G Kiekens1, P Hasking2, L Claes3, M Boyes2, P Mortier4, R P Auerbach5, P Cuijpers6, K Demyttenaere7, J G Green8, R C Kessler9, I Myin-Germeys10, M K Nock11, R Bruffaerts12. 1. Center for Public Health Psychiatry, KU Leuven, Leuven, Belgium; School of Psychology, Curtin University, Perth, Australia. Electronic address: Glenn.Kiekens@kuleuven.be. 2. School of Psychology, Curtin University, Perth, Australia. 3. Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium; Faculty of Medicine and Health Sciences (CAPRI), University of Antwerp, Antwerp, Belgium. 4. Health Services Research Unit, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. 5. Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA. 6. Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. 7. Center for Public Health Psychiatry, KU Leuven, Leuven, Belgium. 8. Wheelock College of Education & Human Development, Boston University, Boston, MA, USA. 9. Harvard Medical School, Department of Health Care Policy, Harvard University, Boston, MA, USA. 10. Department of Neurosciences, Centre for Contextual Psychiatry, KU Leuven, Leuven, Belgium. 11. Department of Psychology, Harvard University, Cambridge, MA, USA. 12. Center for Public Health Psychiatry, KU Leuven, Leuven, Belgium; Institute for Social Research, Population Studies Center, University of Michigan, Ann Arbor, MI, USA.
Abstract
BACKGROUND: Despite increased awareness that non-suicidal self-injury (NSSI) poses a significant public health concern on college campuses worldwide, few studies have prospectively investigated the incidence of NSSI in college and considered targeting college entrants at high risk for onset of NSSI. METHODS: Using data from the Leuven College Surveys (n = 4,565; 56.8%female, Mage = 18.3, SD = 1.1), students provided data on NSSI, sociodemographics, traumatic experiences, stressful events, perceived social support, and mental disorders. A total of 2,163 baseline responders provided data at a two-year annual follow-up assessment (63.2% conditional response rate). RESULTS: One-year incidence of first onset NSSI was 10.3% in year 1 and 6.0% in year 2, with a total of 8.6% reporting sporadic NSSI (1-4 times per year) and 7.0% reporting repetitive NSSI (≥ 5 times per year) during the first two years of college. Many hypothesized proximal and distal risk factors were associated with the subsequent onset of NSSI (ORs = 1.5-18.2). Dating violence prior to age 17 and severe role impairment in daily life were the strongest predictors. Multivariate prediction suggests that an intervention focused on the 10% at highest risk would reach 23.9% of students who report sporadic, and 36.1% of students who report repetitive NSSI during college (cross-validated AUCs = .70-.75). DISCUSSION: The college period carries high risk for the onset of NSSI. Individualized web-based screening may be a promising approach for detecting young adults at high risk for self-injury and offering timely intervention.
BACKGROUND: Despite increased awareness that non-suicidal self-injury (NSSI) poses a significant public health concern on college campuses worldwide, few studies have prospectively investigated the incidence of NSSI in college and considered targeting college entrants at high risk for onset of NSSI. METHODS: Using data from the Leuven College Surveys (n = 4,565; 56.8%female, Mage = 18.3, SD = 1.1), students provided data on NSSI, sociodemographics, traumatic experiences, stressful events, perceived social support, and mental disorders. A total of 2,163 baseline responders provided data at a two-year annual follow-up assessment (63.2% conditional response rate). RESULTS: One-year incidence of first onset NSSI was 10.3% in year 1 and 6.0% in year 2, with a total of 8.6% reporting sporadic NSSI (1-4 times per year) and 7.0% reporting repetitive NSSI (≥ 5 times per year) during the first two years of college. Many hypothesized proximal and distal risk factors were associated with the subsequent onset of NSSI (ORs = 1.5-18.2). Dating violence prior to age 17 and severe role impairment in daily life were the strongest predictors. Multivariate prediction suggests that an intervention focused on the 10% at highest risk would reach 23.9% of students who report sporadic, and 36.1% of students who report repetitive NSSI during college (cross-validated AUCs = .70-.75). DISCUSSION: The college period carries high risk for the onset of NSSI. Individualized web-based screening may be a promising approach for detecting young adults at high risk for self-injury and offering timely intervention.
Authors: Brooke A Ammerman; Kristen M Sorgi; Martha K Fahlgren; Alexander A Puhalla; Michael S McCloskey Journal: J Psychiatr Res Date: 2021-09-03 Impact factor: 4.791
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Authors: Glenn Kiekens; Penelope Hasking; Ronny Bruffaerts; Jordi Alonso; Randy P Auerbach; Jason Bantjes; Corina Benjet; Mark Boyes; Wai Tat Chiu; Laurence Claes; Pim Cuijpers; David D Ebert; Arthur Mak; Philippe Mortier; Siobhan O'Neill; Nancy A Sampson; Dan J Stein; Gemma Vilagut; Matthew K Nock; Ronald C Kessler Journal: Psychol Med Date: 2021-06-18 Impact factor: 7.723