Sociological Approaches to Self‐injury

This paper reviews the burgeoning sociological literature on non‐suicidal self‐injury, in which individuals intentionally harm themselves by cutting, burning, scratching, or smashing their body parts. We identify challenges to studying self‐injury, such as conflicting definitions and categorizations. Comparing self‐injury to other behaviors such as suicide, body modification, and self‐mutilation, we assert that non‐suicidal self‐injury deserves its own conceptual category. We explain how a critical sociological approach provides a valuable counterweight to medical and psychological studies of self‐injury. In particular, this paper advances the deviance perspective. Finally, we highlight how technology has allowed self‐injurers to build supportive communities in cyberspace, blurring the line between hidden and public acts. We conclude with suggestions for future directions in the study of self‐injury.     

An Examination of Correlates for Adolescent Engagement in Nonsuicidal Self‐Injury,Suicidal Self‐Injury,and Substance Use

Little research has examined potential risk factors for direct versus indirect self‐injury among adolescents. To address this limitation, 541 clinically referred adolescents were assessed using the interRAI Child and Youth Mental Health Assessment. Logistic regression analyses revealed that older females who experienced heightened depressive symptoms and neighborhood violence were at increased risk for direct self‐injury, specifically nonsuicidal and suicidal self‐injury. Additionally, adolescents who experienced higher levels of caregiver distress were at greater risk of suicidal self‐injury. In contrast, older adolescents who experienced heightened aggressive behavior were at increased risk for one form of indirect self‐injury, substance use. Findings suggest that nonsuicidal self‐injury, suicidal self‐injury, and substance use are associated with differential risk factors. Implications for targeted prevention strategies are discussed.     

Self-compassion and suicidal behavior in college students: Serial indirect effects via depression and wellness behaviors

Objective: College students may be at heightened risk for suicide and suicidal behavior due to maladaptive cognitive-emotional factors and failure to practice basic health behaviors. However, self-compassion and wellness behaviors may protect against risk. The relation between self-compassion and suicidal behavior and the contributing roles of depressive symptoms and wellness behaviors was examined. Participants: Participants were 365 undergraduate students. Data were collected in April 2015. Methods: A cross-sectional, survey design was employed. Participants completed measures assessing self-compassion, depressive symptoms, wellness behaviors, and suicidal behavior. Serial mediation analyses were conducted covarying age, sex, and ethnicity. Results: Self-compassion was inversely related to suicidal behavior, and this relationship was serially mediated by depressive symptoms and wellness behaviors. Conclusions: Self-compassion may protect against suicidal behavior, in part, due to reduced depressive symptoms and heightened engagement in wellness behaviors. Individual and campus-wide strategies promoting self-compassion and wellness behaviors may reduce suicide risk on college campuses.     

Self‐Destructive Symptomatic Frames in Clinical Adolescents: Is the Same Different?

This study examines individual and family predictors of different self‐destructive patterns—only suicidal ideation, only nonsuicidal self‐injury (NSSI), or suicide attempts (that may also include both suicide ideation (SI) and NSSI)—in a sample of outpatient adolescents (N = 42; 86% females) with mean age of 16 years (SD = 1.86). Results indicated that there are differences in youngsters with self‐destructive behaviors in their perception of paternal rejection and maternal control, when compared with youngsters reporting only SI. Adolescents from the groups with self‐destructive behaviors differ only in age. Together, these data highlight the relevance of adopting an ecosystemic perspective, which includes both the patients and their families, regarding treatment and prevention of self‐destructive symptomatic frames.     

Self‐Esteem,the Fear of Crime,and the Decision to Protect Oneself From Victimization

This research extends prior work that examines self‐esteem as an outcome of protective behaviors against crime victimization by focusing instead on the moderating influence of self‐esteem on the relationship between the fear of crime and the decision to protect oneself from victimization. The fear of crime is conceptualized as two separate components (fear of victimization and perceived risk) in accordance with prior work. Self‐esteem is conceptualized as three separate components (worth, efficacy, and authenticity), and measured with a recently designed instrument for capturing each aspect of self‐esteem separately. Data are collected through surveys of a population at high risk for victimization (undergraduate college students). Logistic regression analyses demonstrate that self‐esteem does play a role for deciding whether to engage in protective behaviors, and that the specific components of self‐esteem moderate defensive behavioral outcomes differently. Specifically, the self‐worth, self‐efficacy, and authenticity components of self‐esteem influence the decision to carry protection, but not the decision to take a self‐defense class. Implications for both the fear of crime and self‐esteem literatures are addressed.     

