Preventing Non-Suicidal Self-Injury in Adolescents: The Signs of Self-Injury Program

Non-suicidal self-injury (NSSI) continues to be a problem among youth and there is a great need for programming aimed at reducing NSSI in adolescents. The signs of self-injury program is the first known NSSI school-based prevention program for adolescents that attempts to increase knowledge, improve help-seeking attitudes and behaviors, and decrease acts of NSSI. A total of five schools implemented the program in selected classrooms (n = 274 adolescents; 51.5% female, mean age = 16.07 years) that consisted of predominantly Caucasian (73%) adolescents. Researchers collected pre-post evaluation surveys of the program and feasibility interviews were conducted with the school guidance personnel who ran the program. Results indicated the prevention program did not produce iatrogenic effects, increased accurate knowledge and improved help-seeking attitudes and intentions among students. No significant changes were found in regards to self-reported formal help-seeking actions. Feasibility responses indicate the program is user-friendly and well received by school personnel. The data offer preliminary evidence that the program may be an effective prevention program for schools.     

Differences in Non-Suicidal Self-Injury and Suicide Attempts in Adolescents

As suicide attempts and self-injury remain predominant health risks among adolescents, it is increasingly important to be able to distinguish features of self-harming adolescents from those who are at risk for suicidal behaviors. The current study examined differences between groups of adolescents with varying levels of self-harmful behavior in a sample of 373 high school students with a mean age of 15.04 (SD = 1.05). The sample was 48% female and the distribution of ethnicity was as follows: 35% Caucasian, 37.2% African-American, 16% Multi-ethnic, 9.2% Hispanic, and 2.3% Asian. The sample was divided into three groups: no history of self-harm, non-suicidal self-injury (NSSI) only, and NSSI in addition to a suicide attempt. Differences in depressive symptoms, suicidal ideation, social support, self-esteem, body satisfaction, and disordered eating were explored. Results indicated significant differences between the three groups on all variables, with the no self-harm group reporting the lowest levels of risk factors and highest levels of protective factors. Further analyses were conducted to examine specific differences between the two self-harm groups. Adolescents in the NSSI group were found to have fewer depressive symptoms, lower suicidal ideation, and greater self-esteem and parental support than the group that also had attempted suicide. The clinical implications of assessing these specific psychosocial correlates for at-risk adolescents are discussed.     

The Influence of Romantic Attachment and Intimate Partner Violence on Non-Suicidal Self-Injury in Young Adults

Several theoretical models for non-suicidal self-injury (NSSI) have been proposed. Despite an abundance of theoretical speculation, few empirical studies have examined the impact of intimate relationship functioning on NSSI. The present study examines the influence of romantic attachment and received intimate partner violence (physical, psychological and sexual) on recent reports of NSSI behaviors and thoughts. The sample was composed of 537 (79.9% female) primarily Caucasian university students between the ages of 18 and 25 years and currently involved in a romantic relationship. The results reveal that anxiety over abandonment was a significant predictor of NSSI thoughts and behaviors in women and a significant predictor of NSSI thoughts in men. Moreover, the experience of intimate partner violence emerged as a significant predictor of NSSI behaviors in both men and women. Continued empirical investigations into the influence of intimate relationship functioning on NSSI will facilitate the development of psychological interventions for young adults dealing with self-harm.     

The Role of Cognitive Distortion in the Relationship Between Abuse,Assault, and Non-Suicidal Self-Injury

The purpose of this study was to examine the relationship between childhood abuse, assault, cognitive distortion, and non-suicidal self-injury (NSSI) in a clinical adolescent sample. The sample included one hundred eighty-five psychiatrically hospitalized adolescents and their parents. Adolescent participants were predominantly female (71.4%), Caucasian (84%), and of non-Hispanic ethnicity (9.2%). Participants completed a diagnostic interview and self-report measures to assess youth history of abuse and assault, cognitive errors, negative self-views, and recent NSSI. No relationship was found between childhood abuse and NSSI. However, a history of assault was associated with NSSI among youth who reported higher cognitive errors and more negative self-views, even after controlling for gender and internalizing disorders. These results suggest that existing affect regulation models of NSSI may be enhanced by incorporating the role of cognitive distortion. Clinically, results also suggest that assessing adolescent victims of assault for cognitive errors and negative self-views, and helping them restructure these cognitive distortions when present, may reduce the likelihood of NSSI.     

