TY - JOUR PY - 2018// TI - Poor family functioning mediates the link between childhood adversity and adolescent nonsuicidal self-injury JO - Journal of child psychology and psychiatry A1 - Cassels, Matthew A1 - van Harmelen, Anne-Laura A1 - Neufeld, Sharon A1 - Goodyer, Ian A1 - Jones, Peter B. A1 - Wilkinson, Paul SP - 881 EP - 887 VL - 59 IS - 8 N2 - BACKGROUND: Non-suicidal self-injury (NSSI) is a common harmful behavior during adolescence. Exposure to childhood family adversity (CFA) is associated with subsequent emergence of NSSI during adolescence. However, the pathways through which this early environmental risk may operate are not clear. AIMS: We tested four alternative hypotheses to explain the association between CFA and adolescent-onset NSSI.

METHODS: A community sample of n = 933 fourteen year olds with no history of NSSI were followed up for 3 years.

RESULTS: Poor family functioning at age 14 mediated the association between CFA before age 5 and subsequent onset of NSSI between 14 and 17 years.

CONCLUSIONS: The findings support the cumulative suboptimal environmental hazards (proximal family relationships as a mediator) hypothesis. Improving the family environment at age 14 may mitigate the effects of CFA on adolescent onset of NSSI.

© 2018 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.

Language: en

LA - en SN - 0021-9630 UR - http://dx.doi.org/10.1111/jcpp.12866 ID - ref1 ER -