The Problem of Self-Disclosure of Self-Harming Behaviour in Adolescence
DOI:
https://doi.org/10.18662/po/11.4/220Keywords:
self-harm, adolescence, self-disclosure, peers, age, genderAbstract
Self-disclosure is the key prerequisite for the provision of help and professional intervention in the case of mental difficulties. Self-harming behaviour is a problem in this area that has been a remarkably strong taboo, and as such, this form of behaviour is often hidden. The most at risk category in this context are adolescents who demonstrably receive the least psychological intervention and for whom self-harm is a high-risk behaviour (considering its prevalence, health risks, lethality and consequences for their future mental health). This study observes the prevalence of self-harming behaviour (45.3%) in a sample of 2,210 adolescents aged from 11 to 19, and subsequently observes the willingness of the subjects to self-disclose self-harming behaviour in a sample subset of 1,002 self-harming adolescents (mean age = 15.37; 68.6% female). 55.2% of self-harmers were willing to provide data on this topic; and only 51.5% of them stated that they had disclosed their self-harming behaviour to someone else, most frequently to their peer(s) (80.0%). Female subjects disclosed this information significantly more often than men (p = 0.000) and were significantly more willing (p = 0.025) to provide data about their behaviour in this area. There were no age specificities observed in the self-disclosure by self-harming adolescents. The analysis of the results suggests a need to provide the target group of adolescents with information regarding the help available to self-harming individuals as well as a need of further scientific observation of possible barriers, facilitators or interventional (e.g. personality-related) variables.
References
Abi-Jaoude, E., Naylor, K. T., & Pignatiello, A. (2020). Smartphones, social media use and youth mental health. CMAJ: Canadian Medical Association Journal = Journal de l'Association Medicale Canadienne, 192(6), 136–141. https://doi.org/
1503/cmaj.190434
Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., de Girolamo, G., Graaf, R., Demyttenaere, K., Gasquet, I., Haro, J. M., Katz, S. J., Kessler, R. C., Kovess, V., Lépine, J. P., Ormel, J., Polidori, G., Russo, L. J., Vilagut, G., Almansa, J., Arbabzadeh‐Bouchez, S., Autonell, J., Bernal, M., Buist‐Bouwman, M. A., Codony, M., Domingo‐Salvany, A., Ferrer, M., Joo, S. S., Martínez‐Alonso, M., Matschinger, H., Mazzi, F., Morgan, Z., Morosini, P., Palacín, C., Romera, B., Taub, N., & Vollebergh, W. A. M. (2004). Prevalence of mental disorders in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica. Supplementum, 109(s420). 21–27. https://doi.org/10.1111/j.1600-0047.2004.00327.x
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5) (5th ed.). https://doi.org/10.1176/appi.books.
Andover, M. S. (2012). A cognitive-behavioral approach to case formulations for nonsuicidal self-injury. Journal of Cognitive Psychotherapy, 26(4), 318–330. https://doi.org/10.1891/0889-8391.26.4.318
Bauman, Z. (2000). Liquid modernity. Polity Press.
Blasco-Fontecilla, H., Fernández-Fernández, R., Colino, L., Fajardo, L., Perteguer-Barrio, R., & de Leon, J. (2016). The addictive model of self-harming (non-suicidal and suicidal) behavior. Frontiers in Psychiatry, 7, Article 8. https://doi.org/10.3389/fpsyt.2016.00008
Bruwer, B., Sorsdahl, K., Harrison, J., Stein, D. J., Williams, D., & Seedat, S. (2011). Barriers to mental health care and predictors of treatment dropout in the South African Stress and Health Study. Psychiatric Services, 62(7), 774–781. https://doi.org/10.1176/appi.ps.62.7.774
Carbonell, X., Chamarro, A., Oberst, U., Rodrigo, B., & Prades, M. (2018). Problematic use of the internet and smartphones in university students: 2006-2017. International Journal of Environmental Research and Public Health, 15(3), Article 475. https://doi.org/10.3390/ijerph15030475
