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Social Psychiatry and Psychiatric Epidemiology

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26.11.2018 | Original Paper

Association between psychotic experiences and non-accidental self-injury: results from a nationally representative survey of adolescents

verfasst von: Emily Hielscher, Melissa Connell, David Lawrence, Stephen R. Zubrick, Jennifer Hafekost, James G. Scott

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 3/2019

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Abstract

Purpose

The association between psychotic experiences (PEs) and non-accidental self-injury (NASI; including self-harm and suicide attempts) is well established, although variables influencing this relationship have not been comprehensively examined. This study aimed to investigate (1) the cross-sectional PE–NASI association before and after adjustment for confounders, and (2) the individual contribution of each confounding and potentially mediating variable to the association.

Methods

A random sample of Australian adolescents aged 14–17 years (n = 1998) completed self-report questions regarding any self-harm, suicidality or PEs experienced in the past 12 months in 2013–2014 as part of the Young Minds Matter Survey, a national household survey. We conducted logistic regression analyses to investigate the association between NASI and PEs, after controlling for confounders (sociodemographics, substance use, and parental mental illness) as well as the influence of potential mediators (major depression, bullying, psychological distress, sleep, self-esteem, disordered eating behaviour, social isolation, and intervention factors).

Results

Except for special messages, all PE subtypes (auditory and visual hallucinatory experiences [HEs], and two of the three delusional experiences [DEs]) were associated with NASI after adjustment for confounders (OR range: 2.60–5.21). Depression and psychological distress significantly influenced all PE–NASI associations, where depression appeared to fully explain the DE–NASI association, and partially attenuate the HE–NASI association. Variables such as parental mental illness, disordered eating behaviour, and social isolation had negligible effects in nearly all self-harm and attempted suicide models.

Conclusions

Adolescents reporting any PE in the past 12 months reported increased likelihood of NASI in the same time period and, auditory HEs in particular, were strongly and independently associated with self-harm and suicide attempts. These results highlight the importance of PEs as indicators of risk of self-injurious behaviour among Australian youth.

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Hielscher E, DeVylder JE, Saha S, Connell M, Scott JG (2017) Why are psychotic experiences associated with self-injurious thoughts and behaviours? A systematic review and critical appraisal of potential confounding and mediating factors. Psychol Med. https://doi.org/10.1017/S0033291717002677 CrossRefPubMed

Taylor PJ, Hutton P, Wood L (2015) Are people at risk of psychosis also at risk of suicide and self-harm? A systematic review and meta-analysis. Psychol Med 45(5):911–926. https://doi.org/10.1017/S0033291714002074 CrossRefPubMed

Carroll R, Metcalfe C, Gunnell D (2014) Hospital presenting self-harm and risk of fatal and non-fatal repetition: systematic review and meta-analysis. PLoS One 9(2):e89944. https://doi.org/10.1371/journal.pone.0089944 CrossRefPubMedPubMedCentral

Nock MK, Cha CB (2009) Psychological models of nonsuicidal self-injury. In: Nock MK (ed) Understanding nonsuicidal selfinjury: Origins, assessment, and treatment. American Psychological Association, Washington, DCCrossRef

Muehlenkamp JJ, Brausch AM (2012) Body image as a mediator of non-suicidal self-injury in adolescents. J Adolesc 35(1):1–9CrossRefPubMed

Miranda R, Shaffer D (2013) Understanding the suicidal moment in adolescence. Ann N Y Acad Sci 1304:14–21. https://doi.org/10.1111/nyas.12291 CrossRefPubMed

Honings S, Drukker M, Groen R, van Os J (2016) Psychotic experiences and risk of self-injurious behaviour in the general population: a systematic review and meta-analysis. Psychol Med 46(2):237–251. https://doi.org/10.1017/S0033291715001841 CrossRefPubMed

Bromet EJ, Nock MK, Saha S, Lim CCW, Aguilar-Gaxiola S, Al-Hamzawi A, Alonso J, Borges G, Bruffaerts R, Degenhardt L, de Girolamo G, de Jonge P, Florescu S, Gureje O, Haro JM, He Y, Hu C, Karam EG, Kovess-Masfety V, Lee S, Lepine JP, Mneimneh Z, Navarro-Mateu F, Ojagbemi A, Posada-Villa J, Sampson NA, Scott KM, Stagnaro JC, Viana MC, Xavier M, Kessler RC, McGrath JJ, World Health Organization World Mental Health Survey C (2017) Association between psychotic experiences and subsequent suicidal thoughts and behaviors: a Cross-national analysis From the World Health Organization world mental health surveys. JAMA Psychiatry. https://doi.org/10.1001/jamapsychiatry.2017.2647 CrossRefPubMedPubMedCentral

