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
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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“Similarly, chronic relational victimization is a consistent predictor of adolescent depression, temporally preceding it in many longitudinal studies,(90)”
From Puberty Initiates Cascading Relationships Between Neurodevelopmental, Social, and Internalizing Processes Across Adolescence (2021) · cites this paper as [90]
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Cites
KESSLER, R. C., ANDREWS, G., COLPE, L. J., HIRIPI, E., MROCZEK, D. K., NORMAND, S.-L. T., WALTERS, E. E., & ZASLAVSKY, A. M. (2002) · Psychological Medicine · doi:10.1017/s0033291702006074 · Cited by 10,327
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003) · JAMA · doi:10.1001/jama.289.23.3095 · Cited by 7,988
Dube, S. R., Anda, R. F., Felitti, V. J., Chapman, D. P., Williamson, D. F., & Giles, W. H. (2001) · JAMA · doi:10.1001/jama.286.24.3089 · Cited by 2,296
A Functional Approach to the Assessment of Self-Mutilative Behavior.
Nock, M. K., & Prinstein, M. J. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.5.885 · Cited by 1,564
Measurement of Deliberate Self-Harm: Preliminary Data on the Deliberate Self-Harm Inventory
Gratz, K. L. (2001) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/a:1012779403943 · Cited by 1,166
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Research works printed but not linked: 3
- 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
- Contrero K, Lader W. Bodily Harm: The Breakthrough Healing Program for Self Injurers. New York, NY: Hyperion Press; 1998
- 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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The functions of deliberate self-injury: a review of the evidence
Klonsky, E. D. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.08.002 · Cited by 1,979
Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St John, N. J. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12070 · Cited by 1,624
Klonsky, E. D., & Glenn, C. R. (2009) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-008-9107-z · Cited by 934
Social support and mental health among college students.
Hefner, J., & Eisenberg, D. (2009) · American Journal of Orthopsychiatry · doi:10.1037/a0016918 · Cited by 810
Persistence of mental health problems and needs in a college student population
Zivin, K., Eisenberg, D., Gollust, S. E., & Golberstein, E. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.01.001 · Cited by 784
Metadata
- Authors
- Whitlock, J., Eckenrode, J., & Silverman, D.
- Affiliations
- Cornell University (US)
- Princeton University (US)
- 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
- 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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