Meaningful Youth Engagement as a Protective Factor for Youth Suicidal Ideation

Youth suicide is a leading cause of mortality. Greater still is the prevalence of suicidal behavior and ideation. In this study with 813 secondary school students, we explored youth engagement in structured extracurricular activities as a possible protective factor for suicidal ideation. Personally meaningful youth engagement significantly moderated the relationships between depressive symptoms, risk behaviors, self‐esteem, and social support in the prediction of suicidal ideation. Specifically, the more meaning found in engagement, the less likely youth were to report suicidal thoughts in spite of risk factors. Acknowledging limitations, a focus on engaging youth in well‐selected activities of interest might represent a nonstigmatizing approach to universal prevention. Further research into the mechanisms of such an approach is warranted.     

The Interpersonal Relationships and Social Perceptions of Adolescent Perfectionists

This study investigated the relationship between multidimensional perfectionism, self‐reported interpersonal relationships, and peer‐reported prosocial, disruptive, and academic behaviors among a general sample of 984 9th‐grade adolescents. Cut‐scores from the Almost Perfect Scale‐Revised (APS‐R; Slaney, Rice, Mobley, Trippi, & Ashby, 2001 ) classified adolescents as adaptive perfectionists, maladaptive perfectionists, and nonperfectionist. Adaptive perfectionists reported significantly higher levels of positive interpersonal relationships than maladaptive perfectionists or nonperfectionists. Further, peers rated both perfectionism groups as more prosocial and less disruptive than nonperfectionists. Adaptive perfectionists were more liked than maladaptive perfectionists. Implications of these findings, particularly as they pertain to the nomothetic understanding of multidimensional perfectionism among older, school‐aged adolescents conclude the paper.     

Letters to the editor

Relatively little attention has been paid to the use and importance of labels used by men who have sex with men to describe insertive or receptive sexual behavior during intercourse. This study examines sexual self‐labels, sexual behavior, HIV transmission risk, and psychological functioning among 205 HIV‐seropositive men who have sex with men. The majority of participants (88%) identified as a “top, “ a “bottom, “ or “versatile. “ Tops were more likely to engage in insertive anal intercourse than bottoms, and bottoms were more likely to engage in receptive anal intercourse than tops, with versatiles reporting intermediate rates of both behaviors. Although the results suggest preliminary evidence regarding the predictive utility of self‐labels, sexual behaviors of self‐label groups were greatly overlapping. Differences were found among self‐label groups in gay self‐identification, internalized homophobia, sexual sensation seeking, and anxiety. Results suggest an added value in assessing self‐labels in addition to asking about sexual behavior.     

Suicide and the continuum of self-destructive behavior

Suicide and self-destructive behavior are strongly influenced by a negative thought process, referred to here as the "voice." The voice process represents a well-integrated pattern of thoughts, attitudes, and beliefs, antithetical to self and hostile toward others, that is at the core of a patient's self-limitations and self-defeating actions. The voice varies along a continuum of intensity ranging from mild self-criticism to angry self-attacks and even suicidal thoughts. Self-destructive behavior similarly exists on a continuum ranging from self-denial to accident proneness, drug abuse, alcoholism, and other self-defeating behaviors, culminating in actual bodily harm. The two processes, cognitive and behavioral, parallel each other, and suicide represents the acting out of the extreme end of the continuum. The authors provide a chart depicting the levels of increasing suicidal intent along the continuum. The chart identifies specific negative thoughts and injunctions typically reported by persons who attempt suicide, neurotic patients, and "normal" subjects. Understanding where an individual can be placed on the continuum of self-destructive thoughts and actions can assist clinicians in their diagnoses and help pinpoint those students who are more at risk for suicide.     

Construction of Social Reality During Early Adolescence: Can Expecting Storm and Stress Increase Real or Perceived Storm and Stress?

This study examines whether mothers' or adolescents' expectations concerning “storm and stress” behaviors at adolescence predict subsequent real or perceived adolescent behavior and attributes during the early years of adolescence. The study used a short‐term longitudinal design. Participants were 6th‐ and 7th‐grade adolescents and their mothers (N=270 families). Data were collected via telephone interviews and questionnaires at 2 time points approximately 1 year apart. Results indicated that adolescents' expectations for risk‐taking/rebelliousness and for alienation and mothers' expectations for risk‐taking/rebelliousness predicted increases in corresponding adolescent‐reported outcomes over the 1‐year period. Results are most consistent with the possibility of perceptual biases with respect to storm and stress behaviors, but could indicate the existence of self‐fulfilling prophecies, particularly for risk‐taking/rebelliousness.     

