Risk of Suicidal Ideation in Adolescents with both Self‐Asphyxial Risk‐Taking Behavior and Non‐Suicidal Self‐Injury

Brausch, Amy M.; Decker, Kristina M.; Hadley, Andrea

doi:10.1111/j.1943-278x.2011.00042.x

Cited by 26 publications

(33 citation statements)

References 24 publications

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“…Similar proportions have been reported in other studies both in Canada (Nixon, Cloutier, & Aggarwal, 2002;Nixon, Cloutier, & Jansson, 2008) and elsewhere (see, e.g., Brausch & Gutierrez, 2010;Madge, Hewitt, Hawton et al, 2008;Muehlenkamp & Gutierrez, 2007). Brausch, Decker, & Hadley (2011) found 21% of their adolescent sample engaged in NSSI in the last 12 months. Other studies on NSSI have reported higher prevalence rates of this behavior than that found in the present study (see, e.g., Cloutier, Martin, Kennedy et al, 2010;Heath, Toste, Nedecheva et al, 2008).…”

Section: Discussionsupporting

confidence: 81%

“…For example, Brausch, Decker, and Hadley (2011) found that adolescents who use substances (alcohol, tobacco, and other drugs) were more likely to have engaged in both NSSI and self-asphyxial risk-taking behaviors. Giletta, Scholte, Engels et al (2012) also analysed data from Italy, United States and the Netherlands and found cigarette smoking and frequent marijuana use to be more strongly related to NSSI in the sample from the United States than the samples from Italy and the Netherlands.…”

Section: Introductionmentioning

confidence: 97%

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Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Stewart

Baiden

Theall

2014

Archives of Suicide Research

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The objectives of this study were to examine the prevalence of non-suicidal self-injury (NSSI) among adolescents with mental health needs and specific factors associated with NSSI among adolescents aged 14 to 18 years who received mental health services in adult mental health facilities in Ontario, Canada. Data on 2,013 adolescents were obtained from the Ontario Mental Health Reporting System using the Resident Assessment Instrument-Mental Health (RAI-MH) and were analyzed using logistic regression. Approximately, 20.2% (407 adolescents) of the sample engaged in NSSI within the last 12 months. Results from multivariate logistic regression indicate that females were 2.19 times more likely to engage in NSSI than males. Intentional misuse of prescription medication emerged as the most important factor associated with NSSI. Other factors found to be associated with NSSI included multiple psychiatric admissions, sexual abuse, use of alcohol, mood disorders (e.g., depression), adjustment disorders, personality disorders and symptoms of depression. The article discusses the implications of the findings, with suggestions for future research.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 97%

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Stewart

Baiden

Theall

2014

Archives of Suicide Research

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“…Brausch and colleagues, through a health behavior screening made in rural region, discovered that as many as 17% of adolescents had practiced a Self-Asphyxial risk-taking behavior, and that adolescents who reported SAB also reported more suicide ideation and attempts than those who had not. 30 Adolescents who had engaged both SAB and NSSI (non suicidal self-injury) would have a great chance to make other risk behaviors, including suicide. Otherwise, Andrew and Fallon reported that these adolescents usually are athletic and like to extreme everything and they think that this activity is safe just because alcohol or drugs are not involved.…”

Section: The Choking Gamementioning

confidence: 99%

The choking game: A deadly game. Analysis of two cases of “self-strangulation” in young boys and review of the literature

Birkhoff

Sozzi

et al. 2015

Journal of Forensic and Legal Medicine

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The choking game is defined as a self-strangulation or strangulation by another person with the hands or a noose to achieve a brief euphoric state caused by cerebral hypoxia. Death may occur, but forensic pathologists often classify them as suicides or accidental deaths, without focusing on the possibility that they may result from a deliberate self-temporary-asphyxiation, turned into a deadly game. Presenting two fatal cases of self-strangulation involving an 11-year-old boy and a teenager of 15 years, the authors identify victims' characteristics and death scene's evidence, which may help to distinguish if a death is from an asphyxial suicide or an asphyxial game.

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“…One of the underlying purposes was to confirm the contribution of substance use and risk-taking behaviors as strong predictors of CG participation. [16][17][18][19] Nonetheless, our main goal for this research was to identify additional predictors of this dangerous activity, which is crucial for designing adequate preventive interventions.…”

mentioning

confidence: 99%

Adolescent Mental Health and the Choking Game

et al. 2019

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OBJECTIVES: To examine the demographic and health risk factors associated with participation in the choking game (CG), a dangerous and potentially fatal strangulation activity in which pressure is applied to the carotid artery to temporarily limit blood flow and oxygen. METHODS: We obtained data from 2 cross-sectional studies realized respectively in 2009 and 2013 among French middle school students. The 2009 (n = 746) and 2013 (n = 1025) data sets were merged (N = 1771), and multivariate modeling was conducted to examine demographic and clinical characteristics of youth reporting a lifetime participation in the CG. The 2 studies included questions about risk-taking behaviors and substance use, and standardized assessments were used to collect conduct disorder symptoms and depressive symptoms. RESULTS: In the merged 2009 and 2013 data set, the lifetime prevalence of CG participation was 9.7%, with no statistically significant differences between boys and girls. A multivariate logistic regression revealed that higher levels of conduct disorder symptoms (odds ratio: 2.33; P , .001) and greater rates of depressive symptoms (odds ratio: 2.18; P , .001) were both significantly associated with an increased likelihood of reporting CG participation. CONCLUSIONS: The significant relationship between elevated levels of depressive symptoms and participation in the CG sheds new light on the function of self-asphyxial activities. However, with the finding that higher rates of conduct disorder symptoms were the most important predictor of CG participation, it is suggested that the profile and the underlying motivations of youth who engage in this activity should be reexamined.

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Risk of Suicidal Ideation in Adolescents with both Self‐Asphyxial Risk‐Taking Behavior and Non‐Suicidal Self‐Injury

Cited by 26 publications

References 24 publications

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

Examining Non-Suicidal Self-Injury among Adolescents with Mental Health Needs, in Ontario, Canada

The choking game: A deadly game. Analysis of two cases of “self-strangulation” in young boys and review of the literature

Adolescent Mental Health and the Choking Game

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