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Cited by 874Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseSubstance Abuse Treatment and Outcomes

The DOI matches its Crossref record; 70 of the 70 references it cites were found in a registry or an index.

Self-injurious Behaviors in a College Population

Whitlock, Janis, Eckenrode, John, Silverman, Daniel·2006·PEDIATRICS
DOI 10.1542/peds.2005-2543
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Abstract

OBJECTIVE: The goal was to assess the prevalence, forms, demographic and mental health correlates of self-injurious behaviors in a representative college sample. METHODS: A random sample of undergraduate and graduate students at 2 northeastern US universities were invited to participate in an Internet-based survey in the spring of 2005. Thirty-seven percent of the 8300 invited participants responded. RESULTS: The lifetime prevalence rate of having > or =1 self-injurious behavior incident was 17.0%. Seventy-five percent of those students engaged in self-injurious behaviors more than once. Thirty-six percent reported that no one knew about their self-injurious behaviors and only 3.29% indicated that a physician knew. Compared with non-self-injurers, those with repeat self-injurious behavior incidents were more likely to be female, bisexual or questioning their sexual orientation. They were less likely to be Asian/Asian American and >24 years of age. When controlling for demographic characteristics, those with repeat self-injurious behavior incidents were more likely to report a history of emotional abuse or sexual abuse, ever having considered or attempted suicide, elevated levels of psychological distress, and > or =1 characteristic of an eating disorder. A dose-response gradient was evident in each of these areas when single-incident self-injurious behaviors were compared with repeat-incident self-injurious behaviors. CONCLUSIONS: A substantial number of college students reported self-injurious behaviors in their lifetimes. Many of the behaviors occurred among individuals who had never been in therapy for any reason and who only rarely disclosed their self-injurious behaviors to anyone. Single self-injurious behavior incidents were correlated with a history of abuse and comorbid adverse health conditions but less strongly than were repeat self-injurious behavior incidents. The reticence of these clients to seek help or advice renders it critical that medical and mental health providers find effective strategies for detecting and addressing self-injurious behaviors.

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Research works printed but not linked: 3

  1. Kokaliari E. Deliberate Self-Injury: An Investigation of the Prevalence and Psychosocial Meanings in a Nonclinical Female College Population [doctoral dissertation]. Northampton, MA: Smith College School for Social Work; 2005
  2. Contrero K, Lader W. Bodily Harm: The Breakthrough Healing Program for Self Injurers. New York, NY: Hyperion Press; 1998
  3. Schwartz A. Suicide rates, selectivity of admissions and academic competitiveness. In: Proceedings of the 44th Annual Conference of the Association of University and College Counseling Center Directors. Newport, RI: Association of University and College Counseling Center Directors; 1995:231–244

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Metadata

Authors
Whitlock, J., Eckenrode, J., & Silverman, D.
Affiliations
  • Cornell University (US)
  • Princeton University (US)
ORCID
Venue
PEDIATRICS
Publisher
American Academy of Pediatrics (AAP)
Published
2006-06-01
Volume
117
Issue
6
Pages
1939-1948
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2005-2543
OpenAlex
W2112372680
Cited by
874
References
70
Citations by year
2026: 13 · 2025: 26 · 2024: 28 · 2023: 34 · 2022: 34 · 2021: 46 · 2020: 48 · 2019: 32 · 2018: 48 · 2017: 50 · 2016: 47 · 2015: 57 · 2014: 69 · 2013: 63 · 2012: 74
FWCI
39.76
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
self-harm, university students, prevalence, sexual orientation, emotional abuse, sexual abuse, suicide attempts, psychological distress, eating disorders, help-seeking, dose-response relationship
MeSH terms
Adolescent, Adult, Female, Humans, Male, Universities, Prevalence, Self-Injurious Behavior

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