Psychotic-Like Experiences and Nonsuicidal Self-Injury in England: Results from a National Survey [corrected].

BACKGROUND:Little is known about the association between psychotic-like experiences (PLEs) and nonsuicidal self-injury (NSSI) in the general adult population. Thus, the aim of this study was to examine the association using nationally-representative data from England. METHODS:Data from the 2007 Adul...

Full description

Bibliographic Details
Main Authors: Ai Koyanagi, Andrew Stickley, Josep Maria Haro
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4689421?pdf=render
id doaj-dafde5b19c1d42d1b3288cdc652e6333
record_format Article
spelling doaj-dafde5b19c1d42d1b3288cdc652e63332020-11-25T01:58:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011012e014553310.1371/journal.pone.0145533Psychotic-Like Experiences and Nonsuicidal Self-Injury in England: Results from a National Survey [corrected].Ai KoyanagiAndrew StickleyJosep Maria HaroBACKGROUND:Little is known about the association between psychotic-like experiences (PLEs) and nonsuicidal self-injury (NSSI) in the general adult population. Thus, the aim of this study was to examine the association using nationally-representative data from England. METHODS:Data from the 2007 Adult Psychiatric Morbidity Survey was analyzed. The sample consisted of 7403 adults aged ≥ 16 years. Five forms of PLEs (mania/hypomania, thought control, paranoia, strange experience, auditory hallucination) were assessed with the Psychosis Screening Questionnaire. The association between PLEs and NSSI was assessed by multivariable logistic regression. Hierarchical models were constructed to evaluate the influence of alcohol and drug dependence, common mental disorders, and borderline personality disorder symptoms on this association. RESULTS:The prevalence of NSSI was 4.7% (female 5.2% and male 4.2%), while the figures among those with and without any PLEs were 19.2% and 3.9% respectively. In a regression model adjusted for sociodemographic factors and stressful life events, most types of PLE were significantly associated with NSSI: paranoia (OR 3.57; 95%CI 1.96-6.52), thought control (OR 2.45; 95%CI 1.05-5.74), strange experience (OR 3.13; 95%CI 1.99-4.93), auditory hallucination (OR 4.03; 95%CI 1.56-10.42), and any PLE (OR 2.78; 95%CI 1.88-4.11). The inclusion of borderline personality disorder symptoms in the models had a strong influence on the association between PLEs and NSSI as evidenced by a large attenuation in the ORs for PLEs, with only paranoia continuing to be significantly associated with NSSI. Substance dependence and common mental disorders had little influence on the association between PLEs and NSSI. CONCLUSIONS:Borderline personality disorder symptoms may be an important factor in the link between PLEs and NSSI. Future studies on PLEs and NSSI should take these symptoms into account.http://europepmc.org/articles/PMC4689421?pdf=render
collection DOAJ
language English
format Article
sources DOAJ
author Ai Koyanagi
Andrew Stickley
Josep Maria Haro
spellingShingle Ai Koyanagi
Andrew Stickley
Josep Maria Haro
Psychotic-Like Experiences and Nonsuicidal Self-Injury in England: Results from a National Survey [corrected].
PLoS ONE
author_facet Ai Koyanagi
Andrew Stickley
Josep Maria Haro
author_sort Ai Koyanagi
title Psychotic-Like Experiences and Nonsuicidal Self-Injury in England: Results from a National Survey [corrected].
title_short Psychotic-Like Experiences and Nonsuicidal Self-Injury in England: Results from a National Survey [corrected].
title_full Psychotic-Like Experiences and Nonsuicidal Self-Injury in England: Results from a National Survey [corrected].
title_fullStr Psychotic-Like Experiences and Nonsuicidal Self-Injury in England: Results from a National Survey [corrected].
title_full_unstemmed Psychotic-Like Experiences and Nonsuicidal Self-Injury in England: Results from a National Survey [corrected].
title_sort psychotic-like experiences and nonsuicidal self-injury in england: results from a national survey [corrected].
publisher Public Library of Science (PLoS)
series PLoS ONE
issn 1932-6203
publishDate 2015-01-01
description BACKGROUND:Little is known about the association between psychotic-like experiences (PLEs) and nonsuicidal self-injury (NSSI) in the general adult population. Thus, the aim of this study was to examine the association using nationally-representative data from England. METHODS:Data from the 2007 Adult Psychiatric Morbidity Survey was analyzed. The sample consisted of 7403 adults aged ≥ 16 years. Five forms of PLEs (mania/hypomania, thought control, paranoia, strange experience, auditory hallucination) were assessed with the Psychosis Screening Questionnaire. The association between PLEs and NSSI was assessed by multivariable logistic regression. Hierarchical models were constructed to evaluate the influence of alcohol and drug dependence, common mental disorders, and borderline personality disorder symptoms on this association. RESULTS:The prevalence of NSSI was 4.7% (female 5.2% and male 4.2%), while the figures among those with and without any PLEs were 19.2% and 3.9% respectively. In a regression model adjusted for sociodemographic factors and stressful life events, most types of PLE were significantly associated with NSSI: paranoia (OR 3.57; 95%CI 1.96-6.52), thought control (OR 2.45; 95%CI 1.05-5.74), strange experience (OR 3.13; 95%CI 1.99-4.93), auditory hallucination (OR 4.03; 95%CI 1.56-10.42), and any PLE (OR 2.78; 95%CI 1.88-4.11). The inclusion of borderline personality disorder symptoms in the models had a strong influence on the association between PLEs and NSSI as evidenced by a large attenuation in the ORs for PLEs, with only paranoia continuing to be significantly associated with NSSI. Substance dependence and common mental disorders had little influence on the association between PLEs and NSSI. CONCLUSIONS:Borderline personality disorder symptoms may be an important factor in the link between PLEs and NSSI. Future studies on PLEs and NSSI should take these symptoms into account.
url http://europepmc.org/articles/PMC4689421?pdf=render
work_keys_str_mv AT aikoyanagi psychoticlikeexperiencesandnonsuicidalselfinjuryinenglandresultsfromanationalsurveycorrected
AT andrewstickley psychoticlikeexperiencesandnonsuicidalselfinjuryinenglandresultsfromanationalsurveycorrected
AT josepmariaharo psychoticlikeexperiencesandnonsuicidalselfinjuryinenglandresultsfromanationalsurveycorrected
_version_ 1724966987759616000