A Person-Centered Approach to Adolescent Nonsuicidal Self-Injury: Predictors and Correlates in a Community Sample

Journal of Youth and Adolescence - Growing incidence of nonsuicidal self-injury (NSSI) and a lack of intensive examination of NSSI variability among adolescents justify identification of latent...     

Family Characteristics and Adolescent Competence in India: Investigation of Youth in Southern Orissa

This study examines the relationship among a host of family characteristics and indicators of adolescent competence in a sample (N = 107) of 8th- and 9th-grade students in one school located in Berhampur city in Orissa state, India. Social competence (SC) and antisocial behavior (AB) were assessed by teachers, and adolescents evaluated various areas of their own competence on a perceived competence scale. Final examination grades also were obtained as a general measure of cognitive competence. The results indicated that families of more socially competent participants tended to be verbally and emotionally expressive; democratic with regard to discipline, input, and decision making; close but not enmeshed; higher in their level of parent–adolescent communication and family ideals; and lower in external locus of control. Consequently, families of more antisocial adolescents had more conflict and enmeshment and were more external-locus-of-control oriented and either permissive or authoritarian. Finally, several personal and family demographic traits were positively associated with SC and negatively associated with AB, including gender (girls higher in SC and lower in AB than boys), age and grade (older students and those in grade 9 more competent and less problematic), education level of mothers and fathers (positively related to SC and negatively to AB), and birth order (middle children in the family lower in self-perceptions of competence than oldest or youngest children). The findings have implications for parenting and family-life education efforts in India that could have a major impact on the development of adolescent competence.     

Individual Characteristics and the Multiple Contexts of Adolescent Bullying: An Ecological Perspective

This paper uses an ecological perspective to explore the risk factors associated with bullying behaviors among a representative sample of adolescents aged 11–14 Data derived from the Health Behavior in School Children: WHO Cross-National Survey were used to model the relationship between bullying and media effects, peer and family support systems, self-efficacy, and school environment. Overall, the results of this study suggest that bullying increases among children who watch television frequently, lack teacher support, have themselves been bullied, attend schools with unfavorable environments, have emotional support from their peers, and have teachers and parents who do not place high expectations on their school performance. In addition, we found an inverse relationship between being Asian or African American, feeling left out of school activities and bullying. Our results lend support to the contention that bullying arises out of deficits in social climate, but that social support systems mediate bullying behavior irrespective of the student’s racial/ethnic characteristics, parental income levels or media influences. Because the number of friends and the ability to talk to these friends increases the likelihood of bullying, we suggest that bullying is not simply an individual response to a particular environment but is a peer-group behavior. We conclude that limiting television viewing hours, improving student’s abilities to access family support systems and improving school atmospheres are potentially useful interventions to limit bullying behavior.

国际金融危机冲击下的劳动争议新特点与工会对策研究报告

在国际金融危机及劳动法律实施等多重因素作用下,我国的劳动争议呈现出数量多、类型多、群体性劳动争议多、调处难度加大等新特点.工会面对这些新特点,应通过民主管理、协商等方式在争议发生前介入.在社会化、多元化调解大背景下发挥工会的劳动争议调解核心作用,通过仲调对接、诉调对接、委托调解等方式参与仲裁和诉讼,通过劳动争议预警等诸多方式进行应对.     

The Role of Gender in Adolescent Identity and Intimacy Decisions

This study explored the relative importance of identity and intimacy in male and female adolescent decisions. One hundred twenty adolescents responded to 16 identity/intimacy dilemmas. Females had higher identity (and lower intimacy) scores than males. Identity scores were higher in scenarios with female protagonists. A content analysis of decision explanations showed females gave more explanations than males with identity and intimacy fused. Implications for theories of psychosocial development are discussed.     

