Application of ecological momentary assessment in the study of dynamic relationships between adolescent self-injury and related factors

HUANG Yanhuan; LIU Zhen; LIU Wenjing; NI Hua; CHENG Wenhong

doi:10.11852/zgetbjzz2024-0499

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Chinese Journal of Child Health Care ›› 2025, Vol. 33 ›› Issue (7) : 765-770. DOI: 10.11852/zgetbjzz2024-0499

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Application of ecological momentary assessment in the study of dynamic relationships between adolescent self-injury and related factors

HUANG Yanhuan¹, LIU Zhen¹, LIU Wenjing¹, NI Hua², CHENG Wenhong^1,3

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Abstract

Adolescent self-injurious behavior has garnered widespread mental health concern. Ecological momentary assessment (EMA) offer a novel perspective for deeply understanding the complexity and dynamics of individual self-harm among adolescents by providing real-time monitoring of the continuous changes in self-harm ideation and behaviors, as well as their interactions with psychosocial factors within natural settings. This article outlines the application of EMA in exploring patterns of self-harm behavior and the dynamic relationships of self-injurious behavior with self-harm functions, emotional states, coping strategies and interpersonal relationships.

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self-injurious behaviors / ecological momentary assessment / adolescents

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HUANG Yanhuan, LIU Zhen, LIU Wenjing, NI Hua, CHENG Wenhong. Application of ecological momentary assessment in the study of dynamic relationships between adolescent self-injury and related factors[J]. Chinese Journal of Child Health Care. 2025, 33(7): 765-770 https://doi.org/10.11852/zgetbjzz2024-0499

