The motives for non-suicidal self-injury among adolescents with psychiatric disorders

Abstract Background Non-suicidal self-injury (NSSI) is an intentional act that results in physical damage to one’s body, without the intent to commit suicide. In recent years, self-injurious behaviors, including non-suicidal self-injury (NSSI), have increased, especially among adolescents and young...

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Main Authors: Armon Massoodi, Zeinab Aghajantabar, Sussan Moudi, Hoda Shirafkan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Psychiatry
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Online Access:https://doi.org/10.1186/s12888-025-06471-6
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author Armon Massoodi
Zeinab Aghajantabar
Sussan Moudi
Hoda Shirafkan
author_facet Armon Massoodi
Zeinab Aghajantabar
Sussan Moudi
Hoda Shirafkan
author_sort Armon Massoodi
collection DOAJ
description Abstract Background Non-suicidal self-injury (NSSI) is an intentional act that results in physical damage to one’s body, without the intent to commit suicide. In recent years, self-injurious behaviors, including non-suicidal self-injury (NSSI), have increased, especially among adolescents and young adults. The objective of this study was to investigate the motives for NSSI among adolescents with psychiatric disorders. Methods Adolescents aged 12 to 18 years including patients admitted to the Department of Child and Adolescent Psychiatry at a state hospital in Babol (northern Iran) and outpatients referring to this center were included in the research. Data collection occurred between February 2021 and September 2021 from a sample of 140 participants. All subjects were given a demographic questionnaire and an inventory of statements about self-injury (Klonsky and Glenn). Moreover, a structured interview was conducted with all to diagnose the nature of the underlying disorder by a child and adolescent psychiatrist. Results A total of 140 adolescents with mean age 16.25 ± 1.48 years were assessed. Eighty-five (60.7%) of them were girls. Sixty-five (46.4%) individuals were inpatients and 75 (53.6%) were outpatients; 78 (55.8%) had a history of NSSI and 62 (44.2%) cases had no history of self-injury. The most common method of self-injury was Wounding or cutting a part of the body (n = 56(40.0%)). Attention-deficit/hyperactivity disorder (ADHD) emerged as the most common psychiatric diagnosis among individuals with a history of NSSI. Emotion regulation was the most common motive for self-injury (p = 0.004). The prevalence of self-injury was higher among adolescent girls (p = 0.049). There was no significant relationship between self-injury and inpatient or outpatient status (p = 0.342). Conclusions Our findings indicate that NSSI in adolescents is not limited to a specific or single motive; instead, multiple factors contribute to its occurrence. NSSI methods can also vary, and all should be considered when examining this behavior.
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spelling doaj-art-272e991b94784063a921e2c9683524d02025-01-19T12:34:30ZengBMCBMC Psychiatry1471-244X2025-01-012511910.1186/s12888-025-06471-6The motives for non-suicidal self-injury among adolescents with psychiatric disordersArmon Massoodi0Zeinab Aghajantabar1Sussan Moudi2Hoda Shirafkan3Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesBabol University of Medical SciencesSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesAbstract Background Non-suicidal self-injury (NSSI) is an intentional act that results in physical damage to one’s body, without the intent to commit suicide. In recent years, self-injurious behaviors, including non-suicidal self-injury (NSSI), have increased, especially among adolescents and young adults. The objective of this study was to investigate the motives for NSSI among adolescents with psychiatric disorders. Methods Adolescents aged 12 to 18 years including patients admitted to the Department of Child and Adolescent Psychiatry at a state hospital in Babol (northern Iran) and outpatients referring to this center were included in the research. Data collection occurred between February 2021 and September 2021 from a sample of 140 participants. All subjects were given a demographic questionnaire and an inventory of statements about self-injury (Klonsky and Glenn). Moreover, a structured interview was conducted with all to diagnose the nature of the underlying disorder by a child and adolescent psychiatrist. Results A total of 140 adolescents with mean age 16.25 ± 1.48 years were assessed. Eighty-five (60.7%) of them were girls. Sixty-five (46.4%) individuals were inpatients and 75 (53.6%) were outpatients; 78 (55.8%) had a history of NSSI and 62 (44.2%) cases had no history of self-injury. The most common method of self-injury was Wounding or cutting a part of the body (n = 56(40.0%)). Attention-deficit/hyperactivity disorder (ADHD) emerged as the most common psychiatric diagnosis among individuals with a history of NSSI. Emotion regulation was the most common motive for self-injury (p = 0.004). The prevalence of self-injury was higher among adolescent girls (p = 0.049). There was no significant relationship between self-injury and inpatient or outpatient status (p = 0.342). Conclusions Our findings indicate that NSSI in adolescents is not limited to a specific or single motive; instead, multiple factors contribute to its occurrence. NSSI methods can also vary, and all should be considered when examining this behavior.https://doi.org/10.1186/s12888-025-06471-6Self-injurious behaviorMental disordersAdolescent
spellingShingle Armon Massoodi
Zeinab Aghajantabar
Sussan Moudi
Hoda Shirafkan
The motives for non-suicidal self-injury among adolescents with psychiatric disorders
BMC Psychiatry
Self-injurious behavior
Mental disorders
Adolescent
title The motives for non-suicidal self-injury among adolescents with psychiatric disorders
title_full The motives for non-suicidal self-injury among adolescents with psychiatric disorders
title_fullStr The motives for non-suicidal self-injury among adolescents with psychiatric disorders
title_full_unstemmed The motives for non-suicidal self-injury among adolescents with psychiatric disorders
title_short The motives for non-suicidal self-injury among adolescents with psychiatric disorders
title_sort motives for non suicidal self injury among adolescents with psychiatric disorders
topic Self-injurious behavior
Mental disorders
Adolescent
url https://doi.org/10.1186/s12888-025-06471-6
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