STRESS

Original Articles

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

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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

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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

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4 Citations

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 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

Preliminary Validation of the Korean Version of the Alexian Brothers Urge to Self-Injure Scale (ABUSI-K): Min-kyeong Kim, Myoung-Ho Hyun, Seo Jeong Lee; STRESS. 2023;31(4):182-188. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.182

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Abstract PDF: Background
This study aimed to validate the Korean version of the Alexian-Brothers Urge to Self-injure Scale (ABUSI) for measuring non-suicidal self-injury urges.
Methods
Analysis was conducted on a sample of 389 adult men and women who had inflicted self-harm without suicidal intent within three years. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was conducted to confirm the single factor of the scale, and convergent validity was assessed to establish the relationship between ABUSI-K and Negative Urgency (UPPS-P), Self-Criticism/Attacking and Reassurance (FSCRS), and Self-Injurious Thoughts and Behaviors Interview (SITBI).
Results
The Korean version of the Alexian-Brothers Urge to Self-Injure Scale (ABUSI-K) showed high internal consistency and, like the original scale, was confirmed to be a single-factor scale measuring the urge to self-injure. Convergent validity with negative urgency, self-criticism/self-attacking and self-reassuring, the NSSI module of self-injurious thoughts and behaviors, and depression and anxiety were also significant, indicating that ABUSI-K’s psychometric benefits are confirmed.
Conclusions
The results of this study will provide a multifaceted understanding of self-injury without suicidal intent and the urges that occur before self-injury. They are expected to be useful in clinical interventions for individuals who have engaged in non-suicidal self-injuries.

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