TY - JOUR PY - 2015// TI - Out of the blue: untangling the association between impulsivity and planning in self-harm JO - Journal of affective disorders A1 - Rawlings, Jodie A1 - Shevlin, Mark A1 - Corcoran, Rhiannon A1 - Morriss, Richard A1 - Taylor, Peter James SP - 29 EP - 35 VL - 184 IS - N2 - BACKGROUND: Planned and unplanned acts of self-harm may have distinct clinical and psychological correlates. Trait impulsivity is one factor that might be expected to determine whether self-harm is planned. Research so far has focussed on suicide attempts and little is known about how individuals engaging in planned and unplanned acts of self-harm differ. The aim of the current study was to examine how individuals who report planned self-harm, unplanned self-harm, and no self-harm differ in terms of impulsivity and affective symptoms (depression, anxiety, and activated mood).

METHOD: An online survey of University students (n=1350) was undertaken including measures of impulsivity, affective symptoms and self-harm. Analyses made use of a multinomial logistic regression model with affective and cognitive forms of impulsivity estimated as latent variables.

RESULTS: Trait affective impulsivity, but not cognitive, was a general risk factor for whether self-harm occurred. There was no evidence of differences between planned and unplanned self-harm. Affective symptoms of depression and anxiety mediated the relationship between affective impulsivity and self-harm. LIMITATIONS: The study was cross-sectional, relied on a student sample which may not generalise to other populations.

CONCLUSIONS: Trait affective impulsivity is associated with self-harm but it appears to be mediated by depression and anxiety symptoms. The exact relationships between trait affective impulsivity, depression, anxiety and self-harm require further longitudinal research in clinical populations but might lead to improved risk assessment and new therapeutic approaches to self-harm.

Language: en

LA - en SN - 0165-0327 UR - http://dx.doi.org/10.1016/j.jad.2015.05.042 ID - ref1 ER -