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.     

The Relationship Between Nonsuicidal Self‐Injury and Family Functioning: Adolescent and Parent Perspectives

We explored parent and adolescent reports of family functioning, how this differed if the parent was aware that their child self‐injured, and how parental awareness of self‐injury was related to self‐injury frequency, self‐injury severity, and help seeking. Participants were 117 parent–adolescent dyads, in 23 of which the adolescent self‐injured. Adolescents who self‐injured reported poorer family functioning than their parents, but parents who did not know about their child's self‐injury reported similar functioning to parents whose children did not self‐injure. Parents were more likely to know that their child self‐injured when the behavior was severe and frequent. Help‐seeking was more likely when parents knew about self‐injury. Family‐based interventions which emphasize perspective‐taking could be used to effectively treat self‐injury.     

Nonsuicidal Self‐Injury in a Community Sample of Adolescents: Subgroups,Stability, and Associations With Psychological Difficulties

Patterns of nonsuicidal self‐injury (NSSI) and their association with other psychological difficulties were studied in a community sample of young Swedish adolescents, by a two‐wave longitudinal design with a 1‐year interval. Hierarchical cluster analysis at T1 identified eight NSSI subgroups in each gender, of which five were clearly replicated at T2. Among these were a subgroup with generalized high‐frequency NSSI, which was associated with both internalizing and externalizing problems, and a subgroup of girls who engaged primarily in cutting and showed mainly internalizing problems. In general, NSSI clusters among girls were more stable over time and associated with more psychological problems. The results indicate that different patterns of NSSI have different developmental and clinical implications.     

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.     

Adolescent Deliberate Self‐Harm: Linkages to Emotion Regulation and Family Emotional Climate

Parents' responses to their children's emotional expressivity have been shown to significantly influence children's subsequent psychosocial functioning. This study hypothesized that adolescents' deliberate self‐harm (DSH) may be an outcome associated with poor emotion regulation as well as an invalidating family environment. The mediational role of specific emotion processes (i.e., poor awareness of emotion, difficulties expressing emotions) between family emotional environment and the frequency of DSH was examined with 131 psychiatrically hospitalized adolescents (M age=14.84 years, SD=1.75 years). Results indicated that adolescents who self‐injured reported that this behavior reduced their negative emotional states. Structural equation modeling provided support for the proposed model that family climate influences frequency of DSH through emotion regulation skills but the model held for girls only. A direct model effect was not supported. Emotion regulation partially mediated the relationship between family climate and DSH, and direct effects were also observed.     

Third‐Party Intervention in Peer Victimization: Self‐Evaluative Emotions and Appraisals of a Diverse Adolescent Sample

African American, European American, Mexican American, and Native American adolescents (N = 270) described how they felt and appraised their own actions in response to a peer's victimization. Analyses compared times they had calmed victim emotions, amplified anger, avenged, and resolved conflicts peacefully. Adolescents felt prouder, more helpful, more like a good friend, and expected more peer approval after calming and resolving than after amplifying anger or avenging peers. They also felt less guilt and shame after calming and resolving. Avenging elicited more positive self‐evaluation than amplifying. Epistemic network analyses explored links between self‐evaluative and other emotions. Pride was linked to relief after efforts to calm or resolve. Third‐party revenge reflected its antisocial and prosocial nature with connections between pride, relief, anger, and guilt.     

Adolescent Self‐cutting: An Embodiment of the Unsaid

This paper describes adolescent self‐cutting from a systemic–relational standpoint utilising two key concepts: embodied mind and the unsaid. Varella's notion of embodiment is introduced to understand the body as a field of meaning and the unsaid is conceptualised as what holds ‘said meaning’ and gives a sense of identity. These ideas are illustrated by reflections on a clinical vignette.     

Career Self‐Efficacy and Perceptions of Parent Support in Adolescent Career Development

The authors examined the relative contributions of both proximal and distal supports to the career interests and vocational self‐efficacy in a multiethnic sample (N = 139) of middle school adolescents. Consistent with Social Cognitive Career Theory, it was found that (a) vocational self‐efficacy and career planning/exploration efficacy consistently predicted young adolescents' career interests across Holland (J. L. Holland, D. R. Whitney, N. S. Cole, & J. M. Richards, 1969) themes; (b) gender and career gender‐typing predicted interests in Realistic, Investigative, and Social careers; and (c) perceived parent support accounted for 29% to 43% of the total unique variance in vocational self‐efficacy for all Holland theme careers.     

