Clinical Characteristics of Non-Suicidal Self-Injury and Suicide Attempts among Psychiatric Patients in Korea: A Retrospective Chart Review

Bae, Yubeen; Seong, Yoanna; Kim, Seok Hyeon; Kim, Sojung

doi:10.30773/pi.2019.0269

Cited by 12 publications

(15 citation statements)

References 44 publications

(57 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, depressive disorders and NSSI history are the strongest risk factor for SI and SA [ 30 , 41 – 43 ]. The adolescents with a history of both attempted suicide and NSSI generally experience more psychological symptoms than adolescents who have engaged in only one type of self-injury [ 44 , 45 ]. SA and SA plus NSSI group are significantly more likely to be diagnosed with major depressive disorder than only NSSI group [ 39 , 46 ].…”

Section: Introductionmentioning

confidence: 99%

Non suicidal self injury and suicidal behavior among adolescents: co-occurrence and associated risk factors

et al. 2022

View full text Add to dashboard Cite

Background Non-suicidal self-injury (NSSI) and suicidal behavior (SB) are the major public health problems in adolescents. Despite the increased focus on these phenomena, there exist no reliable data in Nepal. This study aimed to determine the prevalence of NSSI and SB among adolescents. Furthermore the study identified the relationship between these two behaviors and assessed demographic, behavioral, and psychological risk factors of NSSI and SB in Nepalese adolescents in a representative sample of the general population. Methods The study was conducted among 730 adolescents studying in grade 9 to 12 of public and private schools of Pokhara Metropolitan city, Nepal. Data were collected through self administered standard tools- Functional Assessment of Self Mutilation (FASM) tool, Suicidal Behaviors Questionnaire-Revised (SBQ-R), Rosenberg self-esteem scale (RSES) and Beck Depression Inventory (BDI). Descriptive statistical measures such as frequency, percentage, mean, standard deviation, range were used to assess demographic characteristics and adolescent’s behavior regarding NSSI and suicide. For inferential analysis chi-square and one way ANOVA test was used. Furthermore, to determine the predictors of NSSI and SB, multiple logistic regression analysis was used. Results Regarding behavioral characteristics, nearly half of the sample 327 (44.8%) reported a history of NSSI in past 1 year. Furthermore, 25.8% (n = 188) of the overall sample engaged in minor NSSI only and 3.42% (n = 25) engaged in at least one act of moderate/severe NSSI. The mean number of type of NSSI performed was 2.63 ± 1.71. The most common type of NSSI method used were picking at wound (27.3%), biting self (20.3%), pulling hair out (11.8%), cutting self (11.1%). Boys (52.6%) were more likely to be engaged in NSSI than girls (47.4%) (χ2 = 10.298, p = 0.002). Furthermore, among 730 adolescents who completed the SBQ-R questionnaire, 131 (17.9%) had suicidal behaviors (SB) (as defined by SBQ-R a total score ≥ 7). Regarding sex differences female were significantly higher in life time prevalence of suicidal behavior than male (χ2 = 30.26, p = 0.001). Simple Chi-square tests indicated that NSSI was significantly associated with SB (χ2 = 58.16, P < .001). Logistic regressions identified the four significant predictors of NSSI behavior: male, low-level of self-esteem (SE), moderate to severe form of depression and SB. Similarly, significant predictors of SB were: female, low-level of SE, moderate to severe form of depression and NSSI behavior. Conclusion The prevalence of both NSSI and SB is high in adolescents. Despite the differences between NSSI and SB a significant number of adolescents reported a history of both behaviors. Lower level of SE and moderate to severe depression were the significant predictors of both NSSI and SB. Furthermore, male and adolescents with the history of SB were at risk of NSSI behavior whereas female sex and adolescents with the history of NSSI were at risk of SB.

show abstract

Section: Introductionmentioning

confidence: 99%

Non suicidal self injury and suicidal behavior among adolescents: co-occurrence and associated risk factors

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Non-suicidal self-injury (NSSI) has been defined as the deliberate and self-inflicted destruction of body tissues without suicidal intent ( 1 ). The prevalence of NSSI among the clinical samples of adults ranged from 13 to 37% ( 2 – 4 ). Typical NSSI behaviors include cutting, scraping skin, skin-picking, self-hitting and biting, burning, and tying ( 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

“…NSSI usually begins in adolescence. It has the highest prevalence during adolescence and early adulthood, but it can manifest at any age ( 4 , 7 , 8 ). Although by definition, NSSI occurs without an intent to commit suicide, it is strongly associated with suicidal thoughts and behaviors ( 8 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

