The roles of emotion regulation and ruminative thoughts in non-suicidal self-injury

Voon, David, Hasking, Penelope and Martin, Graham (2014) The roles of emotion regulation and ruminative thoughts in non-suicidal self-injury. British Journal of Clinical Psychology, 53 1: 95-113. doi:10.1111/bjc.12030

Author Voon, David
Hasking, Penelope
Martin, Graham
Title The roles of emotion regulation and ruminative thoughts in non-suicidal self-injury
Journal name British Journal of Clinical Psychology   Check publisher's open access policy
ISSN 0144-6657
Publication date 2014-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1111/bjc.12030
Open Access Status Not Open Access
Volume 53
Issue 1
Start page 95
End page 113
Total pages 19
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract
Objectives: This study explored how cognitive reappraisal, expressive suppression, and facets of ruminative thinking could be brought together in a model to explain non-suicidal self-injury (NSSI) in the context of experiencing stressful life events and psychological distress.

Methods: Data from 2,507 participants aged 12-18 years (68% female, mean age 13.93 years) recruited from 40 Australian secondary schools were analysed, including 254 participants with a history of NSSI (72% female, mean age 14.21 years). Participants completed a self-report questionnaire assessing the constructs of interest.

Results: Although meeting minimum fit indices, our hypothesized model showed poorer fit compared to an empirically derived model. There was little evidence for the mediating role of psychological distress in NSSI, and we found adverse life events, psychological distress, emotion regulation, and two facets of ruminative thinking (counterfactual thinking and anticipatory thoughts) had direct, though weak, relationships with NSSI. Among the subsample of adolescents with a history of NSSI, anticipatory rumination moderated the relationship between psychological distress and NSSI, while cognitive reappraisal demonstrated a direct, although weak relationship with NSSI.

Conclusions: Our observations suggest that, among adolescents, contextual, social, and behavioural factors may have a strong influence on NSSI and this may suggest that prevention and treatment efforts for NSSI among adolescents need to focus on contextual, social, and behavioural factors.
Keyword Non-suicidal self-injury;
Emotion regulation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 30 September 2013.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 15 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 16 times in Scopus Article | Citations
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Created: Tue, 25 Feb 2014, 20:40:07 EST by Sheila Cleary on behalf of Psychiatry - Royal Brisbane and Women's Hospital