Self-reported nonsuicidal self-injury (NSSI) and sex as self-injury (SASI): Relationship to abuse, risk behaviors, trauma symptoms, self-esteem and attachment

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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. / Zetterqvist, Maria; Svedin, Carl Göran; Fredlund, Cecilia; Priebe, Gisela; Wadsby, Marie; Jonsson, Linda S.

In: Psychiatry Research, Vol. 265, 01.07.2018, p. 309-316.

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Zetterqvist, Maria ; Svedin, Carl Göran ; Fredlund, Cecilia ; Priebe, Gisela ; Wadsby, Marie ; Jonsson, Linda S. / Self-reported nonsuicidal self-injury (NSSI) and sex as self-injury (SASI) : Relationship to abuse, risk behaviors, trauma symptoms, self-esteem and attachment. In: Psychiatry Research. 2018 ; Vol. 265. pp. 309-316.

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TY - JOUR

T1 - Self-reported nonsuicidal self-injury (NSSI) and sex as self-injury (SASI)

T2 - Psychiatry Research

AU - Zetterqvist, Maria

AU - Svedin, Carl Göran

AU - Fredlund, Cecilia

AU - Priebe, Gisela

AU - Wadsby, Marie

AU - Jonsson, Linda S.

PY - 2018/7/1

Y1 - 2018/7/1

N2 - 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). Results 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.

AB - 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). Results 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.

KW - Adolescents

KW - Nonsuicidal self-injury

KW - Sex as self-injury

KW - Sexual abuse

UR - http://www.scopus.com/inward/record.url?scp=85047181598&partnerID=8YFLogxK

U2 - 10.1016/j.psychres.2018.05.013

DO - 10.1016/j.psychres.2018.05.013

M3 - Article

VL - 265

SP - 309

EP - 316

JO - Psychiatry Research

JF - Psychiatry Research

SN - 1872-7123

ER -