The Potential Role of Meaning in Life in the Relationship Between Bullying Victimization and Suicidal Ideation

Adolescent bullying is a common problem in schools across America. The consequences of bullying are significant, and can include severe psychological trauma and suicide. A better understanding of the mechanisms that link bullying and suicidal ideation is needed in order to develop effective prevention and intervention initiatives. Meaning in life is a potential mechanism that has not been studied in this context. It was hypothesized that meaning in life could serve as both a mediator and a moderator of the relationship between bullying victimization and suicidal ideation. As a mediator, meaning in life is considered to explain why bullying victimization leads to suicidal ideation. As a moderator, meaning in life is considered to buffer the ill effect of bullying victimization on suicidal ideation. Data collected from an ethnically diverse sample of 2,936 (50 % female), 6th–12th grade students from one urban school district in the Northeastern US were used to examine the hypotheses. The model for girls was consistent with mediation (i.e., meaning in life may explain how victimization leads to suicidal ideation). The model for boys was consistent with moderation (i.e., the ill effect of victimization on suicidal ideation was attenuated as meaning in life increased). Implications for prevention are discussed.     

A Growth Curve Analysis of the Joint Influences of Parenting Affect,Child Characteristics and Deviant Peers on Adolescent Illicit Drug Use

This study purports that parental rejection and warmth are critical to the development of adolescent drug use, and investigates a model that also considers children's vulnerability and deviant peer affiliations. It tests mediation through the proximal risk factor of deviant peers. Poisson growth curve modeling was used to examine participants from the Canadian National Longitudinal Survey of Children and Youth (NLSCY; N=2194) over 4 waves. Results indicated that parental rejection was positively related to drug use, whereas parental warmth was negatively related to it. Both effects were significant when child ADHD symptoms were taken into account. Parental rejection and warmth had differential effects over time. Deviant peer affiliations were positively associated with drug use, did not have a differential influence over time, and did not mediate the other effects. There was significant between-individual (level 2) variability in drug use. Results are discussed in light of adolescent perceptions of parent-child relationships. Research Interests: social and emotional development; family processes; adolescent problem behaviours; main area of work is about understanding risk and protective factors in typical and atypical adolescent development Department of Human Development and Applied Psychology, University of Toronto, 252 Bloor Street West, Toronto, Ontario, M5S 1V6, Canada Research Interests: social and emotional development; family interaction; child psychopathology; main area of work is about understanding emotion processes in children and in family life that help us to understand psychopathology in childrenDepartment of Human Development and Applied Psychology, University of Toronto, 252 Bloor Street West, Toronto, Ontario, M5S 1V6, Canada     

Consequences of Involvement in Distinct Patterns of Adolescent Peer and Dating Violence

Typological theoretical perspectives suggest that the consequences of involvement in peer and dating violence may depend on the particular pattern of violent behaviors that youth experience and/or engage in. Yet few studies have examined whether distinct patterns of dating and peer violence involvement differentially predict developmental outcomes. Using two waves of data, the current study examined the prospective associations between distinct patterns of peer and dating aggression and victimization, identified using latent class analysis, and a range of potential developmental outcomes in a general population sample of adolescents in the 8th to 10th grades (n?=?3068; 46% female, 58% White, 31% Black, 11% other race/ethnicity). The findings suggest that, compared to youth involved in other patterns of violence, youth involved in peer and dating violence as aggressors and victims are at greatest risk for negative sequelae, although results differed considerably for girls and boys and on the outcome variable and comparison groups being examined.     

Conceptual and Clinical Issues in the Treatment of Adolescent Alcohol and Substance Misusers

This paper describes a system of care and the clinical issues that are central to the delivery of alcoholism and for substance abuse services to adolescents. Adolescent services can be provided in a variety of settings. Criteria are identified which can distinguish which level of care is most appropriate for the presenting clinical condition of the adolescent.     

Adolescent attachment to parents and friends in relation to aspects of self-esteem

This study explored the relative influence of adolescents' perceptions of their attachment relationships with their mothers, fathers, and friends on three measures of self-esteem. The sample consisted of 493 New Zealand adolescents ranging from 13 to 19 years of age. Two dimensions of the attachment relationship were assessed: the utilization of emotional support and proximity, and the quality of affect. The major findings were as follows: utilization of emotional support and proximity from mothers, fathers, and friends was minimally related to overall self-esteem, coping abilities, and social competence. The quality of affect toward mothers and fathers was significantly related only to social competence. These findings suggest that adolescent self-esteem is more strongly associated with the quality of affect toward parents and friends than with the utilization of these target figures for support or proximity. The notion that parents and friends may contribute to different facets of self-esteem is discussed.This research is based on the first author's doctoral dissertation at the University of Auckland.Received Ph.D. from the University of Auckland, Auckland, New Zealand. Research interests are adolescent development and the development of children's health beliefs and behaviors. To whom reprint requests should be addressed at School of Occupatinal Therapy, Private Bag 92006, Auckland Institute of Technology, Auckland 1020, New Zealand.Received Ph.D. from the University of Canterbury. Main interests are in life span developmental psychology, and the development of low birthweight babies.Received Ph.D. from the Australian National University. Interests lie within life span developmental psychology and early cognitive development.     

