Suicidality among adolescents engaging in nonsuicidal self-injury (NSSI) and firesetting: the role of psychosocial characteristics and reasons for living

Abstract

BackgroundCo-occurrence of problem behaviors, particularly across internalizing and externalizing spectra, increases the risk of suicidality (i.e., suicidal ideation and attempt) among youth.MethodsWe examined differences in psychosocial risk factors across levels of suicidality in a sample of 77 school-based adolescents engaging in both nonsuicidal self-injury (NSSI) and repeated firesetting. Participants completed questionnaires assessing engagement in problem behaviors, mental health difficulties, negative life events, poor coping, impulsivity, and suicidality.ResultsAdolescents endorsing suicidal ideation reported greater psychological distress, physical and sexual abuse, and less problem solving/goal pursuit than those with no history of suicidality; adolescents who had attempted suicide reported more severe NSSI, higher rates of victimization and exposure to suicide, relative to those with suicidal ideation but no history of attempt. Additional analyses suggested the importance of coping beliefs in protecting against suicidality.ConclusionsClinical implications and suggestions for future research relating to suicide prevention are discussed.

Automutilação em adolescentes: revisão integrativa da literatura

“…Dos 71 artigos, foi observada a seguinte quantidade de publicações por ano: 2012 -doze artigos [9][10][11][12][13][14][15][16][17][18][19][20] , 2013 -treze artigos [21][22][23][24][25][26][27][28][29][30][31][32][33] , 2014 -quatorze artigos [34][35][36][37][38][39][40][41][42][43][44][45][46][47] , 2015 -dezesseis artigos [48][49][50][51][52][53][54][55][56][57][58][59]…”

“…Foram localizados 12 estudos nos Estados Unidos 9,15,16,19,20,26,29,44,51,58,66,74 e onze na China 13,22,24,28,31,50,52,55,69,72,78 . A Austrália 14,39,43,53,59,76 e Suécia 25,27,30,32,36,49 realizaram seis estudos cada. A Alemanha três estudos 10,34,38 independentes e outros dois em conjunto com a Suíça 33,73 .…”

“…Encontramos estudos com amostras comunitárias e clínicas. Em 45 estudos os participantes foram recrutados em escolas de Ensino Médio [13][14][15][16][17][18][21][22][23][24][25]27,28,[30][31][32]36,38,39,[41][42][43][45][46][47]49,50,[52][53][54][55][56][57][58][59][60]62,63,67,69,71,72,73,[76][77][78] , seguidos por instituições psiquiátricas e unidades de psiquiatria que apareceram como locais de execução de 19 estudos [10][11][12]19,2...…”

“…Outros sete trabalhos recrutaram as amostras em locais diversos 9,20,35,37,40,65,68 . De um modo geral, a concentração de estudos em escolas era esperada, uma 34,[36][37][38][39][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60]62,63,[65][66][67][68][69]72,73,[74][75][76][77][78][79] , havendo oito que incluíram apenas adolescentes do sexo feminino 9,10,33,35,…”

“…Quanto as nomenclaturas para designar a automutilação, o termo Non-suicidal self-injury (NSSI) 10,[12][13][14][15][16]18,19,22,[24][25][26][27][28][29][30][31][32][33][34][36][37][38][39][40][41][42][43][44][45][48][49][50]52,53,[55][56][57][58][59][60][61][62][63][64]66,69,70,[73][74][75][76]…”