Adolescents; Nonsuicidal self-injury; Observational study; Risk factors; Self-harm; fMRI; Pediatrics, Perinatology and Child Health; Psychiatry and Mental Health
Résumé :
[en] BACKGROUND: Nonsuicidal self-injury (NSSI) is highly prevalent in adolescents and young adults worldwide. It is linked to a broad variety of mental disorders and an increased suicide risk. Despite its high prevalence, research on the underlying mechanisms and on potential risk and resilience factors for maintaining or quitting NSSI remains scarce. This manuscript presents an overview of the "Self-injury: Treatment-Assessment-Recovery" (STAR) collaboration, which aimed to address these gaps.
METHODS: We investigated the natural course of NSSI as well as its social, psychological, and neurobiological predictors (observational study; OS). OS data collection occurred at four timepoints (baseline [T0], 4 [post, T1], 12 [follow-up (FU), T2], and 18 [FU, T3] months after baseline) for the NSSI group, which was compared to a healthy control (HC) group at T0 only. Online self-report was used at all timepoints, while semi-structured interviews (face-to-face (f2f)) were conducted at T0 and T3. At T0 only, we conducted ecological momentary assessment and neurobiological investigations. Here, we present the general methodology and sample characteristics of the completed OS including the f2f subprojects, while other subprojects are not within the scope of this paper.
SAMPLE DESCRIPTION: The OS sample consists of 343 participants at T0 (180 NSSI, 163 HC). Mean age in the NSSI group (T0) was 18.1 years (SD = 2.09, range: 15-25), gender-related data is available for 166: 156 = female, 7 = male, 3 = transgender, 10 = not disclosed). In the HC group, mean age (T0) was 19.1 years (SD = 2.35, range: 15-25) (142 = female, 21 = male). At T1, 128 (71.11%) of the NSSI participants completed the questionnaires, at T2 125 (69.44%) and at T3 104 (57.78%). In the fMRI subproject, 126 adolescents participated (NSSI = 66, HC = 60, 100% female; mean age (T0): NSSI = 18.10 years, SD = 2.21; HC = 19.08, SD = 2.36).
CONCLUSION: Understanding predictors is of utmost importance for adequate diagnosis and intervention for NSSI. Our OS applied a multimodal investigation of social, psychological, and neurobiological parameters and is the largest sample of adolescents with NSSI to date including follow-up assessments. As health care providers require specific knowledge to develop new treatments, we believe that our in-depth assessments can potentially enhance care for youths engaging in NSSI.
Disciplines :
Traitement & psychologie clinique
Auteur, co-auteur :
Spohrs, Jennifer; Department for Child and Adolescent Psychiatry and Psychotherapy, Ulm University Medical Centre, Ulm, Germany. jennifer.spohrs@uni-ulm.de ; Department of Psychiatry, Psychotherapy and Psychotraumatology Military Medical Centre, Ulm, Germany. jennifer.spohrs@uni-ulm.de
Michelsen, Anna; Department for Child and Adolescent Psychiatry and Psychotherapy, Rostock University Medical Centre, Rostock, Germany
Abler, Birgit; Department of Psychiatry and Psychotherapy III, Ulm University Medical Centre, Ulm, Germany
Chioccheti, Andreas G; Department of Child and Adolescent Psychiatry Psychosomatics and Psychotherapy, Goethe University Frankfurt, Frankfurt am Main, Germany
Ebner Priemer, Ulrich W; Mental mHealth Lab, Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany ; Department of Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, Heidelberg University, Mannheim, Germany ; German Center for Mental Health (DZPG), Partner Site Mannheim, Mannheim, Germany
Fegert, Jörg M; Department for Child and Adolescent Psychiatry and Psychotherapy, Ulm University Medical Centre, Ulm, Germany
Höper, Saskia; Department for Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany
In-Albon, Tina; Department of Social Sciences, University of Mannheim, Mannheim, Germany
Kaess, Michael; Department for Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany ; University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
Koelch, Michael; Department for Child and Adolescent Psychiatry and Psychotherapy, Rostock University Medical Centre, Rostock, Germany ; German Center for Child and Adolescent Health (DZKJ), Partner Site Greifswald-Rostock, Rostock, Germany
Koenig, Elisa; Department for Child and Adolescent Psychiatry and Psychotherapy, Ulm University Medical Centre, Ulm, Germany
Koenig, Julian; Faculty of Medicine and University Hospital Cologne, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Cologne, Cologne, Germany
Kraus, Laura; Department of Social Sciences, University of Mannheim, Mannheim, Germany
Nickel, Sandra; Department for Child and Adolescent Psychiatry and Psychotherapy, Ulm University Medical Centre, Ulm, Germany
SANTANGELO, Philip ; University of Luxembourg > Faculty of Humanities, Education and Social Sciences (FHSE) > Department of Behavioural and Cognitive Sciences (DBCS) > Health and Behaviour
Schmahl, Christian; German Center for Mental Health (DZPG), Partner Site Mannheim, Mannheim, Germany ; Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health Mannheim, Medical Faculty Mannheim, Mannheim University, Mannheim, Germany
Sicorello, Maurizio; German Center for Mental Health (DZPG), Partner Site Mannheim, Mannheim, Germany ; Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health Mannheim, Medical Faculty Mannheim, Mannheim University, Mannheim, Germany
van der Venne, Patrice; Department for Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany
Plener, Paul L; Department for Child and Adolescent Psychiatry and Psychotherapy, Ulm University Medical Centre, Ulm, Germany ; Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria
BMBF - Bundesministerium für Bildung und Forschung
Subventionnement (détails) :
Acknowledgements: We would like to thank the cooperative effort of the entire STAR consortium: Paul L. Plener, Jennifer Spohrs, Birgit Abler, Sandra Nickel, Elisa Sittenberger, Lisa Schischke, Alina Gepr\u00E4gs, Isabell Liebhart, Andreas Witt, Cedric Sachser, Rebecca Brown, Vera M\u00FCnch, Elisa K\u00F6nig, J\u00F6rg Fegert, Ulrike Hoffmann (Ulm University Hospital); Christian Schmahl, Inga Niedtfeld, Maurizio Sicorello, Jenny Z\u00E4hringer (Central Institute of Mental Health in Mannheim); Tina In-Albon, Laura Kraus, Hasan-H\u00FCseyin Isik, Sira Schug (University of Kaiserslautern-Landau, Landau); Michael Koelch, Olaf Reis, Anna Michelsen (Rostock University Hospital); Andreas G. Chiocchetti, Silvia Lindlar, Regina Waltes (Frankfurt University Hospital); Michael Kaess, Julian Koenig, Markus M\u00F6ssner, Patrice van der Venne, Saskia H\u00F6per, Elisa Flach, Alexandra Edinger, Stephanie Bauer, Margarete Mattern, Sabine Herpertz (Heidelberg University Hospital); Ulrich W. Ebner Priemer, Philip S. Santangelo (Karlsruhe Institute of Technology), as well as all the participants.Open Access funding enabled and organized by Projekt DEAL. The STAR project is fully funded by the German Federal Ministry of Education and Research (BMBF) 01GL1747A, 01GL1747B, 01GL1747C, 01GL1747D, 01GL1747E, 01GL1747F.
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