References

[1] Nock MK. Self-injury[J].Annu Rev Clin Psychol, 2010, 6(1): 339-363.
[2] Nock MK. Why do people hurt themselves? New insights into the nature and functions of self-injury[J].Curr Dir Psychol Sci, 2009, 18(2): 78-83.
[3] American Psychiatric Association. Diagnostic and statistical manual of mental disorders[M].5th ed. Arlington, VA: American Psychiatric Association, 2013.
[4] Qu D, Wen X, Liu B, et al. Non-suicidal self-injury in Chinese population: A scoping review of prevalence, method, risk factors and preventive interventions[J].Lancet Reg Health West Pac, 2023, 37: 100794.
[5] Heron KE, Everhart RS, McHale SM, et al. Using mobile-technology-based ecological momentary assessment (EMA) methods with youth: A systematic review and recommendations[J].J Pediatr Psychol, 2017, 42(10): 1087-1107.
[6] Rodriguez-Blanco L, Carballo JJ, Baca-Garcia E. Use of ecological momentary assessment (EMA) in non-suicidal self-injury (NSSI): A systematic review[J].Psychiatry Res, 2018, 263: 212-219.
[7] Ammerman BA, Law KC. Using intensive time sampling methods to capture daily suicidal ideation: A systematic review[J].J Affect Disord, 2022, 299: 108-117.
[8] Czyz EK, King CA, Nahum-Shani I. Ecological assessment of daily suicidal thoughts and attempts among suicidal teens after psychiatric hospitalization: Lessons about feasibility and acceptability[J].Psychiatry Res, 2018, 267: 566-574.
[9] Glenn CR, Kleiman EM, Kearns JC, et al. Feasibility and acceptability of ecological momentary assessment with high-risk suicidal adolescents following acute psychiatric care[J].J Clin Child Adolesc Psychol, 2022, 51(1): 32-48.
[10] Esposito EC, Duan A M, Kearns JC, et al. Measuring adolescents′ self-injurious thoughts and behaviors: Comparing ecological momentary assessment to a traditional interview[J].Res Child Adolesc Psychopathol, 2022, 50(8): 1095-1105.
[11] 朱佳鑫,牛璐,侯筱菲, 等. 密集追踪方法应用于自杀研究的可行性评价[J].中国临床心理学杂志, 2024, 32(1): 46-50.
Zhu JX, Niu L, Hou XF, et al. Feasibility of ecological momentary assessment in suicide research[J].Chin J Clin Psychol, 2024, 32(1): 46-50.(in Chinese)
[12] 刘依馨,张尚,杨丽,等. 大学生自杀意念及其近端风险因素的短期动态变化探索:基于自杀人际理论[J].中国临床心理学杂志, 2022, 30(6): 1263-1269.
Liu YX, Zhang S, Yang L. Exploration of the short-term dynamic variation in suicidal ideation and its risk factors among college students: Based on interpersonal theory of suicide[J].Chin J Clin Psychol, 2022, 30(6): 1263-1269.(in Chinese)
[13] 武昱,杨丽,许晶. 有自杀史的精神科住院病人的自杀意念亚型探索[J].中国临床心理学杂志, 2022, 30(2): 276-281.
Wu Y, Yang L, Xu J. The exploration of suicidal ideation subtype in psychiatric inpatients with a history of suicide[J].Chin J Clin Psychol, 2022, 30(2): 276-281. (in Chinese)
[14] 武昱,杨丽. 自杀意念及其风险因素的短时波动探索[J].中国临床心理学杂志, 2022, 30(6): 1263-1269.
Wu Y, Yang L. Short-time fluctuation exploration of suicidal ideation and its risk factors[J].Chin J Clin Psychol. 2022, 30(6): 1263-1269.(in Chinese)
[15] Nock MK, Prinstein MJ, Sterba SK. Revealing the form and function of self-injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults[J].J Abnorm Psychol, 2009, 118(4): 816-827.
[16] Fitzpatrick S, Kranzler A, Fehling K, et al. Investigating the role of the intensity and duration of self-injury thoughts in self-injury with ecological momentary assessment[J].Psychiatry Res, 2020, 284.
[17] Nock MK, Prinstein MJ. A functional approach to the assessment of self-mutilative behavior[J].J Consult Clin Psychol, 2004, 72(5): 885-890.
[18] Nock MK, Prinstein MJ. Contextual features and behavioral functions of self-mutilation among adolescents[J].J Abnorm Psychol, 2005, 114(1): 140-146.
[19] 尹慧芳,徐浩林,刘肇瑞,等. 青少年非自杀性自伤行为的理论模型研究(综述)[J].中国心理卫生杂志, 2022, 36(8): 707-713.
Yin HF, Xu HL, Liu ZR, et al. A review of theoretical models of non-suicidal self-injury (NSSI) in adolescents[J].Chin. Ment. Health J, 2022, 36(8): 707-713.(in Chinese)
[20] Coppersmith DDL, Bentley KH, Kleiman EM, et al. Variability in the functions of non-suicidal self-injury: Evidence from three real-time monitoring studies[J].Behav Ther, 2021, 52(6): 1516-1528.
[21] Selby EA, Nock MK, Kranzler A. How does self-injury feel? Examining automatic positive reinforcement in adolescent self-injurers with experience sampling[J].Psychiatry Res, 2014, 215(2): 417-423.
[22] Czyz EK, Glenn CR, Busby D, et al. Daily patterns in nonsuicidal self-injury and coping among recently hospitalized youth at risk for suicide[J].Psychiatry Res, 2019, 281.
[23] Czyz EK, Glenn CR, Arango A, et al. Short-term associations between nonsuicidal and suicidal thoughts and behaviors: A daily diary study with high-risk adolescents[J].J Affect Disord, 2021, 292: 337-344.