Self‐Regulatory Profiles and Conduct Problems in Youth Referred to Juvenile Diversion

The current study utilized a person‐centered approach to explore how self‐regulatory profiles relate to conduct problems in an ethnically diverse sample of 197 adolescents referred to juvenile diversion programming. Utilizing a multidomain, multimethod battery of self‐regulation indicators, three common profiles emerged in a latent profile analysis. The profiles represented an Adaptive group, a Cognitively Inflexible group, and an Emotionally Dysregulated group. Group membership was associated with severity and type of conduct problems as well as callous and unemotional traits. The Adaptive group demonstrated lower severity conduct problems when compared to the other groups. The Emotionally Dysregulated group was more likely to commit violent offenses and demonstrated higher levels of some callous and unemotional traits than youth characterized by cognitive inflexibility.     

Correlates of Sexual Abuse in a Sample of Adolescent Girls Admitted to Psychiatric Inpatient Care

We examined correlations of child sexual abuse among 300 adolescent girls in psychiatric inpatient treatment. Diagnostic and Statistical Manual of Mental Disorders (4th ed.)-based psychiatric diagnoses were obtained from the Schedule for Affective Disorder and Schizophrenia for School-Age Children—Present and Lifetime and from data on family and behavioral characteristics from the European Addiction Severity Index (EuropASI). A total of 79 girls (26.3%) had experienced child sexual abuse during their lifetime. Child sexual abuse was associated with an adolescent’s home environment, sibling status, smoking, posttraumatic stress disorder diagnosis, self-mutilating behavior, and suicidal behavior. At least 62% of the perpetrators were acquaintances of the victims. Correlates of child sexual abuse can be used to identify child sexual abuse victims and persons at heightened risk for child sexual abuse.     

Interpersonal Perceptions of Narcissism in an At‐Risk Adolescent Sample: A Social Relations Analysis

This study utilized Kenny's social relations model (SRM) to explore the interpersonal correlates of narcissism in an adolescent sample from a voluntary residential program. Participants were forty‐seven 16–18‐year‐olds (24 males, 23 females) attending a 22‐week residential program. Participants completed a self‐report measure of narcissism and rated one another on narcissism‐related traits and social status variables. Individuals with high levels of self‐reported narcissism were perceived by peers as antagonistic and likely to engage in future delinquency. Self‐reported narcissism was also associated with peer perceptions of narcissism‐related traits. Therefore, adolescent narcissism seems to be detected by peers and is associated with peer perceptions of some negative qualities. Potential implications of these findings are discussed.     

Pathways to Intergenerational Adolescent Childbearing in a High‐Risk Sample

Previous research indicates that children of adolescent mothers are more likely to experience an adolescent birth than are children of older mothers. Using a longitudinal sample of 293 high‐risk mothers and their 19‐year‐old children, we investigated mediators of the intergenerational pattern of adolescent childbearing. Results from multigroup path models indicate that the intergenerational effect is (a) significant for children of unmarried mothers above and beyond mother’s prebirth socioeconomic status and education level, (b) fully mediated through early sexual intercourse related to presence of a father figure and early home environment for girls, and (c) partially mediated by early physical development for boys. Relation of findings to current models of early sexual behavior and childbearing is discussed.     

Self Processes in Adolescent Depression: The Role of Self‐Worth Contingencies

Although biased self‐evaluation is a component of several disorders, most measures focus on the content of self‐concepts or level of self‐worth rather than the process by which self‐worth is maintained. This longitudinal study examines the distinctive role of self‐worth contingencies—the extent to which adolescents link self‐worth to external feedback and success in four domains (social, academic, activities, and appearance) in the development of depressive symptoms among a sample of 110 adolescents (age mean=13.62, SD=.52; 58.2% girls). Contingencies predicted change in depressive symptoms over time, but depressive symptoms did not predict change in contingencies over time. This pattern did not hold for the association between self‐worth and depression. Findings provide support for contingencies as a predictor, rather than a symptom, of depressive symptoms among adolescents. Evaluation of contingencies as a diathesis revealed an interaction effect for the social, but not academic domain. The findings have implications self‐worth contingencies as an important cognitive vulnerability to depressive symptoms during adolescence.     

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.     

Adolescent Self‐Consciousness: Longitudinal Age Changes and Gender Differences in Two Cohorts

Adolescence is frequently described as a period of pervasive self‐consciousness, but an age‐related peak in adolescence is not consistently obtained, and higher self‐consciousness in girls is frequently obtained but not predicted by theoretical accounts. Two cohorts of adolescents (N=393), initially assessed at 13 and 15, completed public and private self‐consciousness measures 3 times in 4 years. They also reported social comparisons and social engagement. Public self‐consciousness decreased and private self‐consciousness increased in both cohorts, and girls scored higher on both measures, both in longitudinal and sibling replication samples (n=188). Public self‐consciousness appears to be a normative response to adolescent social challenges, with girls' higher levels largely attributable to their closer social engagement. Private self‐consciousness emerges as an individual difference in adolescence but is more likely to be salient and predictive of social behavior in adulthood.     