Family Dynamics and Self‐Injury Behaviors: A Correlation Analysis

This study tested the relationship between family dynamics and self‐injury. A total of 189 participants responded to a web‐based survey collecting information related to previous self‐injury behaviors and family dynamics. Participants were over 18 years old who had used self‐injury (intentionally harming themselves physically to relieve painful emotions without suicidal intent), but who had not used self‐injury for over a year. Results indicated that healthy family dynamics were negatively correlated and associated with higher scores of self‐injury behaviors. This study offers some evidence that family dynamics influence self‐injury behaviors. The implications for family therapy are discussed.     

Bullying and suicide in high school students: Findings from the 2015 California youth risk behavior survey

ABSTRACT

School bullying and cyberbullying have been linked to suicidal behaviors through depression and alcohol, tobacco, marijuana, and other drug use. However, how these associations may differ across racial/ethnic groups remains relatively unknown. Using data from the 2015 California Youth Risk Behavior Survey, this study aims to examine two questions in different racial/ethnic subgroups: (1) Does bullying affect suicide? and (2) Does bullying have an indirect effect on suicide through depression and use of alcohol, tobacco, marijuana and other drugs? The sample consisted of 1,765 Californian youth attending grades 9–12. Logistic regression analyses indicate that being bullied is associated with increased odds of suicide across all racial/ethnic groups; depression mediates the effect of bullying on suicide for all racial/ethnic groups; alcohol use mediates the effect only for Hispanic youth; other drug use mediates the effect only for White youth; marijuana and tobacco use have no mediating role. These findings suggest that bullying may lead to suicide through different risk behaviors for youths of different racial/ethnic groups. Professionals who work with bullied youths need to treat depression more effectively to prevent suicide in service planning and provision. They also need to be aware of the racial/ethnic differences in the risk behaviors intercorrelated with bullying and suicide and provide appropriate treatment to the youth of specific race/ethnicity.     

Suicide Ideation Among US College Students Associations With Other Injury Risk Behaviors

Abstract

Suicide, the endpoint of a continuum that begins with suicide ideation, is the third leading cause of death among the US college-aged population. The first and second leading causes of death among this age group, unintentional injury and homicide, may also be linked to suicide ideation. We used data from the National College Health Risk Behavior Survey to examine the association between suicide ideation and injury-related behaviors among 18- to 24-year-old college students. Students who reported suicide ideation were significantly more likely than students who did not report considering suicide to carry a weapon, engage in a physical fight, boat or swim after drinking alcohol, ride with a driver who had been drinking alcohol, drive after drinking alcohol, and rarely or never used seat belts. Given this clustering of injury-related risk behaviors, college prevention programs should aim to reduce risks for injuries comprehensively, rather than addressing each risk behavior separately.     

Suicide ideation among US college students. Associations with other injury risk behaviors

Suicide, the endpoint of a continuum that begins with suicide ideation, is the third leading cause of death among the US college-aged population. The first and second leading causes of death among this age group, unintentional injury and homicide, may also be linked to suicide ideation. We used data from the National College Health Risk Behavior Survey to examine the association between suicide ideation and injury-related behaviors among 18- to 24-year-old college students. Students who reported suicide ideation were significantly more likely than students who did not report considering suicide to carry a weapon, engage in a physical fight, boat or swim after drinking alcohol, ride with a driver who had been drinking alcohol, drive after drinking alcohol, and rarely or never used seat belts. Given this clustering of injury-related risk behaviors, college prevention programs should aim to reduce risks for injuries comprehensively, rather than addressing each risk behavior separately.     

Developmental Trajectories of Nonsuicidal Self‐Injury in Adolescence and Intrapersonal/Interpersonal Risk Factors

This 3‐wave study investigated the developmental trajectories of nonsuicidal self‐injury (NSSI) and intrapersonal/interpersonal risk factors among 3,381 Chinese adolescents (56.2% females) aged from 13 to 17 years during a 1‐year period. Using an accelerated longitudinal design and latent class growth analysis, we identified four subgroups of NSSI trajectories: negligible (74.6%), experimental (12.8%), moderate decreasing (10.8%), and high fluctuating (1.9%). Adolescents reporting both intrapersonal (i.e., impulsive behaviors and depression) and interpersonal (i.e., unstable relationships and parental criticism) risk factors were significantly more likely to follow the latter three trajectories. The findings of this study suggest there is heterogeneity in NSSI development among adolescents and highlight the contributions of both intrapersonal and interpersonal risk factors in the engagement in NSSI.     

Verification of Self Using a Mathematical Theory of Identity,Feeling, and Behavior

The current study tests the affect control theory of self, a mathematical theory that demonstrates a core social psychological principle: individuals strive for a stable and coherent self through identity selection and behavior. In the affect control theory of self, the self is conceptualized as self‐sentiments, which are measured on three dimensions: evaluation (good/bad), potency (powerful/powerless), and activity (fast/slow). In a longitudinal sample of college men and women, I find the self‐sentiment predicts how individuals describe themselves on a range of terms, including primary emotions and both stigmatized and esteemed traits related to mental illness and self‐esteem. It also predicts various productive and deviant behaviors five months later. Thus, the current study demonstrates the theoretical precision of the theory, its ability for understanding human behavior, and its potential for identifying at‐risk individuals.     