[24] Reitsema AM, Jeronimus BF, Van Dijk M, et al. Emotion dynamics in children and adolescents: a meta-analytic and descriptive review[J].Emotion, 2022, 22(2): 374-396.
[25] Santangelo PS, Koenig J, Funke V, et al. Ecological momentary assessment of affective and interpersonal instability in adolescent non-suicidal self-injury[J].J Abnorm Child Psychol, 2017, 45(7): 1429-1438.
[26] Schatten HT, Brick LA, Holman CS, et al. Differential time varying associations among affective states and suicidal ideation among adolescents following hospital discharge[J].Psychiatry Res, 2021, 305: 114174.
[27] Kranzler A, Fehling K B, Lindqvist J, et al. An ecological investigation of the emotional context surrounding nonsuicidal self-injurious thoughts and behaviors in adolescents and young adults[J].Suicide Life Threat Behav, 2018, 48(2): 149-159.
[28] Kuehn KS, Dora J, Harned MS, et al. A meta-analysis on the affect regulation function of real-time self-injurious thoughts and behaviours[J].Nat Hum Behav, 2022, 6(7): 964-974.
[29] Koenig J, Klier J, Parzer P, et al. High-frequency ecological momentary assessment of emotional and interpersonal states preceding and following self-injury in female adolescents[J].Eur Child Adolesc Psychiatry, 2021, 30(8): 1299-1308.
[30] Selby EA, Franklin J, Carson-Wong A, et al. Emotional cascades and self-injury: Investigating instability of rumination and negative emotion[J].J Clin Psychol, 2013, 69(12): 1213-1227.
[31] Hughes CD, King AM, Kranzler A, et al. Anxious and overwhelming affects and repetitive negative thinking as ecological predictors of self-injurious thoughts and behaviors[J].Cogn Ther Res, 2019, 43(1): 88-101.
[32] Czyz EK, Horwitz AG, Arango A, et al. Coping with suicidal urges among youth seen in a psychiatric emergency department[J].Psychiatry Res, 2016, 241: 175-181.
[33] Al-Dajani N, Horwitz AG, Czyz EK. Does coping reduce suicidal urges in everyday life? Evidence from a daily diary study of adolescent inpatients[J].Depress Anxiety, 2022, 39(6): 496-503.
[34] Czyz EK, Koo HJ, Al-Dajani N, et al. Temporal profiles of suicidal thoughts in daily life: Results from two mobile-based monitoring studies with high-risk adolescents[J].J Psychiatr Res, 2022, 153: 56-63.
[35] Kuehn KS, Foster KT, Czyz EK, et al. Identifying person-specific coping responses to suicidal urges: A case series analysis and illustration of the idiographic method[J].Suicide Life Threat Behav, 2022, 52(3): 490-499.
[36] Van Orden KA, Witte TK, Cukrowicz KC, et al. The interpersonal theory of suicide[J].Psychol Rev, 2010, 117(2): 575-600.
[37] Czyz EK, Horwitz AG, Arango A, et al. Short-term change and prediction of suicidal ideation among adolescents: A daily diary study following psychiatric hospitalization[J].J Child Psychol Psychiatry, 2019, 60(7): 732-741.
[38] Al-Dajani N, Czyz EK. Suicidal desire in adolescents: An examination of the interpersonal psychological theory using daily diaries[J].J Clin Child Adolesc Psychol, 2022: 1-15.
[39] Czyz EK, Yap JRT, King CA, et al. Using intensive longitudinal data to identify early predictors of suicide-related outcomes in high-risk adolescents: Practical and conceptual considerations[J].Assessment, 2021, 28(8): 1949-1959.
[40] Czyz EK, Koo HJ, Al-Dajani N, et al. Predicting short-term suicidal thoughts in adolescents using machine learning: Developing decision tools to identify daily level risk after hospitalization[J].Psychol Med, 2021.
[41] Nugent NR, Armey M, Boker S, et al. Adolescents hospitalised for suicidality: Biomarkers, social and affective predictors: A cohort study[J].BMJ Open, 2022, 12(10): e056063.
[42] Fischer A, Rosner R, Renneberg B, et al. Suicidal ideation, self-injury, aggressive behavior and substance use during intensive trauma-focused treatment with exposure-based components in adolescent and young adult PTSD patients[J].Borderline Personal Disord and Emot Dysregul, 2022, 9(1):1.
[43] Czyz EK, King CA, Biermann BJ. Motivational interviewing-enhanced safety planning for adolescents at high suicide risk: A pilot randomized controlled trial[J].J Clin Child Adolesc Psychol, 2019, 48(2): 250-262.
[44] Czyz EK, King CA, Prouty D, et al. Adaptive intervention for prevention of adolescent suicidal behavior after hospitalization: A pilot sequential multiple assignment randomized trial[J].J Child Psychol Psychiatry, 2021, 62(8): 1019-1031.
[45] Webb CA, Forgeard M, Israel ES, et al. Personalized prescriptions of therapeutic skills from patient characteristics: An ecological momentary assessment approach[J].J Consult Clin Psychol, 2022, 90(1): 51-60.