Cepeda-Benito, A., & Short, P. (1998). Self-concealment, avoidance of psychological services, and perceived likelihood of seeking professional help. Journal of Counseling Psychology, 45(1), 58–64. https://doi.org/
1037/0022-0167.45.1.58
Christie, D., & Viner, R. (2005). Adolescent development. BMJ (Clinical Research Edition), 330(7486), 301–304. https://doi.org/10.1136/bmj.330.7486.301
Claes, L., Houben, A., Vandereycken, W., Bijttebier, P., & Muehlenkamp, J. (2010). Brief report: the association between non-suicidal self-injury, self-concept and acquaintance with self-injurious peers in a sample of adolescents. Journal of Adolescence, 33(5), 775–778. https://doi.org/10.1016/j.adoles
cence.2009.10.012
Craigie, T. A., Brooks-Gunn, J., & Waldfogel, J. (2012). Family structure, family stability, and outcomes of five-year-old children. Families, relationships and societies. International Journal of Research and Debate, 1(1), 43–61. https://
doi.org/10.1332/204674312X633153
Das, J. K., Salam, R. A., Lassi, Z. S., Khan, M. N., Mahmood, W., Patel, V., & Bhutta, Z. A. (2016). Interventions for adolescent mental health: an overview of systematic reviews. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 59(4S), S49–S60. https://doi.org/10.1016/j.jadohealth.2016.06.020
Démuthová, S., & Démuth, A. (2019). The prevalence and most frequent forms of self-harm in adolescents. In International Conference on Research in Psychology (pp. 39–51). Diamond Scientific Publication. https://doi.org 10.33422/
icrpconf.2019.03.139
Démuthová, S., & Démuth, A. (2020). Self-harm in adolescence as maladaptive coping. Brain. Broad Research in Artificial Intelligence and Neuroscience, 11(2Sup1), 37–47. https://doi.org/10.18662/brain/11.2Sup1/92
Démuthová, S., & Doktorová, D. (2018). Interpohlavné rozdiely v prevalencii jednotlivých foriem sebapoškodzovania u adolescentov. [Gender differences in the prevalence of individual forms of self-harm in adolescents]. In A. Baranovska (Ed.), Kondášove dni 2018 (pp. 19–23). FF UCM.
Derlega, V. J., Metts, S., Petronio, S., & Margulis, S. T. (1993). Selfdisclosure. Sage.
Dindia, K., & Allen, M. (1992). Sex differences in self-disclosure: A meta-analysis. Psychological Bulletin, 112(1), 106–124. https://doi.org/10.1037/0033-2909.112.1.106
Dyl, J. (2008). Understanding cutting in adolescents: prevalence, prevention, and intervention. The Brown University Child and Adolescent Behavior Letter, 24(3). 4–6. https://doi.org/10.1002/cbl.20063
Fomby, P., & Osborne, C. (2017). Family instability, multipartner fertility, and behavior in middle childhood. Journal of Marriage and the Family, 79(1). 75–93. https://doi.org/10.1111/jomf.12349
Forrester, R. L., Slater, H., Jomar, K., Mitzman, S., & Taylor, P. J. (2017). Self-esteem and non-suicidal self-injury in adulthood: A systematic review. Journal of Affective Disorders, 221, 172–183. https://doi.org/10.1016/j.jad.
06.027
Goldberg, J. S., & Carlson, M. J. (2014). Parents' relationship quality and children's behavior in stable married and cohabiting families. Journal of Marriage and the Family, 76(4), 762–777, https://doi.org/10.1111/jomf.12120
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10, Article 113. https://doi.org/10.1186/1471-244X-10-113
Haavisto, A., Sourander, A., Multimäki, P., Parkkola, K., Santalahti, P., Helenius, H., & Almqvist, F. (2005). Factors associated with ideation and acts of deliberate self-harm among 18-year-old boys. Social Psychiatry and Psychiatric Epidemiology, 40, 912–921. https://doi.org/10.1007/s00127-005-0966-2
Hallab, L., & Covic, T. (2010). Deliberate self-harm: the interplay between attachment and stress. Behaviour Change, 27(2), 93–103. https://doi.org/10.
/bech.27.2.93
Hasking, P., Rees, C. S., Martin, G., & Quigley, J. (2015). What happens when you tell someone you self-injure? The effects of disclosing NSSI to adults and peers. BMC Public Health, 15, Article 1039. https://doi.org/10.1186/
s12889-015-2383-0
Hubinska, J., & Doktorova, D. (2019). Demonstrating the survival of a child in a renovated family. Postmodern Openings, 10(1), 36–52. https://doi.org/10.
