Advertisement

Co-occurring Health-Risk Behaviors of Non-suicidal Self-injury and Eating Disorders

  • Jamie M. Duggan
  • Nancy L. Heath
Chapter

Abstract

Health-risk behaviors represent a form of direct and indirect self-injury, and examples include behaviors such as suicide, non-suicidal self-injury (NSSI), alcohol misuse, nicotine use, illicit and licit drug use, disordered eating behaviors, unsafe sexual practices, and other forms of risky or reckless and thrill-seeking behaviors. NSSI and eating disorders (ED) frequently co-occur with other health-risk behaviors among youth and young adults. Studies examining the prevalence of various health-risk behaviors are reviewed from clinical and community NSSI, eating disorders (ED), and NSSI/ED populations of youth and young adults. Trends and patterns regarding the scope and nature of co-occurring health-risk behaviors and NSSI/ED are discussed. Concluding comments center on the implications for the researcher and practitioner with a focus on assessment of health-risk behaviors among at-risk populations.

Keywords

Eating Disorder Eating Behavior Eating Disorder Binge Eating Bulimia Nervosa 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Boudewyn, A. C., & Liem, J. H. (1995). Psychological, interpersonal, and behavioral correlates of chronic self-destructiveness: An exploratory study. Psychological Reports, 77, 1283–1297.PubMedCrossRefGoogle Scholar
  2. Brausch, A. M., Decker, K. M., & Hadley, A. G. (2011). Risk of suicidal ideation in adolescents with both self-asphyxial risk-taking behavior and non-suicidal self-injury. Suicide and Life-Threatening Behavior, 41, 424–434.PubMedCrossRefGoogle Scholar
  3. Brausch, A. M., & Gutierrez, P. M. (2010). Differences in non-suicidal self-injury and suicide attempts in adolescents. Journal of Youth and Adolescents, 39, 233–242.CrossRefGoogle Scholar
  4. Brown, L. K., Houck, C. D., Grossman, C. I., Lescano, C. M., & Frenkel, J. L. (2008). Frequency of adolescent self-cutting as a predictor of HIV risk. Journal of Developmental and Behavioral Pediatrics, 29, 161–165.PubMedCrossRefGoogle Scholar
  5. Brown, L. K., Houck, C. D., Hadley, W. S., & Lescano, C. M. (2005). Self-cutting and sexual risk among adolescents in intensive psychiatric treatment. Psychiatric Services, 56, 216–218.PubMedCrossRefGoogle Scholar
  6. Claes, L., Jiménez-Murcia, S., Agüera, Z., Castro, R., Sánchez, I., Menchón, J. M., & Fernández-Aranda, F. (2012). Male eating disorder patients with and without non-suicidal self-injury: A comparison of psychopathological and personality features. European Eating Disorders Review, 20, 335–338.PubMedCrossRefGoogle Scholar
  7. Claes, L., Klonsky, E. D., Muehlenkamp, J., Kuppens, P., & Vandereycken, W. (2010). The affect-regulation function of non-suicidal self-injury in eating-disordered patients: Which affect states are regulated? Comprehensive Psychiatry, 51, 386–392.PubMedCrossRefGoogle Scholar
  8. Claes, L., Vanderycken, W., & Vertommen, H. (2003). Eating-disordered patients with and without self-injurious behaviours: A comparison of psychopathological features. European Eating Disorders Review, 11, 379–396.CrossRefGoogle Scholar
  9. Deliberto, T. L., & Nock, M. K. (2008). An exploratory study of correlates, onset, and offset of non-suicidal self-injury. Archives of Suicide Research, 12, 219–231.PubMedCrossRefGoogle Scholar
  10. DiClemente, R. J., Ponton, L. E., & Hartley, D. (1991). Prevalence and correlates of cutting behavior: Risk for HIV transmission. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 733–739.Google Scholar
