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Nonsuicidal self-injury, psychiatric disorders and pathological internet use among adolescents

Published online by Cambridge University Press:  01 September 2022

G. Mészáros ,
D. Győri ,
L.O. Horváth ,
D. Szentivanyi  and
J. Balazs
G. Mészáros*
Affiliation:
Semmelweis University, Faculty Of Medicine, Department Of Psychiatry And Psychotherapy, Budapest, Hungary Semmelweis University, Mental Health Sciences School Of Ph.d, Budapest, Hungary
D. Győri
Affiliation:
Eötvös Loránd University, Doctoral School Of Psychology, Budapest, Hungary Eötvös Loránd University, Institute Of Psychology, Budapest, Hungary
L.O. Horváth
Affiliation:
Pedagogical Assistance Services, -, Budapest, Hungary Eötvös Loránd University, Institute Of Psychology, Department Of Developmental And Clinical Child Psychology, Budapest, Hungary
D. Szentivanyi
Affiliation:
Eötvös Loránd University, Institute Of Psychology, Budapest, Hungary Pedagogical Assistance Services, -, Budapest, Hungary
J. Balazs
Affiliation:
Eötvös Loránd University, Institute Of Psychology, Department Of Developmental And Clinical Child Psychology, Budapest, Hungary Bjørknes University College, -, Oslo, Norway
*
*Corresponding author.

Abstract

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Introduction

Previous studies underline the importance of internalising disorders as risk factors of nonsuicidal self-injury (NSSI), meanwhile only a few research draw the attention to the role of externalising disorders. The possible association between NSSI and pathological internet use (PIU) is also understudied.

Objectives

The purpose of this study was: 1) to investigate the frequency of NSSI among adolescents with different psychopathology and in different internet user groups of adolescents, 2) to understand the mediator role of psychiatric disorders between NSSI and PIU.

Methods

Adolescents were enrolled from a clinical (Vadaskert Child Psychiatric Hospital, Budapest, Hungary) and a school based population (high schools in Budapest, Hungary). The used measurements were: Strengths and Difficulties Questionnaire (SDQ), Deliberate Self-Harm Inventory, Young Diagnostic Questionnaire for Internet Addiction, Mini International Neuropsychiatric Interview Kid.

Results

There was significant difference in the frequencies of NSSI in SDQ subgroups (U=2127.000; z=-6.170; p <0.001). There was also significant difference in NSSI frequency between normal- and pathological internet users (U=2020.000; z=-2,501; p <0.017 p=0.012). According to the mediator model there was no direct association between PIU and NSSI, however it was mediated by different psychiatric disorders (affective disorders, anxiety disorders, attention deficit/hyperactivity disorder, conduct disorder, opposition defiant disorder, psychoactive substance abuse/dependence, psychotic disorders, suicidal behavior).

Conclusions

The results strengthen that both internalising- and externalising psychopathology are associated with NSSI. Moreover this study underlines the importance of careful screening and treating of comorbid disorders with PIU, which can have a role in the prevention of NSSI and suicide as well.

Disclosure

No significant relationships.

Keywords

NSSIPIUpsychiatric disorderadolescent
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S252 - S253
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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