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Suicidal and nonsuicidal self-injurious thoughts and behaviors (SITBs) among youth are major public health concerns. Although a growing body of research has focused on the complex association between nonsuicidal and suicidal self-injury, the temporal relationship between these two classes of behaviors is unclear. The current study addresses this empirical gap by examining the course of SITBs in adolescents receiving outpatient (N = 106; 82.1 % female) and inpatient (N = 174; 75.9 % female) treatment. SITBs (co-occurrence, age-of-onset, and time lag between SITBs) and major psychiatric disorders were assessed at a single time point with well-validated structured interviews. Adolescents in both clinical samples reported high co-occurrence of SITBs: most adolescents reported both lifetime nonsuicidal self-injury (NSSI) and suicidal thoughts. A similar temporal pattern of SITBs was reported in the two samples: thoughts of NSSI and suicide ideation had the earliest age-of-onset, followed by NSSI behaviors, suicide plans, and suicide attempts. However, the age-of-onset for each SITB was younger in the inpatient sample than in the outpatient sample. In terms of time lag between SITBs, suicide ideation occurred on average before initial engagement in NSSI, suggesting that pathways to NSSI and suicidal behavior may occur simultaneously rather than in succession from nonsuicidal to suicidal self-injury. Results also indicated that the time to transition between SITBs was relatively fast, and that a key period for intervention and prevention is within the first 6–12 months after the onset of suicidal thinking. Taken together, these findings have important implications for understanding the time-lagged relationship between nonsuicidal and suicidal self-injury.
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American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association. CrossRef
Asarnow, J. R., Porta, G., Spirito, A., Emslie, G., Clarke, G., Wagner, K. D., et al. (2011). Suicide attempts and nonsuicidal self-injury in the treatment of resistant depression in adolescents: findings from the TORDIA study. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 772–781. CrossRefPubMedPubMedCentral
Centers for Disease Control and Prevention (CDC). (2010). Web-based Injury Statistics Query and Reporting System (WISQARS). National Center for Injury Prevention and Control, CDC. Available from URL www.cdc.gov/injury/wisqars/index.html.
Centers for Disease Control and Prevention (CDC). (2015). Injury Center: Violence prevention—suicide prevention: Youth suicide. Retrieved from www.cdc.gov/violenceprevention/suicide/youth_suicide.html.
Giletta, M., Prinstein, M. J., Abela, J. R., Gibb, B. E., Barrocas, A. L., & Hankin, B. L. (2015). Trajectories of suicide ideation and nonsuicidal self-injury among adolescents in mainland China: peer predictors, joint development, and risk for suicide attempts. Journal of Consulting and Clinical Psychology, 83, 265–279. CrossRefPubMed
Glenn, C. R., & Klonsky, E. D. (2013). Nonsuicidal self-injury disorder: an empirical investigation in adolescent psychiatric patients. Journal of Clinical Child & Adolescent Psychology, 42, 496–507. CrossRef
Maciejewski, D. F., Creemers, H. E., Lynskey, M. T., Madden, P. A., Heath, A. C., Statham, D. J., et al. (2014). Overlapping genetic and environmental influences on nonsuicidal self-injury and suicidal ideation: different outcomes, same etiology? JAMA Psychiatry, 71, 699–705. CrossRefPubMedPubMedCentral
Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989. CrossRefPubMedPubMedCentral
Muehlenkamp, J. J., Claes, L., Havertape, L., & Plener, P. L. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 6, 1–9. CrossRef
Nock, M. K., Borges, G., & Ono, Y. (2012). Suicide: global perspectives from the WHO world mental health surveys. New York, NY: Cambridge University Press.
Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry, 70, 300–310. CrossRefPubMed
Sheehan, D., Shytle, D., Milo, K., Janavs, J., & Lecrubier, Y. (2009). Mini international neuropsychiatric interview for children and adolescents (M.I.N.I. Kid), English version 6.0. Tampa, FL: University of South Florida College of Medicine.
van Alphen, N. R., Stewart, J. G., Esposito, E. C., Pridgen, B., Gold, J., & Auerbach, R. P. (in press). Predictors of rehospitalization for depressed adolescents admitted to acute psychiatric treatment. The Journal of Clinical Psychiatry .
Wilkinson, B. J., Marshall, R. M., & Curtwright, B. (2008). Impact of Tourette’s disorder on parent reported stress. Journal of Child and Family Studies, 17, 582–598. CrossRef
- Examining the Course of Suicidal and Nonsuicidal Self-Injurious Thoughts and Behaviors in Outpatient and Inpatient Adolescents
Catherine R. Glenn
Elizabeth C. Lanzillo
Erika C. Esposito
Angela C. Santee
Matthew K. Nock
Randy P. Auerbach
- Springer US