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Predicting status along the continuum of suicidal thoughts and behavior among those with a history of nonsuicidal self-injury.
Psychiatry Res. 2019 03; 273:514-522.PR

Abstract

Nonsuicidal self-injury (NSSI) and suicidal thoughts and behavior often co-occur, representing a growing public health concern. Despite extensive research examining suicidal thoughts and behavior among those who engage in NSSI, there is a lack of research investigating factors that, when considered together, can differentiate individuals along the continuum of suicidal thoughts and behavior (no history, suicidal ideation, suicide plan, suicide attempt). This study sought to address this question using a sample of 1178 college students with NSSI history (68.70% female). Discriminant function analysis was conducted including the following predictors: NSSI characteristics, negative affect difficulties, and behavioral and demographic risk factors for suicidal thoughts and behavior. Results suggest that self-disclosure of suicidal ideation, number of lifetime NSSI methods, NSSI frequency, depressive symptoms, and age most parsimoniously differentiate study groups. Those who use a greater number of NSSI methods and acts, paired with higher depressive symptoms and repeated self-disclosure of suicidal ideation are most likely to have a suicide attempt history; decreases in these variables suggest membership within less severe groups. Furthermore, older age may be related to greater suicidality. Findings suggest that the evaluation and co-occurrence of these variables may contribute to a more accurate suicide risk assessment.

Authors+Show Affiliations

Department of Psychology, Temple University, 1701 N. 13th Street, Philadelphia, PA 19122, USA. Electronic address: anne.knorr@temple.edu.Department of Psychology, Temple University, 1701 N. 13th Street, Philadelphia, PA 19122, USA.Department of Psychology, Temple University, 1701 N. 13th Street, Philadelphia, PA 19122, USA.Department of Psychology, Temple University, 1701 N. 13th Street, Philadelphia, PA 19122, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30708203

Citation

Knorr, Anne C., et al. "Predicting Status Along the Continuum of Suicidal Thoughts and Behavior Among Those With a History of Nonsuicidal Self-injury." Psychiatry Research, vol. 273, 2019, pp. 514-522.
Knorr AC, Ammerman BA, Hamilton AJ, et al. Predicting status along the continuum of suicidal thoughts and behavior among those with a history of nonsuicidal self-injury. Psychiatry Res. 2019;273:514-522.
Knorr, A. C., Ammerman, B. A., Hamilton, A. J., & McCloskey, M. S. (2019). Predicting status along the continuum of suicidal thoughts and behavior among those with a history of nonsuicidal self-injury. Psychiatry Research, 273, 514-522. https://doi.org/10.1016/j.psychres.2019.01.067
Knorr AC, et al. Predicting Status Along the Continuum of Suicidal Thoughts and Behavior Among Those With a History of Nonsuicidal Self-injury. Psychiatry Res. 2019;273:514-522. PubMed PMID: 30708203.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predicting status along the continuum of suicidal thoughts and behavior among those with a history of nonsuicidal self-injury. AU - Knorr,Anne C, AU - Ammerman,Brooke A, AU - Hamilton,Alexander J, AU - McCloskey,Michael S, Y1 - 2019/01/24/ PY - 2018/06/05/received PY - 2019/01/23/revised PY - 2019/01/23/accepted PY - 2019/2/2/pubmed PY - 2019/12/25/medline PY - 2019/2/2/entrez KW - Emotion dysregulation KW - NSSI method KW - Self-disclosure KW - Suicidal ideation KW - Suicide attempt KW - Suicide plan SP - 514 EP - 522 JF - Psychiatry research JO - Psychiatry Res VL - 273 N2 - Nonsuicidal self-injury (NSSI) and suicidal thoughts and behavior often co-occur, representing a growing public health concern. Despite extensive research examining suicidal thoughts and behavior among those who engage in NSSI, there is a lack of research investigating factors that, when considered together, can differentiate individuals along the continuum of suicidal thoughts and behavior (no history, suicidal ideation, suicide plan, suicide attempt). This study sought to address this question using a sample of 1178 college students with NSSI history (68.70% female). Discriminant function analysis was conducted including the following predictors: NSSI characteristics, negative affect difficulties, and behavioral and demographic risk factors for suicidal thoughts and behavior. Results suggest that self-disclosure of suicidal ideation, number of lifetime NSSI methods, NSSI frequency, depressive symptoms, and age most parsimoniously differentiate study groups. Those who use a greater number of NSSI methods and acts, paired with higher depressive symptoms and repeated self-disclosure of suicidal ideation are most likely to have a suicide attempt history; decreases in these variables suggest membership within less severe groups. Furthermore, older age may be related to greater suicidality. Findings suggest that the evaluation and co-occurrence of these variables may contribute to a more accurate suicide risk assessment. SN - 1872-7123 UR - https://www.unboundmedicine.com/medline/citation/30708203/Predicting_status_along_the_continuum_of_suicidal_thoughts_and_behavior_among_those_with_a_history_of_nonsuicidal_self_injury_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-1781(18)31060-6 DB - PRIME DP - Unbound Medicine ER -