@article{ref1,
title="The development of first-episode direct self-injurious behavior and association with difficulties in emotional regulation in adolescence",
journal="Suicide and life-threatening behavior",
year="2018",
author="Palmer, Colin and Connor, Charlotte and Channa, Sunita and Lavis, Anna and Leung, Newman and Parsons, Nick and Birchwood, Max",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Self-harm remains a serious public health concern; however, identifying adolescents at risk is challenging. While self-harm has been linked with difficulties in emotional regulation postinjury, comparatively little is known about how such difficulties may impact on the future development of self-harm behavior. <br><br>METHODS: A total of 318 pupils aged 14-15 years completed measures on history of direct self-injurious behavior (D-SIB), emotional regulation, depression, and anxiety at two time points across a six-month period. <br><br>RESULTS: Of 13% (42) of participants reported their first episode of D-SIB over the six-month period and reported increased difficulties with emotional regulation prior to initial D-SIB. Regression analyses found significant associations for emotional regulation and specifically lack of emotional clarity prior to first episode of D-SIB. Lack of emotional awareness and difficulties with impulse control was significantly associated in those with ongoing D-SIB. <br><br>CONCLUSIONS: Prior to first episode of D-SIB, young people may experience difficulty regulating emotions, a difficulty which appears less pronounced following their engagement with D-SIB. Our findings implicate difficulties in the early evaluation and understanding of emotions which may later impair attempts at emotion modulation and increase risk of D-SIB. Such findings might help inform early identification of adolescents at risk of initial D-SIB.<br><br>© 2018 The American Association of Suicidology.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12512",
url="http://dx.doi.org/10.1111/sltb.12512"
}