A longitudinal investigation of non-suicidal self-injury persistence patterns, risk factors, and clinical outcomes during the college period

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• dc.contributor.author Kiekens, Glenn
• dc.contributor.author Claes, Laurence
• dc.contributor.author Hasking, Penelope
• dc.contributor.author Mortier, Philippe
• dc.contributor.author Bootsma, Erik
• dc.contributor.author Boyes, Mark
• dc.contributor.author Myin-Germeys, Inez
• dc.contributor.author Demyttenaere, Koen
• dc.contributor.author Cuijpers, Pim
• dc.contributor.author Kessler, Ronald C.
• dc.contributor.author Nock, Matthew K.
• dc.contributor.author Bruffaerts, Ronny
• dc.date.accessioned 2024-03-18T09:06:35Z
• dc.date.available 2024-03-18T09:06:35Z
• dc.date.issued 2023
• dc.description.abstract Background: Although non-suicidal self-injury (NSSI) is known typically to begin in adolescence, longitudinal information is lacking about patterns, predictors, and clinical outcomes of NSSI persistence among emerging adults. The present study was designed to (1) estimate NSSI persistence during the college period, (2) identify risk factors and high-risk students for NSSI persistence patterns, and (3) evaluate the association with future mental disorders and suicidal thoughts and behaviors (STB). Methods: Using prospective cohorts from the Leuven College Surveys (n = 5915), part of the World Mental Health International College Student Initiative, web-based surveys assessed mental health and psychosocial problems at college entrance and three annual follow-up assessments. Results: Approximately one in five (20.4%) students reported lifetime NSSI at college entrance. NSSI persistence was estimated at 56.4%, with 15.6% reporting a high-frequency repetitive pattern (≥five times yearly). Many hypothesized risk factors were associated with repetitive NSSI persistence, with the most potent effects observed for pre-college NSSI characteristics. Multivariate models suggest that an intervention focusing on the 10-20% at the highest predicted risk could effectively reach 34.9-56.7% of students with high-frequency repetitive NSSI persistence (PPV = 81.8-93.4, AUC = 0.88-0.91). Repetitive NSSI persistence during the first two college years predicted 12-month mental disorders, role impairment, and STB during the third college year, including suicide attempts. Conclusions: Most emerging adults with a history of NSSI report persistent self-injury during their college years. Web-based screening may be a promising approach for detecting students at risk for a highly persistent NSSI pattern characterized by subsequent adverse outcomes. en
• dc.format.mimetype application/pdf
• dc.identifier.citation Kiekens G, Claes L, Hasking P, Mortier P, Bootsma E, Boyes M, et al. A longitudinal investigation of non-suicidal self-injury persistence patterns, risk factors, and clinical outcomes during the college period. Psychol Med. 2023 Oct;53(13):6011-26. DOI: 10.1017/S0033291722003178
• dc.identifier.doi http://dx.doi.org/10.1017/S0033291722003178
• dc.identifier.issn 0033-2917
• dc.identifier.uri http://hdl.handle.net/10230/59453
• dc.language.iso eng
• dc.publisher Cambridge University Press
• dc.relation.ispartof Psychol Med. 2023 Oct;53(13):6011-26
• dc.rights This article has been published in a revised form in Psychological medicine [http://doi.org/10.1017/S0033291722003178]. This version is published under a Creative Commons CC-BY-NC-ND licence. No commercial re-distribution or re-use allowed. Derivative works cannot be distributed. © The Author(s), 2022. Published by Cambridge University Press.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword Non-suicidal self-injuryen
• dc.subject.keyword Persistenceen
• dc.subject.keyword Mental disordersen
• dc.subject.keyword Suicidal thoughts and behaviorsen
• dc.subject.keyword College perioden
• dc.subject.keyword Emerging adulthooden
• dc.title A longitudinal investigation of non-suicidal self-injury persistence patterns, risk factors, and clinical outcomes during the college perioden
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion