Tags

Type your tag names separated by a space and hit enter

Adolescent self-injurers: Comparing non-ideators, suicide ideators, and suicide attempters.
J Psychiatr Res. 2017 01; 84:105-112.JP

Abstract

Adolescent non-suicidal self-injury (NSSI) and suicidality are serious health concerns; however, factors that contribute to the transition from NSSI to suicide ideation and suicide attempts are unclear. To address this gap, we investigated whether demographic characteristics, child maltreatment, and psychiatric factors are associated with the level suicidality among adolescents with a history of self-injury. Participants were three groups of adolescent inpatient self-injurers (n = 397, 317 female), aged 13-18 years (M = 15.44, SD = 1.36): (a) non-ideators (n = 96; no current suicide ideation and no lifetime suicide attempts), (b) suicide ideators (n = 149; current ideation and no lifetime attempts), and (c) suicide attempters (n = 152; current ideation and at least one lifetime attempt). Participants completed interviews assessing psychiatric diagnoses, suicidality, and NSSI characteristics, as well as questionnaires on childhood trauma, psychiatric symptoms, and risky behavior engagement. Depression severity was associated with greater odds being a suicide ideator (p < 0.001, OR = 1.04) and an attempter (p < 0.001, OR = 1.05) compared to a non-ideator. Suicide attempters used more NSSI methods and reported greater risky behavior engagement than non-ideators (p = 0.03, OR = 1.29 and p = 0.03, OR = 1.06, respectively) and ideators (p = 0.015, OR = 1.25 and p = 0.04, OR = 1.05, respectively); attempters used more severe NSSI methods (e.g., burning). Our results identify a wide range of risk markers for increasing lethality in a sample at high risk for suicide mortality; future research is needed to refine risk assessments for adolescent self-injurers and determine the clinical utility of using risk markers for screening and intervention.

Authors+Show Affiliations

Department of Psychiatry, Harvard Medical School, McLean Hospital, Center for Depression, Anxiety and Stress Research, Belmont, MA, USA. Electronic address: jstewart@mclean.harvard.edu.Department of Psychiatry, Harvard Medical School, McLean Hospital, Center for Depression, Anxiety and Stress Research, Belmont, MA, USA.Department of Clinical and Social Sciences in Psychology, University of Rochester, Rochester, NY, USA.Health Behavior Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, MD, USA; Department of Social and Behavioral Sciences and Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA, USA.Department of Psychiatry, Harvard Medical School, McLean Hospital, Center for Depression, Anxiety and Stress Research, Belmont, MA, USA.Department of Psychiatry, Harvard Medical School, McLean Hospital, Center for Depression, Anxiety and Stress Research, Belmont, MA, USA.Department of Psychiatry, Harvard Medical School, McLean Hospital, Center for Depression, Anxiety and Stress Research, Belmont, MA, USA.

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, N.I.H., Intramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27716512

Citation

Stewart, Jeremy G., et al. "Adolescent Self-injurers: Comparing Non-ideators, Suicide Ideators, and Suicide Attempters." Journal of Psychiatric Research, vol. 84, 2017, pp. 105-112.
Stewart JG, Esposito EC, Glenn CR, et al. Adolescent self-injurers: Comparing non-ideators, suicide ideators, and suicide attempters. J Psychiatr Res. 2017;84:105-112.
Stewart, J. G., Esposito, E. C., Glenn, C. R., Gilman, S. E., Pridgen, B., Gold, J., & Auerbach, R. P. (2017). Adolescent self-injurers: Comparing non-ideators, suicide ideators, and suicide attempters. Journal of Psychiatric Research, 84, 105-112. https://doi.org/10.1016/j.jpsychires.2016.09.031
Stewart JG, et al. Adolescent Self-injurers: Comparing Non-ideators, Suicide Ideators, and Suicide Attempters. J Psychiatr Res. 2017;84:105-112. PubMed PMID: 27716512.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adolescent self-injurers: Comparing non-ideators, suicide ideators, and suicide attempters. AU - Stewart,Jeremy G, AU - Esposito,Erika C, AU - Glenn,Catherine R, AU - Gilman,Stephen E, AU - Pridgen,Bryan, AU - Gold,Joseph, AU - Auerbach,Randy P, Y1 - 2016/09/30/ PY - 2016/05/10/received PY - 2016/08/03/revised PY - 2016/09/29/accepted PY - 2016/10/8/pubmed PY - 2017/9/12/medline PY - 2016/10/8/entrez KW - Adolescence KW - Inpatients KW - Non-suicidal self-injury KW - Risky behavior engagement KW - Suicide attempts KW - Suicide ideation SP - 105 EP - 112 JF - Journal of psychiatric research JO - J Psychiatr Res VL - 84 N2 - Adolescent non-suicidal self-injury (NSSI) and suicidality are serious health concerns; however, factors that contribute to the transition from NSSI to suicide ideation and suicide attempts are unclear. To address this gap, we investigated whether demographic characteristics, child maltreatment, and psychiatric factors are associated with the level suicidality among adolescents with a history of self-injury. Participants were three groups of adolescent inpatient self-injurers (n = 397, 317 female), aged 13-18 years (M = 15.44, SD = 1.36): (a) non-ideators (n = 96; no current suicide ideation and no lifetime suicide attempts), (b) suicide ideators (n = 149; current ideation and no lifetime attempts), and (c) suicide attempters (n = 152; current ideation and at least one lifetime attempt). Participants completed interviews assessing psychiatric diagnoses, suicidality, and NSSI characteristics, as well as questionnaires on childhood trauma, psychiatric symptoms, and risky behavior engagement. Depression severity was associated with greater odds being a suicide ideator (p < 0.001, OR = 1.04) and an attempter (p < 0.001, OR = 1.05) compared to a non-ideator. Suicide attempters used more NSSI methods and reported greater risky behavior engagement than non-ideators (p = 0.03, OR = 1.29 and p = 0.03, OR = 1.06, respectively) and ideators (p = 0.015, OR = 1.25 and p = 0.04, OR = 1.05, respectively); attempters used more severe NSSI methods (e.g., burning). Our results identify a wide range of risk markers for increasing lethality in a sample at high risk for suicide mortality; future research is needed to refine risk assessments for adolescent self-injurers and determine the clinical utility of using risk markers for screening and intervention. SN - 1879-1379 UR - https://www.unboundmedicine.com/medline/citation/27716512/Adolescent_self_injurers:_Comparing_non_ideators_suicide_ideators_and_suicide_attempters_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3956(16)30450-2 DB - PRIME DP - Unbound Medicine ER -