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Non-Suicidal self-injury and suicide in depressed Adolescents: Impact of peer victimization and bullying.
J Affect Disord. 2019 02 15; 245:744-749.JA

Abstract

BACKGROUND

While prior research has demonstrated that peer victimization and bully perpetration contribute to non-suicidal self-injury (NSSI) and suicidal thoughts and behaviors (STBs), it remains unclear whether these interpersonal processes differentiate self-injuring adolescent suicide ideators and attempters.

METHODS

The study included adolescents aged 13-18 years (n = 223; M = 15.31, SD = 1.34) recruited from an acute inpatient program. Participants were divided into two groups: (1) NSSISI (n = 106): endorsed past year NSSI, current suicide ideation, and no lifetime suicide attempts and (2) NSSISI+SA (n = 117): endorsed past year NSSI, current suicide ideation, and lifetime suicide attempts. Adolescents completed clinical interviews (i.e., mental disorders, NSSI, and STBs) and self-report measures assessing peer victimization, bully perpetration, and depression severity.

RESULTS

NSSISI+SA youth reported higher levels of peer victimization and bully perpetration than NSSISI youth (ps < 0.01, ds = 0.36-0.37). Among the NSSISI+SA youth, bully perpetration was associated with a greater number of past month suicide attempts (p = 0.02, RR = 1.07). Only peer victimization was associated with greater NSSI behaviors in the past month (p = 0.04, RR = 1.01).

LIMITATIONS

The study is cross-sectional, and reports of peer victimization and bully perpetration rely on self-report assessment.

CONCLUSIONS

Peer victimization and bully perpetration differentiated adolescent suicide ideators and attempters, highlighting the need to address bully perpetration in addition to peer victimization in suicide interventions and research.

Authors+Show Affiliations

Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, MA, USA.Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, MA, USA.Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, MA, USA.Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, MA, USA.Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Columbia University, New York, NY, USA; Division of Clinical Developmental Neuroscience, Sackler Institute, New York, NY, USA. Electronic address: rpa2009@columbia.edu.

Pub Type(s)

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

Language

eng

PubMed ID

30448758

Citation

Vergara, Genesis A., et al. "Non-Suicidal Self-injury and Suicide in Depressed Adolescents: Impact of Peer Victimization and Bullying." Journal of Affective Disorders, vol. 245, 2019, pp. 744-749.
Vergara GA, Stewart JG, Cosby EA, et al. Non-Suicidal self-injury and suicide in depressed Adolescents: Impact of peer victimization and bullying. J Affect Disord. 2019;245:744-749.
Vergara, G. A., Stewart, J. G., Cosby, E. A., Lincoln, S. H., & Auerbach, R. P. (2019). Non-Suicidal self-injury and suicide in depressed Adolescents: Impact of peer victimization and bullying. Journal of Affective Disorders, 245, 744-749. https://doi.org/10.1016/j.jad.2018.11.084
Vergara GA, et al. Non-Suicidal Self-injury and Suicide in Depressed Adolescents: Impact of Peer Victimization and Bullying. J Affect Disord. 2019 02 15;245:744-749. PubMed PMID: 30448758.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-Suicidal self-injury and suicide in depressed Adolescents: Impact of peer victimization and bullying. AU - Vergara,Genesis A, AU - Stewart,Jeremy G, AU - Cosby,Elizabeth A, AU - Lincoln,Sarah Hope, AU - Auerbach,Randy P, Y1 - 2018/11/13/ PY - 2018/09/07/received PY - 2018/11/02/revised PY - 2018/11/11/accepted PY - 2018/11/19/pubmed PY - 2019/4/9/medline PY - 2018/11/19/entrez KW - Adolescent depression KW - Bullying KW - Non-suicidal self-injury KW - Suicidal thoughts and behaviors SP - 744 EP - 749 JF - Journal of affective disorders JO - J Affect Disord VL - 245 N2 - BACKGROUND: While prior research has demonstrated that peer victimization and bully perpetration contribute to non-suicidal self-injury (NSSI) and suicidal thoughts and behaviors (STBs), it remains unclear whether these interpersonal processes differentiate self-injuring adolescent suicide ideators and attempters. METHODS: The study included adolescents aged 13-18 years (n = 223; M = 15.31, SD = 1.34) recruited from an acute inpatient program. Participants were divided into two groups: (1) NSSISI (n = 106): endorsed past year NSSI, current suicide ideation, and no lifetime suicide attempts and (2) NSSISI+SA (n = 117): endorsed past year NSSI, current suicide ideation, and lifetime suicide attempts. Adolescents completed clinical interviews (i.e., mental disorders, NSSI, and STBs) and self-report measures assessing peer victimization, bully perpetration, and depression severity. RESULTS: NSSISI+SA youth reported higher levels of peer victimization and bully perpetration than NSSISI youth (ps < 0.01, ds = 0.36-0.37). Among the NSSISI+SA youth, bully perpetration was associated with a greater number of past month suicide attempts (p = 0.02, RR = 1.07). Only peer victimization was associated with greater NSSI behaviors in the past month (p = 0.04, RR = 1.01). LIMITATIONS: The study is cross-sectional, and reports of peer victimization and bully perpetration rely on self-report assessment. CONCLUSIONS: Peer victimization and bully perpetration differentiated adolescent suicide ideators and attempters, highlighting the need to address bully perpetration in addition to peer victimization in suicide interventions and research. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/30448758/Non_Suicidal_self_injury_and_suicide_in_depressed_Adolescents:_Impact_of_peer_victimization_and_bullying_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(18)31992-X DB - PRIME DP - Unbound Medicine ER -