Clinical and psychological predictors of non-suicidal self-injurious behavior in individuals of draft age with addictive disorders

Evseev V.D.; Bokhan N.A.; Mandel A.I.; Krasnyatova Y.A.

doi:https://doi.org/10.17116/jnevro202612606171

Evseev V.D.

Mental Health Research Institute — Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, Russia;
Tomsk Regional Narcological Dispensary, Tomsk, Russia

ORCID: 0000-0002-5078-1664

Bokhan N.A.

Mental Health Research Institute — Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, Russia;
Siberian State Medical University, Tomsk, Russia

ORCID: 0000-0002-1052-855X

Mandel A.I.

Mental Health Research Institute — Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, Russia

ORCID: 0000-0002-6020-6604

Krasnyatova Y.A.

Siberian State Medical University, Tomsk, Russia;
Tomsk Regional Narcological Dispensary, Tomsk, Russia

ORCID: 0009-0001-4285-1204

Clinical and psychological predictors of non-suicidal self-injurious behavior in individuals of draft age with addictive disorders

Authors:

Evseev V.D., Bokhan N.A., Mandel A.I., Krasnyatova Y.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2026;126(6): 71‑79

DOI: 10.17116/jnevro202612606171

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To cite this article:

Evseev VD, Bokhan NA, Mandel AI, Krasnyatova YA. Clinical and psychological predictors of non-suicidal self-injurious behavior in individuals of draft age with addictive disorders. S.S. Korsakov Journal of Neurology and Psychiatry. 2026;126(6):71‑79. (In Russ.)
https://doi.org/10.17116/jnevro202612606171

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)

Использование инфографики авторами научных работ

OBJECTIVE

To examine the types of addictive disorders and the prevalence of non-suicidal self-injurious behavior (NSIB) among individuals of military age, while identifying clinical and psychological predictors of non-suicidal self-injuries.

MATERIAL AND METHODS

In total, 138 young individuals of military age (18—30 years, median age 25.5 years) diagnosed with addictive disorders were assessed. Several clinical, psychopathological, and psychometric assessment tools were utilized, including the Five Factor Personality Questionnaire (5PFQ), the Buss and Perry Aggression Questionnaire (BPAQ), the Beck Anxiety Inventory (Beck-A), the Beck Depression Inventory (Beck-D), and the Self-Injurious Behavior Questionnaire. The statistical analysis included χ² tests, the Mann—Whitney U test, and multiple logistic regression.

RESULTS

The prevalence of NSIB in the clinical group was 37.7%. The types of addictive disorders included F10.2 (26%), F19.2 (21%), F11.2 (13.7%), F12.1 (12.4%), F19.1 (8.7%), and F10.1 (5.8%). Individuals with NSIB demonstrated an earlier onset of substance use, elevated scores on anxiety and depression scales, increased aggression, low self-esteem, and a distinct personality profile characterized by high neuroticism and low conscientiousness. The logistic regression model identified several clinical and psychological predictors of NSIB: neuroticism (odds ratio [OR]=1.63), suicidal ideation (OR=4.00), anxiety levels (OR=1.11), early onset of substance use (OR=0.83), dysfunctional family relationships (OR=2.64), and the specific nature of the addiction (polydrug addiction; OR=2.44). This model explains 49.6% of the variability (Nagelkerke R²).

CONCLUSIONS

Self-destructive behavior among individuals of military age with addictive disorders serves as an indicator of a severe comorbid course and is associated with a specific personality profile, elevated affective tension, and a negative family environment. The identified predictors highlight the need for proactive screening for NSIB and the development of targeted programs to address emotional regulation and impulsivity in this clinical population.

Keywords:

military age individuals

addictive disorders

alcohol

drugs

psychoactive substances (PAS)

non-suicidal self-injurious behavior

predictors of self-injury

Authors:

Evseev V.D.

Mental Health Research Institute — Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, Russia;
Tomsk Regional Narcological Dispensary, Tomsk, Russia

ORCID: 0000-0002-5078-1664

Bokhan N.A.

Mental Health Research Institute — Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, Russia;
Siberian State Medical University, Tomsk, Russia

ORCID: 0000-0002-1052-855X

Mandel A.I.

Mental Health Research Institute — Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, Russia

ORCID: 0000-0002-6020-6604

Krasnyatova Y.A.