Kelleher I, Corcoran P, Keeley H, Wigman JT, Devlin N, Ramsay H, Wasserman C, Carli V, Sarchiapone M, Hoven C, Wasserman D, Cannon M (2013) Psychotic symptoms and population risk for suicide attempt: a prospective cohort study. JAMA Psychiatry 70(9):940–948. https://doi.org/10.1001/jamapsychiatry.2013.140 CrossRefPubMed

10.

DeVylder JE, Hilimire MR (2015) Suicide risk, stress sensitivity, and self-esteem among young adults reporting auditory hallucinations. Health Social Work 40(3):175–181. https://doi.org/10.1093/hsw/hlv037 CrossRefPubMed

11.

Kelleher I, Lynch F, Harley M, Molloy C, Roddy S, Fitzpatrick C, Cannon M (2012) Psychotic symptoms in adolescence index risk for suicidal behavior: findings from 2 population-based case-control clinical interview studies. Arch Gen Psychiatry 69(12):1277–1283. https://doi.org/10.1001/archgenpsychiatry.2012.164 CrossRefPubMed

12.

Kelleher I, Connor D, Clarke M, Devlin N, Harley M, Cannon M (2012) Prevalence of psychotic symptoms in childhood and adolescence: a systematic review and metaanalysis of population-based studies. Psychol Med 9:1–7

13.

Martin G, Swannell SV, Hazell PL, Harrison JE, Taylor AW (2010) Self-injury in Australia: a community survey. Med J Aust 193(9):506–510PubMed

14.

Capra C, Kavanagh DJ, Hides L, Scott JG (2015) Subtypes of psychotic-like experiences are differentially associated with suicidal ideation, plans and attempts in young adults. Psychiatry Res 228(3):894–898. https://doi.org/10.1016/j.psychres.2015.05.002 CrossRefPubMed

15.

Martin G, Thomas H, Andrews T, Hasking P, Scott JG (2015) Psychotic experiences and psychological distress predict contemporaneous and future non-suicidal self-injury and suicide attempts in a sample of Australian school-based adolescents. Psychol Med 45(2):429–437. https://doi.org/10.1017/S0033291714001615 CrossRefPubMed

16.

Nishida A, Tanii H, Nishimura Y, Kajiki N, Inoue K, Okada M, Sasaki T, Okazaki Y (2008) Associations between psychotic-like experiences and mental health status and other psychopathologies among Japanese early teens. Schizophr Res 99(1–3):125–133. https://doi.org/10.1016/j.schres.2007.11.038 CrossRefPubMed

17.

Nishida A, Shimodera S, Sasaki T, Richards M, Hatch SL, Yamasaki S, Usami S, Ando S, Asukai N, Okazaki Y (2014) Risk for suicidal problems in poor-help-seeking adolescents with psychotic-like experiences: findings from a cross-sectional survey of 16,131 adolescents. Schizophr Res 159(2–3):257–262. https://doi.org/10.1016/j.schres.2014.09.030 CrossRefPubMed

18.

Polanczyk G (2010) Etiological and clinical features of childhood psychotic symptoms. Arch Gen Psychiatry

19.

Sullivan SA, Lewis G, Gunnell D, Cannon M, Mars B, Zammit S (2015) The longitudinal association between psychotic experiences, depression and suicidal behaviour in a population sample of adolescents. Soc Psychiatry Psychiatr Epidemiol 50(12):1809–1817. https://doi.org/10.1007/s00127-015-1086-2 CrossRefPubMedPubMedCentral

20.

Nishida A, Sasaki T, Nishimura Y, Tanii H, Hara N, Inoue K, Yamada T, Takami T, Shimodera S, Itokawa M, Asukai N, Okazaki Y (2010) Psychotic-like experiences are associated with suicidal feelings and deliberate self-harm behaviors in adolescents aged 12–15 years. Acta Psychiatr Scand 121(4):301–307. https://doi.org/10.1111/j.1600-0447.2009.01439.x CrossRefPubMed

21.

