Swipe om te navigeren naar een ander artikel
During the potentially tumultuous adolescent period, non-suicidal self-injury (NSSI) and suicide attempts are relatively common, particularly amongst youth who present to mental health services. These phenomena frequently co-occur but their relationship is unclear. This study evaluated clinical data from 468 youth between the ages of 12 and 17 years (63.5% female) to determine the incidence of NSSI 24 h prior to presentation at emergency crisis services, evaluated the overlap between NSSI and suicide attempt, and examined the characteristics of different types of self-harm. Half of the adolescents presenting to emergency crisis services had self-harmed within the previous 24 h, with most of these (91%) classified as NSSI only. The percentage of youth with a suicide attempt was 5% and the co-occurrence of these two behaviours was 4%. Group differences in depressive symptoms, suicidal ideation and impulsivity were identified, with the co-occurring NSSI and suicide attempt group presenting with the highest level of psychopathology. This study underscores the necessity of assessing suicidal ideation and NSSI in all youth presenting to mental health services.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Champlain LHIN. (2006). Socio-Economic Indicators Atlas. Retrieved August 15, 2008, from http://www.champlainlhin.on.ca/lhinresearch.aspx?ekmensel=e2f22c9a_72_206_132_4.
Cheung, A. H., & Dewa, C. S. (2007). Mental health service use among adolescents and young adults with major depressive disorder and suicidality. Canadian Journal of Psychiatry, 52, 228–232.
Esposito, C., Spirito, A., & Overholser, J. (2003). Behavioural factors: Impulsive and aggressive behavior. In A. Spirito & J. C. Overholser (Eds.), Evaluating and treating adolescent suicide attempters: From research to practice (pp. 147–159). San Diego, CA: Academic Press. CrossRef
Favazza, A. R. (1998). The coming of age of self-mutilation. Journal of Nervous Mental Disorder, 186, 259–268. CrossRef
Gorlyn, M. (2005). Impulsivity in the prediction of suicidal behavior in adolescent populations. International Journal of Adolescent Medicine and Health, 17, 205–209. PubMed
Gratz, K. L. (2003). Risk factors for and functions of deliberate self-harm: An empirical and conceptual review. Clinical Psychology: Science and Practice, 10, 192–205. CrossRef
Guertin, T., Lloyd-Richardson, E., Spirito, A., Donaldson, D., & Boergers, J. (2001). Self-mutilative behaviour in adolescents who attempt suicide by overdose. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1063–1069. CrossRef
Heath, N. L., Schaub, K., Holly, S., & Nixon, M-K. (2008). Self-injury today: Review of population and clinical studies in adolescents. In M-K Nixon & N. S. Heath (Eds.), Self-injury in youth: The essential guide to assessment and intervention (pp. 9–27).
Jacobson, C. M., Muehlenkamp, J. J., Miller, A. L., & Turner, J. B. (2008). Psychiatric impairment among adolescents engaging in different types of deliberate self-harm. Journal of Clinical Child and Adolescent Psychiatry, 37, 363–375. CrossRef
Kovacs, M. (1992). Manual for the children’s depression inventory. North Tonawanda, NJ: Multi-Health Systems.
Laye-Gindhu, A., & Schonert-Reischl, K. A. (2005). Self-harm among community adolescents: Understanding the “whats” and “whys” of self-harm. Journal of Youth and Adolescence, 34, 447–457. CrossRef
Lofthouse, N. L., Muehlenkamp, J. J., & Adler, R. (2008). Nonsuicidal self-injury and co-occurrence. In M.-K. Nixon & N. L. Heath (Eds.), Self-injury in youth: The essential guide to assessment and intervention (pp. 59–78). New York, NY: Routledge.
Lyons, J. S. (1998). The severity and acuity of psychiatric illness scales. San Antonio, TX: Psychological Corporation.
Maris, R. W., Berman, A. L., & Silverman, M. M. (2000). Comprehensive textbook of suicidology. New York, NY: Guilford Press.
Muehlenkamp, J. J., & Gutierrez, P. M. (2004). An investigation of differences between self-injurious behaviour and suicide attempters in a sample of adolescents. Suicide and Life Threatening Behaviour, 34, 12–23. CrossRef
Nock, M. K., Joiner, T. E., Gordon, K. H., Lloyd-Richardson, E., & Prinstein, M. J. (2006). Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatric Research, 144, 65–72. CrossRef
Ross, S., & Heath, N. L. (2002). Two models of adolescent self-mutilation. Suicide and Life Threatening Behaviour, 33, 277–287. CrossRef
Shaffer, D., Gould, M. S., Fisher, P., et al. (1996). Psychiatric diagnosis in child and adolescent suicide. Archives of General Psychiatry, 53, 339–348. PubMed
Walsh, B. W. (2006). Treating self-injury: A practical guide. New York, NY: Guilford Press.
Whitlock, J., & Knox, K. L. (2007). The relationship between self-injurious behaviour and suicide in a young adult population. Archives of Pediatric and Adolescent Medicine, 161, 634–640. CrossRef
- Characteristics and Co-occurrence of Adolescent Non-Suicidal Self-Injury and Suicidal Behaviours in Pediatric Emergency Crisis Services
Mary K. Nixon
Jennifer J. Muehlenkamp
- Springer US