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An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA.
Psychol Med 2009; 39(9):1549-58PM

Abstract

BACKGROUND

This study examined the prevalence of non-suicidal self-injury (NSSI), suicide attempts, suicide threats and suicidal ideation in a German school sample and compared the rates with a similar sample of adolescents from the midwestern USA by using cross-nationally validated assessment tools.

METHOD

Data were provided from 665 adolescents (mean age 14.8 years, S.D.=0.66, range 14-17 years) in a school setting. Students completed the Self-Harm Behavior Questionnaire (SHBQ), the Ottawa Self-Injury Inventory (OSI) and a German version of the Center for Epidemiological Studies-Depression Scale (CES-D).

RESULTS

A quarter of the participants (25.6%) endorsed at least one act of NSSI in their life, and 9.5% of those students answered that they had hurt themselves repetitively (more than four times). Forty-three (6.5%) of the students reported a history of a suicide attempt. No statistically significant differences were observed between the German and US samples in terms of self-injury or suicidal behaviors.

CONCLUSIONS

By using the same validated assessment tools, no differences were found in the prevalence and characteristics of self-injury and suicidal behaviors between adolescents from Germany and the USA. Thus, it seems that NSSI has to be understood as worldwide phenomenon, at least in Western cultures.

Authors+Show Affiliations

Department of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Germany. paul.plener@uniklinik-ulm.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19171079

Citation

Plener, P L., et al. "An International Comparison of Adolescent Non-suicidal Self-injury (NSSI) and Suicide Attempts: Germany and the USA." Psychological Medicine, vol. 39, no. 9, 2009, pp. 1549-58.
Plener PL, Libal G, Keller F, et al. An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. Psychol Med. 2009;39(9):1549-58.
Plener, P. L., Libal, G., Keller, F., Fegert, J. M., & Muehlenkamp, J. J. (2009). An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. Psychological Medicine, 39(9), pp. 1549-58. doi:10.1017/S0033291708005114.
Plener PL, et al. An International Comparison of Adolescent Non-suicidal Self-injury (NSSI) and Suicide Attempts: Germany and the USA. Psychol Med. 2009;39(9):1549-58. PubMed PMID: 19171079.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. AU - Plener,P L, AU - Libal,G, AU - Keller,F, AU - Fegert,J M, AU - Muehlenkamp,J J, Y1 - 2009/01/27/ PY - 2009/1/28/entrez PY - 2009/1/28/pubmed PY - 2009/10/21/medline SP - 1549 EP - 58 JF - Psychological medicine JO - Psychol Med VL - 39 IS - 9 N2 - BACKGROUND: This study examined the prevalence of non-suicidal self-injury (NSSI), suicide attempts, suicide threats and suicidal ideation in a German school sample and compared the rates with a similar sample of adolescents from the midwestern USA by using cross-nationally validated assessment tools. METHOD: Data were provided from 665 adolescents (mean age 14.8 years, S.D.=0.66, range 14-17 years) in a school setting. Students completed the Self-Harm Behavior Questionnaire (SHBQ), the Ottawa Self-Injury Inventory (OSI) and a German version of the Center for Epidemiological Studies-Depression Scale (CES-D). RESULTS: A quarter of the participants (25.6%) endorsed at least one act of NSSI in their life, and 9.5% of those students answered that they had hurt themselves repetitively (more than four times). Forty-three (6.5%) of the students reported a history of a suicide attempt. No statistically significant differences were observed between the German and US samples in terms of self-injury or suicidal behaviors. CONCLUSIONS: By using the same validated assessment tools, no differences were found in the prevalence and characteristics of self-injury and suicidal behaviors between adolescents from Germany and the USA. Thus, it seems that NSSI has to be understood as worldwide phenomenon, at least in Western cultures. SN - 1469-8978 UR - https://www.unboundmedicine.com/medline/citation/19171079/An_international_comparison_of_adolescent_non_suicidal_self_injury__NSSI__and_suicide_attempts:_Germany_and_the_USA_ L2 - https://www.cambridge.org/core/product/identifier/S0033291708005114/type/journal_article DB - PRIME DP - Unbound Medicine ER -