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Cited by 80Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbusePersonality Disorders and Psychopathology

Nonsuicidal self-injury and suicidal behaviors in girls: The case for targeted prevention in preadolescence

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Beauchaine, Theodore P., Hinshaw, Stephen P., Bridge, Jeffrey A.·2019·Clinical Psychological Science
DOI 10.1177/2167702618818474PMC PMC6726409
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Abstract

Non-suicidal self-injury (NSSI) affects 15-20% of adolescents-disproportionately girls-and is a strong predictor of eventual suicide attempts and suicide. Many girls now initiate NSSI before age 10. These early-starters exhibit greater frequency of NSSI, use more diverse methods, and are hospitalized more often, yet there are no empirically supported prevention programs for preadolescents. Obstacles to prevention include ascertaining who is sufficiently vulnerable and specifying mechanistic intervention targets. Recent research indicates that (1) preadolescent girls with ADHD who are also maltreated are at alarming risk for NSSI and suicide attempts by adolescence, and (2) the conjoint effects of these vulnerabilities are sufficiently potent for targeted prevention. Research also indicates that existing interventions are effective in altering child- and family-level mechanisms of NSSI. These interventions alter neurobiological markers of vulnerability, which can be used as proximal efficacy signals of prevention response, without waiting for NSSI and suicide attempts to emerge.

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Research works printed but not linked: 12

  1. Auerbach RP, Kim JC, Chango JM, Spiro WJ, Cha C, Gold J, Esterman M, & Nock MK (2014). Adolescent nonsuicidal self-injury: Examining the role of child abuse, comorbidity, and disinhibition. Psychiatry Research, 220, 579– 584. doi: 10.1016/j.psychres.2014.07.027 25095754 PMC4252370 · DOI
  2. Beauchaine TP (in press). A developmental psychopathology perspective on the emergence of antisocial and borderline personality pathologies across the lifespan In Lejuez CW & Gratz KL (Eds.), Handbook of personality disorders. New York: Cambridge University Press.
  3. Beauchaine TP & Zalewski M (2016). Physiological and developmental mechanisms of emotional lability in coercive relationships In Dishion TJ & Snyder JJ (Eds.), Oxford handbook of coercive relationship dynamics (pp. 39– 52). New York: Oxford University Press.
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  5. Crowell SE, Kaufman E, & Beauchaine TP (2014). A biopsychosocial model of borderline personality development: Theory and empirical evidence In Tackett J & Sharp C (Eds.), Handbook of borderline personality disorder in children and adolescents (pp. 143– 158). New York: Springer.
  6. Ellis BJ, Del Giudice M, & Shirtcliff EA (2017). The adaptive calibration model of stress responsivity: Concepts, findings, and implications for developmental psychopathology In Beauchaine TP & Hinshaw SP (Eds.), Child and adolescent psychopathology (3rd ed., pp. 237– 276). Hoboken, NJ: Wiley.
  7. Hinshaw SP (2017). Developmental psychopathology as a scientific discipline: A twenty-first century perspective In Beauchaine TP & Hinshaw SP (Eds.), Child and adolescent psychopathology (3rd ed., pp. 3– 32). Hoboken, NJ: Wiley.
  8. Hostinar CE, & Cicchetti D (2018). Emotion dysregulation and internalizing spectrum disorders In Beauchaine TP & Crowell SE (Eds.), Oxford handbook of emotion dysregulation. New York: Oxford University Press. Epublished ahead of print.
  9. Jacoby N, Overfeld J, Binder E, & Heim C (2017). Stress neurobiology and developmental psychopathology In Cicchetti D (Ed.), Developmental psychopathology, Vol. 2: Developmental neuroscience (3rd ed., pp. 787– 831). Hoboken, NJ: Wiley.
  10. Kehoe C, & Havighurst S (in press). Treating emotion dysregulation in internalizing disorders In Beauchaine TP & Crowell SE (Eds.), Oxford handbook of emotion dysregulation. New York: Oxford University Press.
  11. Swanson JM, Sibley MH, Arnold LE, Hechtman LT, Stehli A, Molina BSG, … MTA Cooperative Group. (in press). Outcomes in the 16-year follow-up of the Multimodal Treatment Study of ADHD (MTA): Persistence of symptoms and medication side effects in early adulthood. Journal of Child Psychology and Psychiatry.
  12. Winiarski DA, Brown AL, Karnik NS, & Brennan PA (in press). Treating emotion dysregulation in externalizing disorders In Beauchaine TP & Crowell SE (Eds.), Oxford handbook of emotion dysregulation. New York: Oxford University Press.

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Authors
Beauchaine, T. P., Hinshaw, S. P., & Bridge, J. A.
Affiliations
  • The Ohio State University (US)
  • University of California, San Francisco (US)
  • Nationwide Children's Hospital (US)
Corresponding author
Beauchaine, Theodore P.
ORCID
Venue
Clinical Psychological Science
Publisher
SAGE Publications
Published
2019-01-28
Volume
7
Issue
4
Pages
643-667
ISSN
  • 2167-7026 (ISSN-L)
  • 2167-7034
DOI
10.1177/2167702618818474
PMC
PMC6726409
OpenAlex
W2912792747
Cited by
80
References
226
Citations by year
2026: 7 · 2025: 9 · 2024: 12 · 2023: 21 · 2022: 5 · 2021: 11 · 2020: 11 · 2019: 3 · 2018: 1
FWCI
8.76
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Clinical Psychological Science (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institute of Mental Health (MH074196, MH12209, MH63699, MH67192, MH86198)
  • National Institutes of Health Science of Behavior Change Common Fund
  • National Institute of Dental and Craniofacial Research (DE025980)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
non-suicidal self-injury, suicide attempts, preadolescent girls, targeted prevention, attention deficit hyperactivity disorder, child abuse, neurobiological markers, family intervention

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