Relations Between Nonsuicidal Self-Injury and Suicide Attempt Characteristics in a Sample of Recent Suicide Attempters

Abstract

NSSI was uniquely associated with suicide attempt characteristics, highlighting the importance of NSSI in suicide assessment, prevention, and treatment efforts.

Psychiatric heterogeneity of recent suicide attempters: A latent class analysis

“…Notably, a suicide attempt was defined for participants as “an actual attempt to kill yourself in which you had at least some intent die” prior to asking participants about their prior suicide attempts. History of previous attempts was coded (1) if the participant indicated that they made 2 or more attempts in their lifetime and was coded (0) if they indicated that this was their only attempt (see Bagge et al, 2013a; Ward-Ciesielski et al, 2016). Finally, a single item from the structured WHO-Composite International Diagnostic Interview CIDI 3.0 (Kessler and Üstün, 2004) was used to assess the method for the current suicide attempt.…”

“…Total scores of empirically-validated measures were used including hopelessness about the future (Beck Hopelessness Scale [BHS], Beck and Steer, 1988) depressive symptoms (Beck Depression Inventory II [BDI-II], Beck et al, 1996, with item #9 on suicidal ideation excluded to avoid criteria contamination, see Bagge et al, 2014a; Ward-Ciesielski et al, 2016), intolerance of uncertainty (Intolerance of Uncertainty Scale [IUS], Freeston et al, 1994; in English, Buhr and Dugas, 2002), three broad-based dimensions of personality: positive temperament, negative temperament, and disinhibition (The General Temperament Survey [GTS], Clark and Watson, 1990; Clark and Watson, 1999), two dimensions of the interpersonal-psychological theory of suicide, thwarted belongingness and perceived sense of burdensomeness (Interpersonal Needs Questionnaire [INQ-12], Van Orden et al, 2008) and reasons for living , potential reasons for not committing suicide (Reasons for Living Inventory [RFL], Linehan et al, 1983). Frequency of past year binge drinking behavior (i.e.…”

The Screen for Nonsuicidal Self‐Injury: Development and initial validation among veterans with psychiatric disorders

“…For example, Kimbrel et al (2018) found that the inclusion of wall/ object punching in the operational definition of NSSI increased the overall rate of NSSI by 14% among a large, predominantly male veteran sample seeking treatment for posttraumatic stress disorder (PTSD). This rate of missed identification is concerning given that NSSI is one of the most robust predictors of suicidal ideation, attempts, and death by suicide identified to date (Kimbrel et al, 2015;Klonsky et al, 2013;Ribeiro et al, 2016;Turner et al, 2019;Ward-Ciesielski et al, 2016). The inclusion of NSSI disorder in the DSM-5 further supports the significant impairment and distress that may be associated with repeated NSSI (Gratz et al, 2015;Selby et al, 2012Selby et al, , 2015.…”

Function and progression of non-suicidal self-injury and relationship with suicide attempts: A qualitative investigation with an adolescent clinical sample

“…Findings from a meta-analysis of studies that examined suicide attempts among self-injurers suggest that, after suicide ideation, the strongest predictors of a suicide attempt are NSSI frequency, number of NSSI methods used, and hopelessness (Victor & Klonsky, 2014). Among adult inpatients, those with a history of NSSI reported more suicide attempts and more lethal attempts that required medical treatment, compared with those adults who did not self-injure (Andover & Gibb, 2010; Sahlin, Moberg, Hirvikoski, & Jokinen, 2015; Ward-Ciesielski, Schumacher, & Bagge, 2016). For adolescent psychiatric inpatients, using more NSSI methods and more severe methods were associated with attempting suicide (Stewart et al, 2017).…”