Cederlöf M, Kuja-Halkola R, Larsson H, Sjolander A, Ostberg P, Lundstrom S, Kelleher I, Lichtenstein P (2016) A longitudinal study of adolescent psychotic experiences and later development of substance use disorder and suicidal behavior. Schizophr Res. https://doi.org/10.1016/j.schres.2016.08.029 CrossRefPubMed

22.

Wickham S, Taylor P, Shevlin M, Bentall RP (2014) The impact of social deprivation on paranoia, hallucinations, mania and depression: the role of discrimination social support, stress and trust. PLoS One 9(8):e105140. https://doi.org/10.1371/journal.pone.0105140 CrossRefPubMedPubMedCentral

23.

Reeve S, Sheaves B, Freeman D (2015) The role of sleep dysfunction in the occurrence of delusions and hallucinations: a systematic review. Clin Psychol Rev 42:96–115. https://doi.org/10.1016/j.cpr.2015.09.001 CrossRefPubMedPubMedCentral

24.

Trout DL (1980) The role of social isolation in suicide. Suicide Life Threat Behav 10(1):10–23CrossRefPubMed

25.

Hysing M, Sivertsen B, Stormark KM, O’Connor RC (2015) Sleep problems and self-harm in adolescence. Br J Psychiatry 207(4):306–312. https://doi.org/10.1192/bjp.bp.114.146514 CrossRefPubMed

26.

Lawrence D, Hafekost J, Johnson SE, Saw S, Buckingham WJ, Sawyer MG, Ainley J, Zubrick SR (2016) Key findings from the second Australian child and adolescent survey of mental health and wellbeing. Aust N Z J Psychiatry 50(9):876–886. https://doi.org/10.1177/0004867415617836 CrossRefPubMed

27.

Hafekost J, Lawrence D, Boterhoven de Haan K, Johnson SE, Saw S, Buckingham WJ, Sawyer MG, Ainley J, Zubrick SR (2016) Methodology of young minds matter: the second Australian child and adolescent survey of mental health and wellbeing. Aust N Z J Psychiatry 50(9):866–875. https://doi.org/10.1177/0004867415622270 CrossRefPubMed

28.

Shaffer D, Fisher P, Lucas C, Dulcan MK, Schwab-Stone ME (2000) Diagnostic Interview Schedule for Children, Version IV (NIMH DISC-IV): description, differences from previous versions and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 39:28–38CrossRefPubMed

29.

Hielscher E, Connell M, Lawrence D, Zubrick SR, Hafekost J, Scott J (2018) Prevalence and correlates of psychotic experiences in a nationally representative sample of Australian adolescents. Aust N Z J Psychiatry (advanced online publication)

30.

Platt S, Bile-Brahe U, Kerkhof A, Schmidtke A, Bjerke T, Crepet P, De Leo D, Aring C, Lonnqvist J, Michel K, Philippe A, Pommereau X, Querejeta I, Salander-Renberg E, Temesvary B, Wasserman D, Sampaio FJ (1992) Parasuicide in Europe: the WHO/EURO multicentre study on parasuicide. I. Introduction and preliminary analysis for 1989. Acta Psychiatr Scand 85:97–104CrossRefPubMed

31.

Larkin C, Di Blasi Z, Arensman E (2014) Risk factors for repetition of self-harm: a systematic review of prospective hospital-based studies. PLoS One 9(1):e84282. https://doi.org/10.1371/journal.pone.0084282 CrossRefPubMedPubMedCentral

32.

Zubrick SR, Hafekost J, Johnson SE, Lawrence D, Saw S, Sawyer M, Ainley J, Buckingham WJ (2016) Suicidal behaviours: prevalence estimates from the second Australian Child and adolescent survey of mental health and wellbeing. Aust N Z J Psychiatry 50(9):899–910. https://doi.org/10.1177/0004867415622563 CrossRefPubMed

33.

Zubrick SR, Hafekost J, Johnson SE, Lawrence D, Saw S, Sawyer M, Ainley J, Buckingham WJ (2016) Self-harm: prevalence estimates from the second australian child and adolescent survey of mental health and wellbeing. Aust N Z J Psychiatry 50(9):911–921. https://doi.org/10.1177/0004867415617837 CrossRefPubMed

34.

Hafekost K, Boterhoven de Haan K, Lawrence D, Sawyer MG, Zubrick SR (2017) Validation of the adolescent self-esteem questionnaire: technical report. Perth, Australia

35.

Owens J, Adolescent Sleep Working G, Committee on A (2014) Insufficient sleep in adolescents and young adults: an update on causes and consequences. Pediatrics 134(3):e921–e932. https://doi.org/10.1542/peds.2014-1696 CrossRefPubMed

36.