  11. Duggan, J. M., Toste, J. R., & Heath, N. L. (2012). An examination of the relationship between body image factors and non-suicidal self-injury in young adults: The mediating influence of emotion dysregulation. Psychiatry Research, 1996, 1–9.Google Scholar
  12. Favaro, A., Ferrara, S., & Santonastaso, P. (2003). The spectrum of eating disorders in young women: A prevalence study in a general population sample. Psychosomatic Medicine, 65, 701–708.PubMedCrossRefGoogle Scholar
  13. Favazza, A. R., DeRosear, L., & Conterio, K. (1989). Self-mutilation and eating disorders. Suicide and Life-Threatening Behavior, 19, 352–361.PubMedGoogle Scholar
  14. Field, A. E., Sonneville, K. R., Micali, N., Crosby, R. D., Swanson, S. A., Laird, N. M., Treasure, J., et al. (2012). Prospective association of common eating disorders and adverse outcomes. Pediatrics, 130, 289–295.CrossRefGoogle Scholar
  15. Fisher, C. B., Higgins-D’Alessandro, A., Rau, J., Kuther, T., & Belanger, S. (1996). Referring and reporting research participants at risk: Views from urban adolescents. Child Development, 67, 2086–2100.PubMedCrossRefGoogle Scholar
  16. Gadalla, T., & Piran, N. (2007). Co-occurrence of eating disorders and alcohol use disorders in women: A meta analysis. Archives of Women's Mental Health, 10, 133–140.PubMedCrossRefGoogle Scholar
  17. Glenn, C. R., & Klonsky, E. D. (2011). Prospective prediction of non-suicidal self-injury: A 1-year longitudinal study in young adults. Behavior Therapy, 42, 751–762.PubMedCrossRefGoogle Scholar
  18. Haw, C., Hawton, K., Casey, D., Bale, E., & Shepherd, A. (2005). Alcohol dependence, excessive drinking and deliberate self-harm: Trends and patterns in Oxford, 1989–2002. Social Psychiatry and Psychiatric Epidemiology, 40, 964–971.PubMedCrossRefGoogle Scholar
  19. Haw, C., Houston, K., Townsend, E., & Hawton, K. (2002). Deliberate self-harm patients with depressive disorders: Treatment and outcome. Journal of Affective Disorders, 70, 57–65.PubMedCrossRefGoogle Scholar
  20. Hilt, L. M., Nock, M. K., Lloyd-Richardson, E. E., & Prinstein, M. J. (2008). Longitudinal study of non-suicidal self-injury among young adolescents: Rates, correlates, and preliminary test of an interpersonal model. The Journal of Early Adolescence, 28, 455–469.CrossRefGoogle Scholar
  21. Holderness, C. C., Brooks-Gunn, J., & Warren, M. P. (1994). Co-morbidity of eating disorders and substance abuse: Review of the literature. International Journal of Eating Disorders, 16, 1–34.PubMedCrossRefGoogle Scholar
  22. Hooley, J. M., & St. Germain, S. A. (2009). Expanding the conceptualization of self-injurious behavior. In M. K. Nock (Ed.), Oxford handbook of suicide and self-injury. New York: University Press.Google Scholar
  23. Hopley, A. A. B., & Nicki, R. M. (2010). Predictive factors of excessive online poker playing. Cyberpsychology, Behavior and Social Networking, 13, 379–385.PubMedCrossRefGoogle Scholar
  24. Klonsky, E. D., & Muehlenkamp, J. J. (2007). Self-injury: A research review for the practitioner. Journal of Clinical Psychology, 63, 1045–1056.PubMedCrossRefGoogle Scholar
  25. Krahn, D. D., Kurth, C. L., Gomberg, E., & Drewnowski, A. (2005). Pathological dieting and alcohol use in college women-a continuum of behaviors. Eating Behaviors, 6, 43–52.PubMedCrossRefGoogle Scholar
  26. Laye-Gindhu, A., & Schonert-Reichl, K. A. (2005). Non-suicidal self-harm among community adolescents: Understanding the “whats” and “whys” of self-harm. Journal of Youth and Adolescence, 34, 447–457.CrossRefGoogle Scholar
