ArticleSocial psychiatry and psychiatric epidemiology2019
Association between psychotic experiences and non-accidental self-injury: results from a nationally representative survey of adolescents.
Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 32 citations in OpenAlex.
- Psychotic-like experiences and non-suicidal self-injury in the community population: a systematic review and meta-analysis.Child and adolescent psychiatry and mental health · 2026Review
- Bullying Victimization, Non-suicidal Self-injury, and Psychotic-like Experiences in Chinese Rural Adolescents: Exploring Transactional Associations.Research on child and adolescent psychopathology · 2025Article
- Family resilience, emotional intelligence, and non-suicidal self-injury among Chinese adolescents with mental disorders: a latent variable mediation analysis.Frontiers in psychiatry · 2025Article
- Positive psychotic symptoms as a marker of clinical severity in a transdiagnostic sample of help-seeking adolescents.European child & adolescent psychiatry · 2024Article
- A Psychoeducational Workshop for the Parents of Young Voice Hearers: A Preliminary Investigation into Acceptability and Outcomes in an NHS Child and Adolescent Mental Health Service.Clinical child psychology and psychiatry · 2024Article
- Longitudinal relationships of psychotic-like experiences with suicidal ideation and self-harm in adolescents.European child & adolescent psychiatry · 2024Article
- A Deeper Dive Into the Relation Between Psychotic-like Experiences and Suicidal Ideation and Behaviors in Children Across the United States.Schizophrenia bulletin · 2022Article
- A Latent Profile Analysis of Psychotic Experiences, Non-psychotic Symptoms, Suicidal Ideation and Underlying Mechanisms in a Sample of Adolescents From the General Population.Frontiers in psychiatry · 2022Article
- Paranoia in patients attending child and adolescent mental health services.The Australian and New Zealand journal of psychiatry · 2021Article
- Mediators of the association between psychotic experiences and future non-suicidal self-injury and suicide attempts: results from a three-wave, prospective adolescent cohort study.European child & adolescent psychiatry · 2021Review
- Psychotic experiences from preadolescence to adolescence: when should we be worried about adolescent risk behaviors?European child & adolescent psychiatry · 2020Article
- Psychotic experiences and suicidal behavior: testing the influence of psycho-socioenvironmental factors.Social psychiatry and psychiatric epidemiology · 2020Article
- Evidence for Specific Associations Between Depressive Symptoms, Psychotic Experiences, and Suicidal Ideation in Chilean Adolescents From the General Population.Frontiers in psychiatry · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
purposeThe association between psychotic experiences (PEs) and non-accidental self-injury (NASI; including self-harm and suicide attempts) is well established, although variables influencing this relationship have not been comprehensively examined. This study aimed to investigate (1) the cross-sectional PE-NASI association before and after adjustment for confounders, and (2) the individual contribution of each confounding and potentially mediating variable to the association.
methodsA random sample of Australian adolescents aged 14-17 years (n = 1998) completed self-report questions regarding any self-harm, suicidality or PEs experienced in the past 12 months in 2013-2014 as part of the Young Minds Matter Survey, a national household survey. We conducted logistic regression analyses to investigate the association between NASI and PEs, after controlling for confounders (sociodemographics, substance use, and parental mental illness) as well as the influence of potential mediators (major depression, bullying, psychological distress, sleep, self-esteem, disordered eating behaviour, social isolation, and intervention factors).
resultsExcept for special messages, all PE subtypes (auditory and visual hallucinatory experiences [HEs], and two of the three delusional experiences [DEs]) were associated with NASI after adjustment for confounders (OR range: 2.60-5.21). Depression and psychological distress significantly influenced all PE-NASI associations, where depression appeared to fully explain the DE-NASI association, and partially attenuate the HE-NASI association. Variables such as parental mental illness, disordered eating behaviour, and social isolation had negligible effects in nearly all self-harm and attempted suicide models.
conclusionsAdolescents reporting any PE in the past 12 months reported increased likelihood of NASI in the same time period and, auditory HEs in particular, were strongly and independently associated with self-harm and suicide attempts. These results highlight the importance of PEs as indicators of risk of self-injurious behaviour among Australian youth.
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