Lui X (2004) Sleep and adolescent suicidal behavior. Sleep 27(7):1351–1358CrossRef

37.

Cornwell EY, Waite LJ (2009) Social disconnectedness, perceived isolation, and health among older adults. J Health Soc Behav 50(1):31–48CrossRefPubMedPubMedCentral

38.

Wolter KM (2007) Introduction to variance estimation, 2nd edn. Springer, New York

39.

Firth D (1995) Bias reduction of maximum likelihood estimates. Biometrika 82(3):667

40.

Rothman KJ, Greenland S (1998) Modern epidemiology. Lippincott-Raven, Philadelphia

41.

Steptoe A, Shankar A, Demakakos P, Wardle J (2013) Social isolation, loneliness, and all-cause mortality in older men and women. Proc Natl Acad Sci USA 110(15):5797–5801. https://doi.org/10.1073/pnas.1219686110 CrossRefPubMedPubMedCentral

42.

Wilson C, Secker J (2015) Validation of the Social Inclusion Scale with students. Cogitatio 3(4):52–62

43.

Muehlenkamp JJ, Gutierrez PM (2004) An investigation of differences between self-injurious behavior and suicide attempts in a sample of adolescents. Suicide Life Threat Behav 34(1):12–23CrossRefPubMed

44.

van Os J, Linscott RJ, Myin-Germeys I, Delespaul P, Krabbendam L (2009) A systematic review and meta-analysis of the psychosis continuum: evidence for a psychosis proneness-persistence-impairment model of psychotic disorder. Psychol Med 39(2):179–195. https://doi.org/10.1017/S0033291708003814 CrossRefPubMed

45.

DeVylder JE, Kelleher I (2016) Clinical significance of psychotic experiences in the context of sleep disturbance or substance use. Psychol Med 46(8):1761–1767. https://doi.org/10.1017/s0033291716000271 CrossRefPubMed

46.

Kelleher I, Keeley H, Corcoran P, Ramsay H, Wasserman C, Carli V, Sarchiapone M, Hoven C, Wasserman D, Cannon M (2013) Childhood trauma and psychosis in a prospective cohort study: cause, effect, and directionality. Am J Psychiatry 170:734–741CrossRefPubMed

47.

Norman RE, Byambaa M, De R, Butchart A, Scott J, Vos T (2012) The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Med 9(11):e1001349. https://doi.org/10.1371/journal.pmed.1001349 CrossRefPubMedPubMedCentral

48.

Koyanagi A, Stickley A, Haro JM (2015) Psychotic-like experiences and nonsuicidal self-injury in England: results from a national survey [corrected]. PLoS One 10(12):e0145533. https://doi.org/10.1371/journal.pone.0145533 CrossRefPubMedPubMedCentral

49.

Kelleher I, Ramsay H, DeVylder J (2017) Psychotic experiences and suicide attempt risk in common mental disorders and borderline personality disorder. Acta Psychiatr Scand 135(3):212–218. https://doi.org/10.1111/acps.12693 CrossRefPubMed

50.

Cole DA, Maxwell SE (2003) Testing mediational models with longitudinal data: questions and tips in the use of structural equation modeling. J Abnorm Psychol 112(4):558–577. https://doi.org/10.1037/0021-843X.112.4.558 CrossRefPubMed

51.

Beran TN, Violato C (2010) Structural equation modeling in medical research: a primer. BMC Res Notes 3:267. https://doi.org/10.1186/1756-0500-3-267 CrossRefPubMedPubMedCentral

52.

Carlborg A, Winnerback K, Jonsson EG, Jokinen J, Nordstrom P (2010) Suicide in schizophrenia. Expert Rev Neurother 10(7):1153–1164. https://doi.org/10.1586/ern.10.82 CrossRefPubMed

53.

Dominguez MdG, Garralda ME (2016) Assessing and managing hallucinations in children and adolescents. BJPscyh Adv. 22(6):380–390. https://doi.org/10.1192/apt.bp.115.014738 CrossRef

Titel: Association between psychotic experiences and non-accidental self-injury: results from a nationally representative survey of adolescents
verfasst von: Emily Hielscher
Melissa Connell
David Lawrence
Stephen R. Zubrick
Jennifer Hafekost
James G. Scott
Publikationsdatum: 26.11.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 3/2019
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-018-1629-4

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