  27. Lewis, S. P., Heath, N. L., Michal, N. J., & Duggan, J. M. (2012). Non-suicidal self-injury, youth, and the Internet: What mental health professionals need to know. Child and Adolescent Psychiatry and Mental Health, 6, 13.PubMedCrossRefGoogle Scholar
  28. Lloyd-Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37, 1183–1192.PubMedCrossRefGoogle Scholar
  29. Lock, J., Reisel, B., & Steiner, H. (2001). Associated health risks of adolescents with disordered eating: How different are they from their peers? Results from a high school survey. Child Psychiatry and Human Development, 31, 249–265.PubMedCrossRefGoogle Scholar
  30. Matsumoto, T., & Imamura, F. (2008). Self-injury in Japanese junior and senior high-school students: Prevalence and association with substance use. Psychiatry and Clinical Neurosciences, 62, 123–125.PubMedCrossRefGoogle Scholar
  31. Miller, A. L., Muehlenkamp, J. J., & Jacobson, C. M. (2009). Special issues in treating adolescent non-suicidal self-injury. In M. K. Nock (Ed.), Understanding non-suicidal self-injury: Origins, assessment, and treatment (pp. 251–270). Washington, DC: APA.CrossRefGoogle Scholar
  32. Muehlenkamp, J. J., Peat, C. M., Claes, L., & Smits, D. (2012). Self-injury and disordered eating: Expressing emotion dysregulation through the body. Suicide and Life-Threatening Behavior, 42, 416–425.PubMedCrossRefGoogle Scholar
  33. Muehlenkamp, J. J., Swanson, J. D., & Brausch, A. M. (2005). Self-objectification, risk taking, and self-harm in college women. Psychology of Women Quarterly, 29, 24–32.CrossRefGoogle Scholar
  34. Nagata, T., Oshima, J., Wada, A., Yamada, H., & Kiriike, N. (2003). Repetitive self-mutilation among Japanese eating disorder patients with drug use disorder: Comparison with patients with methamphetamine use disorder. The Journal of Nervous and Mental Disease, 191, 319–323.PubMedGoogle Scholar
  35. Nelson, A., & Muehlenkamp, J. J. (2012). Body attitudes and objectification in non-suicidal self-injury: Comparing males and females. Archives of Suicide Research, 16, 1–12.PubMedCrossRefGoogle Scholar
  36. Neumark-Sztainer, D., Story, M., Dixon, L. B., & Murray, D. M. (1998). Adolescents engaging in unhealthy weight control behaviors: Are they at risk for other health-compromising behaviors? American Journal of Public Health, 88, 952–955.PubMedCrossRefGoogle Scholar
  37. Nock, M. K. (2010). Self-injury. Annual Review of Clinical Psychology, 6, 339–363.PubMedCrossRefGoogle Scholar
  38. Nock, M. K., Joiner, T. E., Gordon, K. H., Lloyd-Richardson, E., & Prinstein, M. J. (2006). Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Research, 144, 65–72.PubMedCrossRefGoogle Scholar
  39. Nock, M. K., Prinstein, M. J., & Sterba, S. K. (2009). Revealing the form and function of self-injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults. Journal of Abnormal Psychology, 118, 816–827.PubMedCrossRefGoogle Scholar
  40. Orbach, I. (1996). The role of body experience in self-destruction. Clinical Child Psychology and Psychiatry, 1, 607–619.CrossRefGoogle Scholar
  41. Peebles, R., Wilson, J. L., & Lock, J. D. (2011). Self-injury in adolescents with eating disorders: Correlates and provider bias. The Journal of Adolescent Health, 48, 310–313.PubMedCrossRefGoogle Scholar
  42. Piran, N., & Robinson, S. R. (2006). Associations between disordered eating behaviors and licit and illicit substance use and abuse in a university sample. Addictive Behaviors, 31, 1761–1775.PubMedCrossRefGoogle Scholar
  43. Pisetsky, E. M., Chao, Y. M., Dierker, L. C., May, A. M., & Striegel-Moore, R. H. (2008). Disordered eating and substance use in high-school students: Results from the Youth Risk Behavior Surveillance System. The International Journal of Eating Disorders, 41, 464–470.PubMedCrossRefGoogle Scholar
