The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors
Background: Approximately one in five college students report a history of nonsuicidal self-injury. However, it is unclear how many students meet criteria for the recently proposed DSM-5 nonsuicidal self-injury disorder (NSSI-D). In this study, we used full NSSI-D criteria to identify those students...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Journal Article |
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Wiley-Liss, Inc
2018
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| Online Access: | http://hdl.handle.net/20.500.11937/67147 |
| _version_ | 1848761487776022528 |
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| author | Kiekens, G. Hasking, Penelope Claes, L. Mortier, P. Auerbach, R. Boyes, Mark Cuijpers, P. Demyttenaere, K. Green, J. Kessler, R. Nock, M. Bruffaerts, R. |
| author_facet | Kiekens, G. Hasking, Penelope Claes, L. Mortier, P. Auerbach, R. Boyes, Mark Cuijpers, P. Demyttenaere, K. Green, J. Kessler, R. Nock, M. Bruffaerts, R. |
| author_sort | Kiekens, G. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Approximately one in five college students report a history of nonsuicidal self-injury. However, it is unclear how many students meet criteria for the recently proposed DSM-5 nonsuicidal self-injury disorder (NSSI-D). In this study, we used full NSSI-D criteria to identify those students most in need of clinical care. Methods: Using data from the Leuven College Surveys (n = 4,565), we examined the 12-month prevalence of DSM-5 NSSI-D in a large and representative sample of incoming college students. We also explored the optimal frequency threshold as a function of interference in functioning due to NSSI, and examined comorbidity patterns with other 12-month mental disorders (i.e., major depressive disorder, broad mania, generalized anxiety disorder, panic disorder, and alcohol dependence) and suicidal thoughts and behaviors (STB). Results: Twelve-month NSSI-D prevalence was 0.8% and more common among females (1.1%) than males (0.4%). The proposed 5+ diagnostic threshold was confirmed as yielding highest discrimination between threshold and subthreshold cases in terms of distress or disability due to NSSI. A dose-response relationship was observed for NSSI recency-severity (i.e., 12-month NSSI-D, subthreshold 12-month NSSI-D, past NSSI, no history of NSSI) with number of 12-month mental disorders and STB. NSSI-D occurred without comorbid disorders for one in five individuals, and remained associated with severe role impairment when controlling for the number of comorbid disorders. Conclusions: These findings offer preliminary evidence that DSM-5 NSSI-D is uncommon among incoming college students, but may help to improve the deployment of targeted resource allocation to those most in need of services. More work examining the validity of NSSI-D is required. |
| first_indexed | 2025-11-14T10:32:27Z |
| format | Journal Article |
| id | curtin-20.500.11937-67147 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:32:27Z |
| publishDate | 2018 |
| publisher | Wiley-Liss, Inc |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-671472018-08-28T01:45:19Z The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors Kiekens, G. Hasking, Penelope Claes, L. Mortier, P. Auerbach, R. Boyes, Mark Cuijpers, P. Demyttenaere, K. Green, J. Kessler, R. Nock, M. Bruffaerts, R. Background: Approximately one in five college students report a history of nonsuicidal self-injury. However, it is unclear how many students meet criteria for the recently proposed DSM-5 nonsuicidal self-injury disorder (NSSI-D). In this study, we used full NSSI-D criteria to identify those students most in need of clinical care. Methods: Using data from the Leuven College Surveys (n = 4,565), we examined the 12-month prevalence of DSM-5 NSSI-D in a large and representative sample of incoming college students. We also explored the optimal frequency threshold as a function of interference in functioning due to NSSI, and examined comorbidity patterns with other 12-month mental disorders (i.e., major depressive disorder, broad mania, generalized anxiety disorder, panic disorder, and alcohol dependence) and suicidal thoughts and behaviors (STB). Results: Twelve-month NSSI-D prevalence was 0.8% and more common among females (1.1%) than males (0.4%). The proposed 5+ diagnostic threshold was confirmed as yielding highest discrimination between threshold and subthreshold cases in terms of distress or disability due to NSSI. A dose-response relationship was observed for NSSI recency-severity (i.e., 12-month NSSI-D, subthreshold 12-month NSSI-D, past NSSI, no history of NSSI) with number of 12-month mental disorders and STB. NSSI-D occurred without comorbid disorders for one in five individuals, and remained associated with severe role impairment when controlling for the number of comorbid disorders. Conclusions: These findings offer preliminary evidence that DSM-5 NSSI-D is uncommon among incoming college students, but may help to improve the deployment of targeted resource allocation to those most in need of services. More work examining the validity of NSSI-D is required. 2018 Journal Article http://hdl.handle.net/20.500.11937/67147 10.1002/da.22754 Wiley-Liss, Inc restricted |
| spellingShingle | Kiekens, G. Hasking, Penelope Claes, L. Mortier, P. Auerbach, R. Boyes, Mark Cuijpers, P. Demyttenaere, K. Green, J. Kessler, R. Nock, M. Bruffaerts, R. The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors |
| title | The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors |
| title_full | The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors |
| title_fullStr | The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors |
| title_full_unstemmed | The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors |
| title_short | The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors |
| title_sort | dsm-5 nonsuicidal self-injury disorder among incoming college students: prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors |
| url | http://hdl.handle.net/20.500.11937/67147 |