A Longitudinal Examination of Support,Self‐Esteem,and Mexican‐Origin Adolescent Mothers' Parenting Efficacy

Guided by a risk and resilience framework, this study used a prospective longitudinal, multiple‐reporter design to examine how social support from a mother figure during pregnancy interacted with Mexican‐origin adolescent mothers' self‐esteem to inform their parenting efficacy when their children were 10 months old. Using reports of perceived social support by adolescent mothers (M_age = 16.24, SD = 0.99) and their mother figures (M_age = 40.84, SD = 7.04) in 205 dyads, and controlling for demographic factors (i.e., adolescent age, adolescent nativity, family income, mothers' educational attainment, adolescent – mother coresidence) and adolescents' social support from a significant other, the findings indicated that social support during pregnancy was positively associated with adolescent mothers' future parenting efficacy when adolescent mothers had relatively lower self‐esteem. The findings were consistent for adolescents' and mothers' reports and emphasize the value of social support from a mother figure among adolescent mothers with lower self‐esteem. Implications for interventions are presented.     

Self‐Competence Mediates Earlier and Later Anxiety in Adolescent Mothers: A 3‐Year Longitudinal Perspective

Anxiety is prevalent in adolescents and may be particularly problematic in pregnant adolescents. The purpose of this structural equation modeling analysis was to test a biobehavioral model in which postpartum self‐competence mediated pathways from anxiety and cortisol during pregnancy to anxiety 3 years later. Self‐reports of anxiety and self‐competence and salivary cortisol samples were obtained from 78 healthy primiparous and 57 nonpregnant comparison adolescent girls matched for age and socioeconomic status. Assessments were done during the first half of pregnancy, 3–4 weeks after childbirth, and at a 3‐year follow up. For pregnant girls, linkages from initial anxiety to self‐competence to follow‐up anxiety were significant and negative, as hypothesized. Direct and indirect pathways between initial and follow‐up anxiety were significant. Cortisol levels did not predict self‐competence or anxiety. For nonpregnant adolescents, the model fit poorly. Findings suggest self‐competence may play a mediating role in young mothers' anxiety across time.     

Dimensions of Precariousness in an Emerging Sector of Self‐Employment: A Study of Self‐Employed Nurses

Changing economic ideologies and a new emphasis on entrepreneurial opportunities have led to a rise in self‐employment in Canada, especially among women. Although some people benefit from self‐employment, it is considered to be a precarious form of employment. Despite a growing body of literature on gender and self‐employment, there is more to learn about its precarious nature across industries and types of entrepreneurs. This ethnographic study examines the experiences of self‐employed nurses in order to better understand self‐employment in professional caring work. In some ways, these nurses' experiences fit with what is known about female self‐employment but this specific sector highlights how precariousness can take different forms across different areas of work. In particular, this study reveals new insights about the complexity and ambiguity of precariousness.     

The Role of Emotion Processing in the Association between Parental Discipline and Adolescent Socio‐Emotional Development

This research investigated whether biases in processing threatening emotional cues operate as an indirect pathway through which parental harsh discipline is associated with adolescent socio‐emotional functioning. Participants were 192 adolescents (M age = 12.4), and their parents assessed over two years. Findings revealed two significant indirect pathways involving fear processing. Greater parental harsh discipline was linked to more emotional response inhibition difficulty for fear, which was linked to more depressive symptoms in the following year. Greater parental harsh discipline was also associated with more emotional response inhibition difficulty for fear, and thereby, more peer problems later. Findings suggest that adolescent emotional processing operated as an indirect pathway linking parental harsh discipline and adolescent socio‐emotional functioning within the broader social context.     

Cross‐Cultural Measurement Invariance of Adolescent Self‐Report on the Pediatric Quality of Life Inventory™ 4.0

This study evaluated the cross‐cultural measurement invariance of the Pediatric Quality of Life Inventory version 4.0 (PedsQL^?) among adolescents sampled from Bulgaria, Croatia, India, Indonesia, Nigeria, Serbia, and Turkey. The multiple‐indicator multiple‐cause (MIMIC) model was used, which allowed controlling of demographic variables (i.e., age, gender, and socioeconomic status). Significant effects of country on scores within the PedsQL^? domains were observed, with up to 17 items showing differential item functioning (DIF) across the countries. We did not find support for cross‐cultural measurement invariance hypotheses for scores on the PedsQL^? adolescent self‐report in this study. Researchers should use caution in making cross‐cultural quality of life comparisons while using the PedsQL.