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Self-reported nonsuicidal self-injury (NSSI) and sex as self-injury (SASI): Relationship to abuse, risk behaviors, trauma symptoms, self-esteem and attachment
Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Psychiatry.
Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences. Lund Univ, Sweden.
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2018 (English)In: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 265, p. 309-316Article in journal (Refereed) Published
Abstract [en]

This study focuses on a conceptually unexplored behavior among adolescents who report deliberately using sex as a means of self-injury. In a large high school-based sample (n = 5743), adolescents who engaged in sex as self injury (SASI, n = 43) were compared to adolescents who reported direct nonsuicidal self-injury (NSSI, n = 933) and those who reported both NSSI and SASI (n = 82). Re.sults showed that significantly more adolescents with SASI had experience of penetrating sexual abuse, as well as more sexual partners compared to those with NSSI. The SASI group also had higher levels of self-reported trauma symptoms, such as dissociation, posttraumatic stress and sexual concerns compared to those with NSSI, suggesting a distinct relationship between sexual abuse, trauma symptoms and engaging in sex as self-injury. There was no difference between the SASI and NSSI groups regarding experiences of emotional and physical abuse, self-esteem, parental care or overprotection or symptoms of depression, anxiety and anger. Adolescents who engaged in both NSSI + SASI stood out as a more severe and burdened group, with more experience of abuse, risk behaviors and impaired psychosocial health. Adolescents with traumatic experiences such as sexual abuse need to be assessed for SASI and vice versa.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD , 2018. Vol. 265, p. 309-316
Keywords [en]
Nonsuicidal self-injury; Sex as self-injury; Adolescents; Sexual abuse
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Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-149468DOI: 10.1016/j.psychres.2018.05.013ISI: 000435428300047PubMedID: 29778052OAI: oai:DiVA.org:liu-149468DiVA, id: diva2:1231087
Available from: 2018-07-05 Created: 2018-07-05 Last updated: 2019-05-01

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Zetterqvist, Maria

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Zetterqvist, MariaSvedin, Carl GöranFredlund, CeciliaPriebe, GiselaWadsby, MarieJonsson, Linda
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Center for Social and Affective NeuroscienceFaculty of Medicine and Health SciencesDepartment of Child and Adolescent Psychiatry in LinköpingBarnafridDepartment of Psychiatry
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