Siberian State Medical University, Tomsk, Russia;
Tomsk Regional Narcological Dispensary, Tomsk, Russia

ORCID: 0009-0001-4285-1204

Received:

04.02.2025

Accepted:

17.03.2026

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References:

Govorin NV, Sakharov AV, Stupina OP, et al. Psihicheskoe zdorov’e prizyvnogo kontingenta. Chita: Express Publishing House. 2011;204. (In Russ.)
Bohan NA, Evseev VD, Mandel AI. Prevalence of mental and drug-related disorders among conscripts in the regions of the Russian Federation. Social and clinical psychiatry. 2019;29(3):102-108. (In Russ.).
Bohan NA, Evseev VD, Mandel AI. Structure and prevalence of mental and behavioral disorders in persons of military age in the Tomsk region in 2016—2018. Siberian Herald of Psychiatry and Addiction Psychiatry. 2019;4(105):26-33. (In Russ.). https://doi.org/10.26617/1810-3111-2019-4(105)-26-33
Yanina MV, Rodionov AA, Solovyova AV, et al. The prevalence and structure of newly identified chronic diseases among conscripts during initial military registration. Problems of standardization in healthcare. 2023;5-6:28-32. (In Russ.). https://doi.org/10.26347/1607-2502202305-06028-032
Evseev VD, Mandel AI. The prevalence of mental and drug-related disorders among the military personnel of the Tomsk Region municipality. Siberian Herald of Psychiatry and Addiction Psychiatry. 2018;3(100):40-45. (In Russ.). https://doi.org/10.26617/1810-3111-2018-3(100)-40-45
Teslenko VR, Tyukov YuA, Kochin NE. Assessment of social functioning and psychological well-being of young people of military age. Bulletin of the South Ural State University. 2012;42:70-72. (In Russ.).
Govorin NV, Kichigina IV, Sakharov AV. Mental and narcological pathology in conscripts in the Trans-Baikal Territory. Scientific notes of the N.G. Chernyshevsky Zabaikalsky State Humanitarian Pedagogical University. 2013;1:131-138. (In Russ.).
Bohan NA, Evseev VD, Mandel AI. Sexual dysfunctions in the clinic of opioid addiction. Narcology. 2012;11:9(129):61-64. (In Russ.).
Walsh BW. Treating self-injury. 2014;413. ISBN 9781462518876.
Nitkowski D, Petermann F. Non-suicidal self-injury and comorbid mental disorders: a review. Fortschr Neurol Psychiatr. 2011;79(1):9-20. https://doi.org/10.1055/s-0029-1245772
Andover MS. Non-suicidal self-injury disorder in a community sample of adults. Psychiatry Res. 2014;219(2):305-310. https://doi.org/10.1016/j.psychres.2014.06.001
In-Albon T, Ruf C, Schmid M. Proposed diagnostic criteria for the DSM5 of nonsuicidal self-injury in female adolescents: diagnostic and clinical correlates. Psychiatry J. 2013;2013:159208. https://doi.org/10.1155/2013/159208
Andrewes HE, Hulbert C, Cotton SM, et al. Relationships between the frequency and severity of non-suicidal self-injury and suicide attempts in youth with borderline personality disorder. Early Interv Psychiatry. 2019;13(2):194-201. https://doi.org/10.1111/eip.12461
Striley CW, Nutley SK, Hoeflich CC. E-cigarettes and non-suicidal self-injury: Prevalence of risk behavior and variation by substance inhaled. Front Psychiatry. 2022;6:13:911136. https://doi.org/10.3389/fpsyt.2022.911136
Chitty KM, Cvejic RC, Heintze T, et al. The Association Between Problematic Use of Alcohol and Drugs and Repeat Self-Harm and Suicidal Ideation. Crisis. 2023;44(4):309-317. https://doi.org/10.1027/0227-5910/a000880
Ribeiro JD, Franklin JC, Fox KR, et al. Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: a meta-analysis of longitudinal studies. Psychol Med. 2016;46(2):225-236. https://doi.org/10.1017/S0033291715001804
Liu RT, Walsh RFL, Sheehan AE, et al. Prevalence and Correlates of Suicide and Nonsuicidal Self-injury in Children: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2022;1;79(7):718-726. https://doi.org/10.1001/jamapsychiatry.2022.1256
Evseev VD, Bokhan NA, Mandel AI, et al. Association of Non-Suicidal Self-Harm with Anxiety, Depression and Aggressive Behavior in Young Men of Military Age. Psikhiatriya. 2022;20(4):27-35. (In Russ.). https://doi.org/10.30629/2618-6667-2022-20-4-27-35
Evseev VD, Peshkovskaya AG, Bokhan NA, et al. A screening study of non-suicidal forms self-injuri ous behavior in persons of draft age. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(8):54-60. (In Russ.). https://doi.org/10.17116/jnevro202112108154
Polskaya NA. Causes of self-harm in youth (based on the self-report scale). Counseling psychology and psychotherapy. 2014;2(81):140-152. (In Russ.).