Nonsuicidal self-injury in Asian versus Caucasian university students: who, how, and why?

Suicide Life Threat Behav. 2015 Apr;45(2):199-216. doi: 10.1111/sltb.12113. Epub 2014 Aug 26.

Abstract

The correlates of nonsuicidal self-injury (NSSI) among Asian and Caucasian university students; differences in the rates, frequency, forms, severity, and emotional contexts of NSSI among self-injuring students; and whether Asian students who are highly oriented toward Asian culture differed from those less oriented toward Asian culture in NSSI characteristics were investigated. University students (N = 931), including 360 Caucasian students (n = 95, 26.4%, with a history of ≥ 1 episode of NSSI) and 571 Asian students (n = 107, 18.7%, with a history of NSSI), completed questionnaires assessing NSSI, acculturation, and putative risk factors for NSSI. Caucasian students were more likely to report NSSI, particularly cutting behavior, self-injured with greater frequency and versatility, and reported greater increases in positively valenced, high arousal emotions following NSSI, compared to Asian students. Among Asian students, obsessive-compulsive symptoms, experiential avoidance, and anger suppression increased the likelihood of reporting a history of NSSI. Among Caucasian students, lack of emotional clarity and anger suppression increased likelihood of NSSI. Finally, some tentative findings suggested potentially important differences in rates and frequency of NSSI among Asian students who were highly oriented toward Asian culture compared with those less oriented toward Asian culture.

MeSH terms

  • Adolescent
  • Adult
  • Anger
  • Arousal
  • Asian People / psychology
  • Asian People / statistics & numerical data
  • Canada / epidemiology
  • Emotions
  • Ethnopsychology / methods
  • Female
  • Humans
  • Male
  • Risk Factors
  • Self-Injurious Behavior* / ethnology
  • Self-Injurious Behavior* / psychology
  • Students* / psychology
  • Students* / statistics & numerical data
  • Surveys and Questionnaires
  • Universities / statistics & numerical data
  • White People / psychology
  • White People / statistics & numerical data