Condom use self‐efficacy among U.S.‐ and foreign‐born Latinos in Texas

The objective of this study was to assess the influence of condom use self‐efficacy on the reported condom use of Latinos. We conducted a rapid needs assessment study among U.S. and foreign‐born Latinos living in Houston, TX, to identify behavioral and psychosocial factors that influence their risk for HIV. Bilingual Latino interviewers conducted confidential face‐to‐face interviews with individuals living in apartment complexes or residential areas primarily populated by Latinos. A total of 152 participants completed the survey. Regression results indicate that education and gender influenced condom use self‐efficacy, which in turn influenced condom use in the last sexual encounter and with the primary sexual partner. However, gender and relationship risk were stronger predictors of condom use. Study results indicate that there are differences in condom use self‐efficacy and sexual risk behaviors between Latino men and women that need further exploration.     

The relationship between indicators of sexual compulsivity and high risk sexual practices among men and women receiving services from a sexually transmitted infection clinic

Sexual compulsivity, defined by sexual preoccupation and lack of sexual impulse control, is related to high‐risk sexual behaviors. However, little is known about the prevalence and predictors of sexual compulsivity in people at high risk for contracting sexually transmitted infections (STIs). In the current study, patients receiving diagnostic and treatment services (85% African American) at an urban STI clinic completed measures of demographic characteristics, sexual compulsivity, substance use, and sexual behaviors. Measures were administered to 492 men and 193 women using confidential procedures and audio computer‐assisted interviewing technology. Results showed that men and women receiving STI clinic services frequently endorsed multiple indicators of sexual compulsivity. In this mostly African American sample, individuals with scores above the 80th percentile on the sexual compulsivity scale (translating to over one standard deviation above the mean) had more sex partners, engaged in higher rates of sexual risk behaviors with casual or one‐time sex partners, and were nearly four times as likely to have been recently diagnosed with multiple STIs than were individuals who scored below the 80th percentile. Although sexual compulsivity scores were associated with alcohol and other drug use, associations between sexual compulsivity and sexual risks were not accounted for by substance abuse. Findings suggest an urgent need for interventions to help men and women with sexual preoccupations and poor sexual impulse control to reduce their risks for sexually transmitted infections.     

Linking Self‐Regulation and Risk Proneness to Risky Sexual Behavior: Pathways through Peer Pressure and Early Substance Use

The linkages between self‐regulation in childhood, risk proneness in early adolescence, and risky sexual behavior in mid‐adolescence were examined in a cohort of children (N=518) from the National Longitudinal Survey of Youth. The possible mediating role of two early adolescent variables (substance use and negative peer pressure) was also examined. Self‐regulation was assessed by maternal report at ages 8–9, and risk proneness, comprising aspects of sensation seeking and decision making, was assessed by adolescent self‐report at ages 12–13. Structural equation models predicting risky sexual behavior at ages 16–17 indicated that self‐regulation operated partly through early adolescent substance use, whereas risk proneness operated through early adolescent substance use and negative peer pressure. The overall model did not differ significantly for boys and girls, although there were gender differences in the strength of particular paths. These long‐term longitudinal results support the importance of early self‐regulation and risk proneness in setting the stage for adolescent sexual risk taking and implicate substance use and negative peer pressure as processes through which risk proneness and poor self‐regulation lead to risky sexual behavior.     

African‐American Women and Suicide: A Review and Critique of the Literature

This paper reviews the literature on African‐American women’s suicide rates. This topic is often neglected due to African‐American women’s low rates of suicide occurrence. This review seeks to answer the call for increased scientific inquiry on matters related to African‐American women and suicide. The author begins by identifying complex dynamics surrounding African‐American women’s unique social position in order to establish a better understanding of how socio‐cultural influences are addressed in the literature in relation to the suicide paradox. Both theoretical and empirical studies are thoroughly assessed in order to identify the risk and protective factors exclusive to African‐American women. The literature concludes that a history of mental disorders, particularly depression, a history of physical and emotional abuse, and a history of alcohol and substance abuse have all proven significant in increasing the risk of suicidal behavior among African‐American women. Untreated depression continues to be the leading cause of suicide among African‐American women. Contrarily, the literature identifies religious/spiritual beliefs, strong social ties, low rates of suicide acceptability, and unique coping strategies developed as a result of longstanding oppressive conditions as primary reasons for African‐American women’s exceptionally low suicide rates.