Comparison of Patterns of Non-suicidal Self-Injury and Emotion Dysregulation Across Mood Disorder Subtypes

et al. 2022

View full text Add to dashboard Cite

IntroductionNon-suicidal self-injury (NSSI) is frequently encountered in patients with mood disorders. Emotion dysregulation (ED), frequently observed in mood disorders, could be a major mediating factor in NSSI. The aim of this study was to explore differences in NSSI behavior and ED across mood disorder subtypes. The relationships between childhood trauma and NSSI and ED were also explored.MethodsA total of 191 patients with mood disorders were included in this study. The patterns of NSSI behavior and ED across patients with bipolar I disorder (BD-I), bipolar II disorder (BD-II), and major depressive disorder (MDD) were compared.ResultsMore than half (54%) of the subjects experienced NSSI. Patients with BD-II and MDD engaged in NSSI behavior more frequently than those diagnosed with BD-I. NSSI behaviors in patients with BD-II most commonly included cutting, whereas hitting behaviors were most common among other groups. Patients with BD-II and MDD reported more severe ED than those with BD-I. In the case of childhood trauma, those with BD-II and MDD reported greater emotional neglect than those with BD-I. Structural equation modeling revealed that ED mediated the association between childhood trauma and NSSI.ConclusionBD-I was associated with less frequent NSSI behavior and less severe ED than BD-II and MDD. ED mediated the association between childhood trauma and NSSI. Promoting emotion regulation strategies could prevent NSSI behavior in patients with mood disorders.

show abstract

“…In a study of suicide attempters in Korea, novelty-seeking was higher in the group who tried both non-suicidal self-injury (NSSI) and suicide attempt than the group who tried only suicide attempt. 35 Also, in a previous study in Iran, both novelty-seeking and self-transcendence were higher and self-directedness and cooperativeness lower in non-violent suicide attempters than in the normal control group, and these subscales were found to mediate non-violent suicide attempts, respectively. 36 It is unclear whether the high novelty-seeking found in these studies is associated with the risk of non-violent methods or non-suicidal intent of self-injury.…”

Section: Introductionmentioning

confidence: 78%

Self-Transcendence Mediates the Relationship between Early Trauma and Fatal Methods of Suicide Attempts

et al. 2021

View full text Add to dashboard Cite

Background Early trauma is known to be a risk factor of suicide-related behavior. On the other hand, people who attempt suicide using a fatal method are reported to be more likely to complete suicide. In this study, we assumed that early trauma affects an individual's temperament and character and thereby increases the risk of a fatal method of suicide attempts. Methods We analyzed 92 people with a history of previous suicide attempts. We compared the Temperament and Character Inventory-Revised scores between the groups with and without early trauma, and between the groups with and without a history of suicide attempt using fatal methods through an analysis of covariance with age, sex, and presence of a psychiatric history as covariates. A mediation analysis was conducted of the relationship between early trauma and fatal methods of suicide attempt with self-transcendence as a mediator. Results Higher self-transcendence was reported in the fatal group (27.71 ± 13.78 vs. 20.97 ± 12.27, P = 0.010) and the early trauma group (28.05 ± 14.30 vs. 19.43 ± 10.73, P = 0.001), respectively. The mediation model showed that self-transcendence mediates the relationship between early trauma and fatal methods of suicide attempt. The 95% confidence intervals for the direct and indirect effect were (−0.559, 1.390) and (0.026, 0.947), respectively. Conclusion Self-transcendence may mediate the relationship between early trauma and fatal methods of suicide attempt. Self-transcendence may be associated with unhealthy defenses and suicidal behavior for self-punishment and may constitute a marker of higher suicide risk.

show abstract

Clinical Characteristics of Non-Suicidal Self-Injury and Suicide Attempts among Psychiatric Patients in Korea: A Retrospective Chart Review

Cited by 12 publications

References 44 publications

Non suicidal self injury and suicidal behavior among adolescents: co-occurrence and associated risk factors

Non suicidal self injury and suicidal behavior among adolescents: co-occurrence and associated risk factors

Comparison of Patterns of Non-suicidal Self-Injury and Emotion Dysregulation Across Mood Disorder Subtypes

Self-Transcendence Mediates the Relationship between Early Trauma and Fatal Methods of Suicide Attempts

Contact Info

Product

Resources

About