Adolescent self-injurers: Comparing non-ideators, suicide ideators, and suicide attempters

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 maltreat...

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Bibliographic Details
Published in:Journal of psychiatric research 2017-01, Vol.84, p.105-112
Main Authors: Stewart, Jeremy G, Esposito, Erika C, Glenn, Catherine R, Gilman, Stephen E, Pridgen, Bryan, Gold, Joseph, Auerbach, Randy P
Format: Article
Language:English
Subjects:
Adolescence
Adolescent
Analysis of Variance
Depression - complications
Depression - epidemiology
Depression - therapy
Female
Humans
Inpatients
Interview, Psychological
Male
Multivariate Analysis
Non-suicidal self-injury
Psychiatric Status Rating Scales
Psychiatry
Risk-Taking
Risky behavior engagement
Self-Injurious Behavior - complications
Self-Injurious Behavior - epidemiology
Self-Injurious Behavior - psychology
Self-Injurious Behavior - therapy
Suicidal Ideation
Suicide attempts
Suicide ideation
Suicide, Attempted - psychology
Surveys and Questionnaires
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Summary: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  
ISSN:0022-3956
1879-1379
DOI:10.1016/j.jpsychires.2016.09.031