Concurrent Trajectories of Change in Adolescent and Maternal Depressive Symptoms in the TORDIA Study

Depression has a heightened prevalence in adolescence, with approximately 15 % of adolescents experiencing a major depressive episode by age 18. Depression in adolescence also poses a risk for future distress and impairment. Despite treatment advances, many adolescents relapse after initial remission. Family context may be an important factor in the developmental trajectory of adolescent depression, and thus in enhancing treatment. This study examined concurrent change over time in adolescent and maternal depressive symptoms in the context of the Treatment of Resistant Depression in Adolescents study. Participants were 334 adolescents (mean age: 16; SD: 1.6; 70 % female, 84 % Caucasian), and their mothers (n = 241). All adolescents were clinically depressed when they entered the study and had received previous selective serotonin reuptake inhibitor (SSRI) treatment. Adolescents received acute treatment for 12 weeks and additional treatment for 12 more weeks. Adolescent depression and suicidal ideation were assessed at 0, 6, 12, 24, 48 and 72 weeks, while maternal depressive symptoms were assessed at 0, 12, 24, 48 and 72 weeks. Latent basis growth curve analyses showed a significant correlation over 72 weeks between trajectories of maternal and adolescent depressive symptoms, supporting the hypothesis of concurrent patterns of change in these variables. The trajectories were correlated more strongly in a subsample that included only dyads in which mothers reported at least one depressive symptom at baseline. Results did not show a correlation between trajectories of maternal depressive symptoms and adolescent suicidal ideation. These findings suggest that adolescent and maternal depressive symptoms change in tandem, and that treatment for adolescent depression can benefit the wider family system. Notably, most mothers in this sample had subclinical depressive symptoms. Future research might explore these trajectories in dyads with more severely depressed mothers.     

The Cultural and Developmental Significance of Parenting Processes in Adolescent Anxiety and Depression Symptoms

This study examined the cultural and developmental significance of maternal and paternal parenting processes (closeness, support, monitoring, communication, conflict, and peer approval) for measures of anxiety and depression symptoms in adolescents from Hungary, the Netherlands, Switzerland, and the United States (N=6,935). Across all cultural contexts, measures of maternal and paternal support and conflict were most consistently associated with measures of internalizing behaviors. Few differences were observed in the importance of individual parenting processes for anxiety or depression symptoms across cultures. Additionally, with the exception of maternal conflict for anxiety and depression symptoms and paternal closeness for depression symptoms, none of the parenting process dimensions differed in importance for internalizing behaviors across developmental periods (middle versus late adolescence). The investigation provides evidence of great similarity in developmental processes, both across cultural contexts and developmental periods.

A shift in emphasis: Adolescent psychotherapy and the psychology of the self

The methodology of both psychoanalysis and psychotherapy, which is that of introspection and empathy, is simply not the same as that of chemistry and physics. We are part of the system and we cannot observe without participation. Although this is a fact that we all are quite aware of, usually we treat it as an unfortunate contaminant and this then leads us to try to ignore its theoretical import. Classical psychoanalysis would do away with or minimize it by interpretation; the viewpoint of Kohut would replace it by transmuting internalizations as well as interpretations; but in psychotherapy we have an added task of assessing just how much we must work on the need for the elimination of the functional role of the therapist. To be sure, one must differentiate and clarify the so-called transference reactions related to the incestuous objects of childhood from those directed to self objects. In truth, this is an easier job in analysis, where the focus of the neurosis is enhanced and encouraged. In therapy, such clarity often is lacking or confused. The psychology of the self best allows us to determine how and when we are utilized by our patients, and to test how well they can handle our absence. The major advantage given to us by this perspective is that of being aware of the mirroring and idealizing aspects of self development.Presented as the Judith Baskin Offer Memorial Lecture. From the Institute for Psychosomatic and Psychiatric Research and Training of the Michael Reese Medical Center, Chicago, October 31, 1976.also is in private practice. Received his M.D. from the University of Illinois. Main interest is psychoanalysis.