/po/54
Kelly, A. E., & Achter, J. A. (1995). Self-concealment and attitudes toward counseling in university students. Journal of Counseling Psychology, 42(1), 40–46. https://doi.org/10.1037/0022-0167.42.1.40
Klineberg, E., Kelly, M. J., Stansfeld, S. A., & Bhui, K. S. (2013). How do adolescents talk about self-harm: A qualitative study of disclosure in an ethnically diverse urban population in England. BMC Public Health, 13, Article 572. https://doi.org/10.1186/1471-2458-13-572
Knorr, A. C., Tull, M. T., Anestis, M. D., Dixon-Gordon, K. L., Bennett, M. F., & Gratz, K. L. (2016). The interactive effect of major depression and nonsuicidal self-injury on current suicide risk and lifetime suicide attempts. Archives of Suicide Research : Official Journal of the International Academy for Suicide Research, 20(4), 539–552. https://doi.org/10.1080/13811118.2016.1158679
Leaper, C., Carson, M., Baker, C., Holiday, H., & Myers, S. (1995). Self-disclosure and listener verbal support in same-gender and crossgender friends’ conversations. Sex Roles, 33, 387–403. https://doi.org/10.1007/BF01954
Lewis, S. P., Heath, N. L., St Denis, J. M., & Noble, R. (2011). The scope of nonsuicidal self-injury on YouTube. Pediatrics, 127(3), e552–e557. https://
doi.org/10.1542/peds.2010-2317
Memon, A. M., Sharma, S. G., Mohite, S. S., & Jain, S. (2018). The role of online social networking on deliberate self-harm and suicidality in adolescents: A systematized review of literature. Indian Journal of Psychiatry, 60(4), 384–392. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_414_17
Mickova, Z. (2019). The relationship of trust and communication in adolescents towards parents in a post-divorce family arrangement. Ad Alta: Journal of Interdisciplinary Research, 9(1), 81–84. http://www.magnanimitas.cz/
ADALTA/0901/papers/A_mickova.pdf
Mitchell, A. J., & Dennis, M. (2006). Self harm and attempted suicide in adults: 10 practical questions and answers for emergency department staff. Emergency Medicine Journal, 23(4), 251–255. https://doi.org/10.1136/emj.2005.027250
Mitchell, C., McMillan, B., & Hagan, T. (2017). Mental health help-seeking behaviours in young adults. The British Journal of General Practice : The Journal of the Royal College of General Practitioners, 67(654), 8–9. https://doi.org/
3399/bjgp17X688453
Organisation for Economic Co-operation and Development. (2020). OECD Family Database. SF2.4: Share of births outside of marriage. https://www.oecd.org/els/
family/SF_2_4_Share_births_outside_marriage.pdf
Palese, E. (2013). Zygmunt Bauman. Individual and society in the liquid modernity. Springer Plus, 2(1), Article 191. https://doi.org/10.1186/2193-1801-2-191
Pantic I. (2014). Online social networking and mental health. Cyberpsychology, Behavior and Social Networking, 17(10), 652–657. https://doi.org/10.1089/cyber.
0070
Peterson, J., Freedenthal, S., Sheldon, C., & Andersen, R. (2008). Nonsuicidal self injury in adolescents. Psychiatry, 5(11), 20–26. https://www.ncbi.nlm.nih.
gov/pmc/articles/PMC2695720/
Plener, P. L., Libal, G., Keller, F., Fegert, J. M., & Muehlenkamp, J. J. (2009). An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. Psychological Medicine, 39(9), 1549–1558, https://doi.org/10.1017/S0033291708005114
PORDATA. (2020). The Database of Contemporary Portugal. Francisco Manuel dos Santos Foundation. https://www.pordata.pt/en/Europe/Number
+of+divorces+per+100+marriages-1566
Prinstein, M. J., Heilbron, N., Guerry, J. D., Franklin, J. C., Rancourt, D., Simon, V., & Spirito, A. (2010). Peer influence and nonsuicidal self injury: Longitudinal results in community and clinically-referred adolescent samples. Journal of Abnormal Child Psychology, 38(5), 669–682. https://
doi.org/10.1007/s10802-010-9423-0
Rojkova, Z., & Mydlova, K. (2019). Extent of spending leisure time through the electronic media and drug behaviour of youth. Communication Today, 10(2), 132–145. https://www.communicationtoday.sk/extent-of-spending-leisure
-time-through-the-electronic-media-and-drug-behaviour-of-youth/
Sansone, R. D., & Sansone, L. A. (2010). Measuring self-harm behavior with the self-harm inventory. Psychiatry, 7(4), 1–20. https://www.ncbi.nlm.nih.gov/
pmc/articles/PMC2877617/
Tang, J., Ma, Y., Guo, Y., Ahmed, N. I., Yu, Y., & Wang J. (2013). Association of aggression and non-suicidal self injury: A school-based sample of adolescents. PLoS ONE, 8(10), Article e78149. https://doi.org/10.1371/
journal.pone.0078149
Thomas, S. J., Caputi, P., & Wilson, C. J. (2013). Specific attitudes which predict psychology students’ intentions to seek help for psychological distress. Journal of Clinical Psychology, 70(3), 273–282. https://doi.org/10.1002/jclp.
