatry 148: 1665–1671.
Walsh, B.W., and Rosen, P. M. (1988). Self-Mutilation: Theory, Research and Treatment. The Guilford Press, New York.
Wetherell, J. L., and Arean, P. (1997). Psychometric evaluation of the Beck Anxiety Inventory with older medical patients. Psychol. Assessment. 9: 136–144.
Winchel, R. A., and Stanley, M. (1991). Self-injurious behavior:Areview of the behavior and biology of self-mutilation. Am. J. Psychiatry 148: 306–316.
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Ross, S., Heath, N. A Study of the Frequency of Self-Mutilation in a Community Sample of Adolescents. Journal of Youth and Adolescence 31, 67–77 (2002). https://doi.org/10.1023/A:1014089117419
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DOI: https://doi.org/10.1023/A:1014089117419