Association of Suicide Attempts and Non-Suicidal Self-Injury Behaviors With Substance Use and Family Characteristics Among Children and Adolescents Seeking Treatment for Substance Use Disorder

Abstract

The prevalence of NSSI and HSA behaviors among substance using youth in our sample were 52% and 21% respectively. Cannabis and cocaine use was found to be a significant risk factor for HSA, and polysubstance use was associated with both NSSI and HSA. Parental separation/divorce, parental mental disorders, alcohol and drug use, and crime were the risk factors for HSA. A positive history of physical and sexual abuse increased the risk of HAS, and a history of neglect increased the risk of NSSI. Conclusions/importance: We suggest that results showing relationship between substance use and associated social features with NSSI and HSA may contribute to elaborating effective and targeted preventive and intervention programs for these high-risk youth groups in Turkey.

The Relationship between Childhood Maltreatment and Non-Suicidal Self-Injury: A Systematic Review

“…Wan and colleagues ( 34 ) demonstrated that a continuous experience of abuse was significantly associated with NSSI, independently of gender. More recently, Guvendeger Doksat et al ( 14 ) found that a history of neglect significantly increased the risk of NSSI, whereas physical/sexual abuse increased the odds of suicide attempts. Finally, Vaughn et al ( 35 ) found that, in a nationally representative sample including subjects who engaged in NSSI, the severity of CM was related to clinical psychiatric and personality disorders.…”

“…Generally, when compared to males, females who experienced childhood traumatic experiences (particularly sexual abuse) ( 13 , 21 ) were more vulnerable to NSSI and suicidal behaviors. However, when physical and sexual abuse co-occurred ( 37 ) or when the experience of abuse was continuous ( 14 ), both males and females were at risk of NSSI and suicidal behaviors.…”

“…Maltreatment has also been associated with an increased risk of adolescent suicidal behaviors, particularly in females ( 13 ). Some recent evidence suggests specificity in both CM and injury behaviors in adolescence ( 14 ), with a history of physical/sexual abuse being associated with an increased risk of suicide attempts and a history of neglect with an increased risk of NSSI. However, the exact nature of the association between CM and NSSI in adolescence and early adulthood is currently unclear ( 15 ).…”

The Impact of Parent–Child Attachment on Self-Injury Behavior: Negative Emotion and Emotional Coping Style as Serial Mediators

“…Self-injury behavior is a negative way for individuals to deal with current problems ( Sornberger et al, 2013 ), and causes great harm to adolescents’ mental health ( Guvendeger et al, 2017 ; Baetens et al, 2019 ). At the same time, self-injury behavior is also a risk factor leading to suicide.…”

Self-Injury Among Left-Behind Adolescents in Rural China: The Role of Parental Migration and Parent–Child Attachment

“…In general, the frequency or severity of self-injurious behavior is considered as a useful indicator of injury (Gratz, 2001; Prinstein, 2008), but Feng (2008) suggested that the overall level of self-injury was a comprehensive indicator that fully considered the frequency and severity of injury to the body, which more accurately reflects the self-injury state of adolescents. Many studies have found that self-injury is associated with numerous psychological disorders (Selby et al, 2012; Doksat et al, 2017) and predicts future suicidal intention and behavior (Guan et al, 2012; Klonsky et al, 2013).…”