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EV1052

The role of emotion dysregulation and psychological distress in nonsuicidal self-injury among Slovak young adults

THE ROLE OF EMOTION DYSREGULATION AND MENTAL DISTRESS IN NON-SUICIDAL SELF-INJURY AMONG SLOVAK YOUNG ADULTS.

Depressive symptoms are the strongest clinical predictor of nonsuicidal self-injury among young adults, and emotion dysregulation loses its statistical significance when depression is added to the model.

The study aimed to examine the importance of emotion dysregulation and psychological distress as predictors of the prevalence of nonsuicidal self-injury (NSSI) among young adults in Slovakia. A nonclinical community sample of 350 participants (60% female, mean age 20.9 ± 2.2) was assessed between January and March 2026. Sociodemographic variables, a single-item measure of lifetime NSSI history, the Difficulties in Emotion Regulation Scale (DERS-18), and the General Health Questionnaire (GHQ-28) were used, and a three-step hierarchical logistic regression analysis (IBM SPSS 25) was conducted with NSSI as the dependent variable. Among participants, 22.9% had consulted a psychologist and 5.7% a psychiatrist; participants had received treatment for a depressive episode (N=26), a neurotic disorder (N=35), or substance use, including alcohol (N=7). The lifetime prevalence of suicidal ideation was 32.3%, suicide attempts 7.7%, and NSSI 24.8%. In the first step, younger age (OR = 0.75; 95% CI 0.65–0.87) and female sex (OR = 2.93; 95% CI 1.60–5.38) were significant predictors; in the second step, emotion dysregulation significantly increased the risk of NSSI (OR = 1.05; 95% CI 1.02–1.07). In the final step, which included the GHQ-28 dimensions, depression remained the only significant clinical predictor alongside age and sex (OR = 1.12; 95% CI 1.04–1.21), while the DERS-18 lost statistical significance (Exp(B) = 1.009; p = 0.557). In the final model, Exp(B) was 2.531 for sex (95% CI 1.296–4.941), 0.781 for age (95% CI 0.669–0.912), and 1.121 for the severe depression dimension (95% CI 1.038–1.210; p = 0.004), and the model accounted for an adequate proportion of the variance (Nagelkerke R2 = 25.3%). The findings indicate that although emotion dysregulation is associated with NSSI risk, depressive symptoms are a stronger and more proximal predictor. They underscore the importance of focusing prevention and intervention strategies on screening for and treating depressive symptoms in young adulthood, as well as identifying NSSI early.

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