  44. Rodham, K., & Hawton, K. (2009). Epidemiology and phenomenology of non-suicidal self-injury. In M. Nock (Ed.), Understanding non-suicidal self-injury: Origins, assessment, and treatment (pp. 37–62). Washington, DC: APA Books.CrossRefGoogle Scholar
  45. Ross, S., & Heath, N. (2002). A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence, 31, 67–77.CrossRefGoogle Scholar
  46. Ross, S., Heath, N. L., & Toste, J. R. (2009). Non-suicidal self‐injury and eating pathology in high school students. American Journal of Orthopsychiatry, 79, 83–92.PubMedCrossRefGoogle Scholar
  47. Serras, A., Saules, K. K., Cranford, J. A., & Eisenberg, D. (2010). Self-injury, substance use, and associated risk factors in a multi-campus probability sample of college students. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 24, 119–128.CrossRefGoogle Scholar
  48. Silverman, M. M., Berman, A. L., Sanddal, N. D., Carroll, P. W. O., & Joiner, T. E. (2007). Rebuilding the tower of Babel: A revised nomenclature for the study of suicide and suicidal behaviors Part 2: Suicide-related ideations, communications, and behaviors. Suicide and Life-Threatening Behaviors, 37, 264–277.CrossRefGoogle Scholar
  49. Solano, R., Fernández Aranda, F., Aitken, A., López, C., & Vallejo, J. (2005). Self-injurious behaviour in people with eating disorders. European Eating Disorders Review, 13, 3–10.CrossRefGoogle Scholar
  50. St. Germain, S. A., & Hooley, J. M. (2012). Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction. Psychiatry Research, 197, 78–84.PubMedCrossRefGoogle Scholar
  51. Svirko, E., & Hawton, K. (2007). Self-injurious behaviour and eating disorders: The extent and nature of the association. Suicide and Life-Threatening Behavior, 37, 409–421.PubMedCrossRefGoogle Scholar
  52. Taliaferro, L. A., Muehlenkamp, J. J., Borowsky, I. W., McMorris, B. J., & Kugler, K. C. (2012). Factors distinguishing youth who report self-injurious behavior: A population-based sample. Academic Pediatrics, 12, 205–213.PubMedCrossRefGoogle Scholar
  53. Vrouva, I., Fonagy, P., Fearon, P. R. M., & Roussow, T. (2010). The risk-taking and self-harm inventory for adolescents: Development and psychometric evaluation. Psychological Assessment, 22, 852–865.PubMedCrossRefGoogle Scholar
  54. Whitlock, J., Eckenrode, J., & Silverman, D. (2006). Self-injurious behaviours in a college population. Pediatrics, 117, 1939–1948.PubMedCrossRefGoogle Scholar
  55. Wiederman, M. W., & Pryor, T. (1996). Multi-impulsivity among women with bulimia nervosa. International Journal of Eating Disorders, 20, 359–365.PubMedCrossRefGoogle Scholar
  56. Williams, F., & Hasking, P. (2010). Emotion regulation, coping and alcohol use as moderators in the relationship between non-suicidal self-injury and psychological distress. Prevention Science, 11, 33–41.PubMedCrossRefGoogle Scholar
  57. Wolfe, W. L., & Maisto, S. A. (2000). The relationship between eating disorders and substance use: Moving beyond co-prevalence research. Clinical Psychology Review, 20, 617–631.PubMedCrossRefGoogle Scholar
  58. Wu, L. T., Gersing, K., Burchett, B., Woody, G. E., & Blazer, D. G. (2011). Substance use disorders and comorbid Axis I and II psychiatric disorders among young psychiatric patients: Findings from a large electronic health records database. Journal of Psychiatric Research, 45, 1453–1462.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Department of Educational and Counseling PsychologyMcGill UniversityMontrealCanada

Personalised recommendations