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- The Moderated Moderation Effect of Anxiety and Self-Esteem on the Influence of Daily Stress on Non-Suicidal Self-Injury among Middle School Students
- RaeHyuck Lee
- STRESS. 2026;34(2):94-103. Published online June 30, 2026
- DOI: https://doi.org/10.17547/kjsr.2026.34.2.94
- 127 View
- 6 Download
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Abstract
PDF - Background
This study examined the moderation effect of anxiety and the moderated moderation effect of anxiety on self-esteem in the relationship between daily stress and non-suicidal self-injury (NSSI) among middle school students.
Methods
Data from 1,948 middle school students from the Teen Mental Health Survey were analyzed using regression analysis and the SPSS PROCESS Macro method.
Results
The findings revealed that daily stress had a significant positive association with NSSI. Furthermore, the moderation effect of anxiety was confirmed, indicating that the positive association between daily stress and NSSI was significantly amplified as anxiety increased. In addition, a moderated moderation effect was found, demonstrating that the moderation effect of daily stress and anxiety on NSSI varied depending on the level of self-esteem. Specifically, the negative moderation effect of daily stress and anxiety on NSSI decreased as self-esteem increased.
Conclusions
Based on the results, this study proposes intervention strategies to prevent NSSI among middle school students, focusing on improving self-esteem and reducing anxiety and daily stress.
- The Influence of School Maladjustment on Non-Suicidal Self-Injury among Adolescents: Focusing on the Moderated Mediating Effect of Anxiety According to Single-Parent Family Status
- RaeHyuck Lee, Jaekyoung Lee
- STRESS. 2025;33(3):155-162. Published online September 30, 2025
- DOI: https://doi.org/10.17547/kjsr.2025.33.3.155
- 717 View
- 30 Download
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Abstract
PDF
- Background
This study examines the influence of school maladjustment on non-suicidal self-injury among adolescents and the moderated mediating effect of anxiety according to single-parent family status.
Methods
Regression analyses were performed using raw data from a survey of teenagers’ mental health and the PROCESS Macro method.
Results
Adolescents’ school maladjustment had a positive effect on non-suicidal self-injury. In addition, the partial mediating effect of anxiety was confirmed. In other words, adolescents’ level of school maladjustment increased their level of anxiety, which in turn increased the likelihood of non-suicidal self-injurious behavior. Furthermore, the mediating effect of anxiety was moderated by single-parent family status. Specifically, the mediating effect of school maladjustment leading on non-suicidal self-injury through anxiety was more pronounced among adolescents from single-parent families than those from two-parent families.
Conclusions
Intervention plans to deal with school maladjustment and anxiety among adolescents are proposed based on these findings.
- Understanding Nonsuicidal Self-Injury in Adults Based on the Benefits and Barriers Model: Comparing Suicidal Self-Injury and Exploring Functional Differences across Frequency Levels
- Hyejin Jeon, Hoon-Jin Lee
- STRESS. 2025;33(2):63-73. Published online June 30, 2025
- DOI: https://doi.org/10.17547/kjsr.2025.33.2.63
- 2,231 View
- 51 Download
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Abstract
PDF
- Background
This study aimed to examine differences in nonsuicidal self-injury (NSSI) depending on the presence of suicidal self-injury, such as suicidal ideation or suicide attempts. It also explored patterns of change in self-harm motivation during the initiation and maintenance of NSSI, based on the Benefits and Barriers Model of NSSI.
Methods
A total of 300 adults completed the Self-Injurious Thoughts and Behaviors Interview, Inventory of Statements about Self-Injury, Difficulties in Emotion Regulation Scale, Trait Meta-Mood Scale, Depressive Experiences Questionnaire, Capability for Suicide Questionnaire, and the Interpersonal Needs Questionnaire. Group differences were analyzed.
Results
Individuals in the NSSI with suicide attempt group showed significantly higher motivations related to affect regulation, self-punishment, communication, and interpersonal needs. In contrast, the NSSI-only group exhibited significantly lower levels of emotion dysregulation, interpersonal needs, and self-criticism. Additionally, compared to the middle- and high-frequency NSSI groups, the low-frequency group reported stronger motivations related to peer bonding, interpersonal influence, and the toughness function.
Conclusions
These findings suggest that the Benefits and Barriers Model of NSSI is useful for understanding the relationship between nonsuicidal and suicidal self-injury, as well as the motivational processes involved in the maintenance of NSSI.
- Moderated Mediating Effect of Anxiety by Household Type on the Relationship between Daily Life Stress and Non-Suicidal Self-Injury among Adolescents
- RaeHyuck Lee
- STRESS. 2024;32(4):188-195. Published online December 27, 2024
- DOI: https://doi.org/10.17547/kjsr.2024.32.4.188
- 3,169 View
- 77 Download
- 5 Citations
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Abstract
PDF
- Background
This study examined the impact of adolescents’ daily life stress on non-suicidal self-injury among adolescents, focusing on the mediating role of anxiety and the moderated mediating effect of anxiety by household type (two-parent vs. single-parent households).
Methods
This study utilized data from the Korean Teenagers’ Mental Health Study, conducted by the National Youth Policy Institute and applied the PROCESS macro method for analysis.
Results
First, daily life stress significantly increased the likelihood of non-suicidal self-injury among adolescents. Second, anxiety played a full mediating role. Third, no significant difference was observed in the direct impact of daily life stress on non-suicidal self-injury between adolescents from two-parent and single-parent households. Fourth, the mediating effect of anxiety on the relationship between daily life stress and non-suicidal self-injury was more pronounced among adolescents in single-parent households than those in two-parent households.
Conclusions
The findings highlight the need for tailored interventions to deal with non-suicidal self-injuries among adolescents, particularly in the context of household type. -
Citations
Citations to this article as recorded by
- Association Between Physical Activity and Perceived Stress Among Adolescents Across Urbanicity Levels: Korea Youth Risk Behavior Survey, 2018-2023
Eunhui Kim, Chae-Been Kim, Seungho Ryu
The Asian Journal of Kinesiology.2026; 28(1): 139. CrossRef - Assessing the prevalence, characteristics and psychosocial correlates of nonsuicidal self-injury among Vietnamese adolescent psychiatric outpatients: a cross-sectional study
Hoang Yen Nguyen, Xuan Thang Pham, Cong Thien Le, Thi Thu Ha Le, Thi Thu Ha Tran, Thi Hue Doan, Thien Thang Tran, Tuan Khiem Ngo, Thi Nguyet Nga Pham, Thi Ha An Tran, Van Tuan Nguyen
Frontiers in Psychiatry.2026;[Epub] CrossRef - The Moderated Moderation Effect of Anxiety and Self-Esteem on the Influence of Daily Stress on Non-Suicidal Self-Injury among Middle School Students
RaeHyuck Lee
STRESS.2026; 34(2): 94. CrossRef - The Influence of Attention-Deficit/Hyperactivity on School Adjustment among Adolescents: Focusing on the Moderated Mediation Effect of Depression by Household Economic Status
RaeHyuck Lee
STRESS.2025; 33(1): 13. CrossRef - The Influence of School Maladjustment on Non-Suicidal Self-Injury among Adolescents: Focusing on the Moderated Mediating Effect of Anxiety According to Single-Parent Family Status
RaeHyuck Lee, Jaekyoung Lee
STRESS.2025; 33(3): 155. CrossRef
- Association Between Physical Activity and Perceived Stress Among Adolescents Across Urbanicity Levels: Korea Youth Risk Behavior Survey, 2018-2023
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