Valkenburg, P. M., Sumter, S. R., & Peter, J. (2011). Gender differences in online and offline self-disclosure in pre-adolescence and adolescence. The British Journal of Developmental Psychology, 29(Pt 2), 253–269. https://doi.org/
1348/2044-835X.002001
Vogel, D. L., & Wester, S. R. (2003). To seek help or not to seek help: the risks of self disclosure. Journal of Counseling Psychology, 50(3), 351–361. https://doi.org/10.1037/0022-0167.50.3.351
Wakida, E. K., Talib, Z. M., Akena, D., Okello, E. S., Kinengyere, A., Mindra, A., & Obua, C. (2018). Barriers and facilitators to the integration of mental health services into primary health care: A systematic review. Systematic Reviews, 7(1), Article 211. https://doi.org/10.1186/s13643-018-0882-7
Wasserman, D., Cheng, Q., & Jiang, G. (2005). Global suicide rates among young people aged 15-19. World Psychiatry, 4(2), 114–120. https://www.ncbi.
nlm.nih.gov/pmc/articles/PMC1414751/
Weinstein, S. M., Mermelstein, R. J., Hedeker, D., Hankin, B. L., & Flay, B. R. (2006). The time-varying influences of peer and family support on adolescent daily positive and negative affect. Journal of Clinical Child and Adolescent Psychology : The official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 35(3), 420–430. https://doi.org/10.1207/s15374424jccp3503_7
Whitlock, J., Muehlenkamp, J., Eckenrode, J., Purington, A., Baral Abrams, G., Barreira, P., & Kress, V. (2013). Nonsuicidal self-injury as a gateway to suicide in young adults. The Journal of Adolescent Health, 52(4), 486–492. https://doi.org/10.1016/j.jadohealth.2012.09.010
Wilson, C. J., & Deane, F. P. (2001). Adolescent opinions about reducing help-seeking barriers and increasing appropriate help engagement. Journal of Educational and Psychological Consultation, 12(4), 345–364, https://doi.org/
1207/S1532768XJEPC1204_03
Wolff, J., Frazier, E. A., Esposito-Smythers, C., Burke, T., Sloan, E., & Spirito, A. (2013). Cognitive and social factors associated with NSSI and suicide attempts in psychiatrically hospitalized adolescents. Journal of Abnormal Child Psychology, 41(6), 1005–1013. https://doi.org/10.1007/s10802-013-9743-y
World Health Organization. (2019). International statistical classification of diseases and related health problems. https://icd.who.int/browse10/2019/en#/
X60
Zelkowitz, R. L., Porter, A. C., Heiman, E. R., & Cole, D. A. (2017). Social exposure and emotion dysregulation: Main effects in relation to nonsuicidal self-injury. Journal of Adolescence, 60, 94–103. https://doi.org/10.1016/
j.adolescence.2017.07.015
Zhu, L., Westers, N. J., Horton, S. E., King, J. D., Diederich, A., Stewart, S. M., & Kennard, B. D. (2016). Frequency of exposure to and engagement in nonsuicidal self-injury among inpatient adolescents. Archives of Suicide Research, 20(4), 580–590. https://doi.org/10.1080/13811118.2016.1162240
Zubrick, S. R., Hafekost, J., Johnson, S. E., Sawyer, M. G., Patton, G., & Lawrence, D. (2017). The continuity and duration of depression and its relationship to non-suicidal self-harm and suicidal ideation and behavior in adolescents 12-17. Journal of Affective Disorders, 220, 49–56. https://doi.org/10.1016/
j.jad.2017.05.050
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