Factors associated with deliberate self‐harm behaviour among depressed adolescent outpatients

Tuisku, Virpi; Pelkonen, Mirjami; Kiviruusu, Olli; Karlsson, Linnéa; Ruuttu, Titta; Marttunen, Mauri

doi:10.1016/j.adolescence.2009.03.001

Cited by 42 publications

(30 citation statements)

References 42 publications

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“…This finding supports previous studies that have found social support to be a protective factor against suicidality [57–59], particularly perceived parental support [57, 58]. …”

Section: Discussionsupporting

confidence: 91%

Suicidal Ideation in a Population-Based Sample of Adolescents: Implications for Family Medicine Practice

Fuller‐Thomson

Hamelin

Granger

2013

ISRN Family Medicine

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Introduction. This study investigated the relationship between suicidal ideation and demographic characteristics, health conditions, depression, and health care utilization patterns among adolescents. Methods. Secondary analysis of the regionally representative Canadian Community Health Survey conducted in 2000/2001 (response rate 85%). Adolescents aged 15 to 19 who reported suicidal ideation in the previous year (n = 260) were compared with their peers who did not (n = 5528). The association between suicidal ideation and socio-demographic and health characteristics were investigated. Findings. Almost three-quarters (73%) of suicidal adolescents had not spoken with any health professional about mental health issues in the preceding year. Despite the fact that 80% of suicidal adolescents had regular contact with their family doctor, only 5% had consulted with them about mental health issues. In addition to the well-known risk factors of depression and stress, suicidal ideation was highly elevated in adolescents with two or more chronic health conditions, self-reported poor health, migraines, and back pain and those whose activities were prevented by pain (P < .05). Other characteristics significantly correlated with suicidal ideation included smoking, living in single parent families, and having lower levels of social support. Conclusions. Family physicians should regularly screen for suicidal thoughts in their adolescent patients with these characteristics.

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“…This finding supports previous studies that have found social support to be a protective factor against suicidality [57–59], particularly perceived parental support [57, 58]. …”

Section: Discussionsupporting

confidence: 91%

Suicidal Ideation in a Population-Based Sample of Adolescents: Implications for Family Medicine Practice

Fuller‐Thomson

Hamelin

Granger

2013

ISRN Family Medicine

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“…Two cross-sectional studies included direct comparisons of individuals who engaged in NSSI and had no history of suicidality with suicidal counterparts (Baetens, Claes, Muehlenkamp, Grietens, & Onghena, 2011; Tuisku et al, 2009). One of these studies reported no difference between the two groups (OR = .55 [95% CI = .22–1.40]; Tuisku et al, 2009).…”

Section: Resultsmentioning

confidence: 99%

“…One of these studies reported no difference between the two groups (OR = .55 [95% CI = .22–1.40]; Tuisku et al, 2009). This finding should be interpreted with some caution, however, given its relatively small sample size (n NSSI only = 21, n NSSI and suicidality = 52), which limits its ability to detect a significant effect.…”

Section: Resultsmentioning

confidence: 99%

Non-suicidal self-injury and life stress: A systematic meta-analysis and theoretical elaboration

Liu

Cheek

Nestor

2016

Clinical Psychology Review

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Recent years have seen a considerable growth of interest in the study of life stress and non-suicidal self-injury (NSSI). The current article presents a systematic review of the empirical literature on this association. In addition to providing a comprehensive meta-analysis, the current article includes a qualitative review of the findings for which there were too few cases (i.e., < 3) for reliable approximations of effect sizes. Across the studies included in the meta-analysis, a significant but modest relation between life stress and NSSI was found (pooled OR = 1.81 [95% CI = 1.49–2.21]). After an adjustment was made for publication bias, the estimated effect size was smaller but still significant (pooled OR = 1.33 [95% CI = 1.08–1.63]). This relation was moderated by sample type, NSSI measure type, and length of period covered by the NSSI measure. The empirical literature is characterized by several methodological limitations, particularly the frequent use of cross-sectional analyses involving temporal overlap between assessments of life stress and NSSI, leaving unclear the precise nature of the relation between these two phenomena (e.g., whether life stress may be a cause, concomitant, or consequence of NSSI). Theoretically informed research utilizing multi-wave designs, assessing life stress and NSSI over relatively brief intervals, and featuring interview-based assessments of these constructs holds promise for advancing our understanding of their relation. The current review concludes with a theoretical elaboration of the association between NSSI and life stress, with the aim of providing a conceptual framework to guide future study in this area.

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“…NSSI is often repetitive with varying degrees of severity (Tuisku et al, 2009). Although related, non-suicidal and suicidal self-injury are conceptualized as overlapping, but distinct, clinical phenomena (Wichstrøm, 2009).…”

Section: Introductionmentioning

confidence: 99%

Conceptualizing the neurobiology of non-suicidal self-injury from the perspective of the Research Domain Criteria Project

Schreiner

Klimes‐Dougan

Begnel

et al. 2015

Neuroscience & Biobehavioral Reviews

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Non-suicidal self-injury (NSSI) commonly starts in adolescence and is associated with an array of negative outcomes. Neurobiological research investigating NSSI is in its early stages and most studies have examined this behavior within the context of specific diagnoses. However, the Research Domain Criteria (RDoC) initiative encourages researchers to examine brain-behavior relationships across diagnoses. This review on the neurobiology associated with NSSI is organized using the domains proposed by RDoC: Negative Valence, Positive Valence, Cognitive, Social Processes, and Arousal/Regulatory Systems. Evidence of neurobiological anomalies is found in each of these domains. We also propose future research directions, especially in regard to human development. Future NSSI studies should address this behavior independent of diagnosis, examine relevant constructs across multiple units of analysis, and assess how systems change across development and course of illness. These advances will be essential for guiding neurobiologically informed intervention and prevention strategies to target NSSI. In doing so, we may prevent the associated negative outcomes across the lifespan.

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Factors associated with deliberate self‐harm behaviour among depressed adolescent outpatients

Cited by 42 publications

References 42 publications

Suicidal Ideation in a Population-Based Sample of Adolescents: Implications for Family Medicine Practice

Suicidal Ideation in a Population-Based Sample of Adolescents: Implications for Family Medicine Practice

Non-suicidal self-injury and life stress: A systematic meta-analysis and theoretical elaboration

Conceptualizing the neurobiology of non-suicidal self-injury from the perspective of the Research Domain Criteria Project

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