The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors
Background: Theoretical and empirical literature suggests that non-suicidal self-injury (NSSI) is an important correlate of suicide risk. The present study was designed to evaluate: (a) whether NSSI is associated with increased odds of subsequent onsets of suicidal thoughts and behaviors (STB) indep...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Journal Article |
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Elsevier BV
2018
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| Online Access: | http://hdl.handle.net/20.500.11937/69480 |
| _version_ | 1848762052691099648 |
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| author | Kiekens, G. Hasking, Penelope Boyes, Mark Claes, L. Mortier, P. Auerbach, R. Cuijpers, P. Demyttenaere, K. Green, J. Kessler, R. Myin-Germeys, I. Nock, M. Bruffaerts, R. |
| author_facet | Kiekens, G. Hasking, Penelope Boyes, Mark Claes, L. Mortier, P. Auerbach, R. Cuijpers, P. Demyttenaere, K. Green, J. Kessler, R. Myin-Germeys, I. Nock, M. Bruffaerts, R. |
| author_sort | Kiekens, G. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Theoretical and empirical literature suggests that non-suicidal self-injury (NSSI) is an important correlate of suicide risk. The present study was designed to evaluate: (a) whether NSSI is associated with increased odds of subsequent onsets of suicidal thoughts and behaviors (STB) independent of common mental disorders, (b) whether NSSI is associated with increased risk of transitioning from suicide ideation to attempt, and (c) which NSSI characteristics are associated with STB after NSSI. Method: Using discrete-time survival models, based on retrospective age of onset reports from college students (n = 6,393, 56.8% female), we examined associations of temporally prior NSSI with subsequent STB (i.e., suicide ideation, plan, and attempt) controlling mental disorders (i.e., MDD, Broad Mania, GAD, Panic Disorder, and risk for Alcohol Dependence). NSSI characteristics associated with subsequent STB were examined using logistic regressions. Results: NSSI was associated with increased odds of subsequent suicide ideation (OR = 2.8), plan (OR = 3.0), and attempt (OR = 5.5) in models that controlled for the distribution of mental disorders. Further analyses revealed that NSSI was associated with increased risk of transitioning to a plan among those with ideation, as well as attempt among those with a plan (ORs = 1.7–2.1). Several NSSI characteristics (e.g., automatic positive reinforcement, earlier onset NSSI) were associated with increased odds of experiencing STB. Limitations: Surveys relied on self-report, and thus, there is the potential for recall bias. Conclusions: This study provides support for the conceptualization of NSSI as a risk factor for STB. Investigation of the underlying pathways accounting for these time-ordered associations is an important avenue for future research. |
| first_indexed | 2025-11-14T10:41:26Z |
| format | Journal Article |
| id | curtin-20.500.11937-69480 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:41:26Z |
| publishDate | 2018 |
| publisher | Elsevier BV |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-694802020-06-15T03:58:51Z The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors Kiekens, G. Hasking, Penelope Boyes, Mark Claes, L. Mortier, P. Auerbach, R. Cuijpers, P. Demyttenaere, K. Green, J. Kessler, R. Myin-Germeys, I. Nock, M. Bruffaerts, R. Background: Theoretical and empirical literature suggests that non-suicidal self-injury (NSSI) is an important correlate of suicide risk. The present study was designed to evaluate: (a) whether NSSI is associated with increased odds of subsequent onsets of suicidal thoughts and behaviors (STB) independent of common mental disorders, (b) whether NSSI is associated with increased risk of transitioning from suicide ideation to attempt, and (c) which NSSI characteristics are associated with STB after NSSI. Method: Using discrete-time survival models, based on retrospective age of onset reports from college students (n = 6,393, 56.8% female), we examined associations of temporally prior NSSI with subsequent STB (i.e., suicide ideation, plan, and attempt) controlling mental disorders (i.e., MDD, Broad Mania, GAD, Panic Disorder, and risk for Alcohol Dependence). NSSI characteristics associated with subsequent STB were examined using logistic regressions. Results: NSSI was associated with increased odds of subsequent suicide ideation (OR = 2.8), plan (OR = 3.0), and attempt (OR = 5.5) in models that controlled for the distribution of mental disorders. Further analyses revealed that NSSI was associated with increased risk of transitioning to a plan among those with ideation, as well as attempt among those with a plan (ORs = 1.7–2.1). Several NSSI characteristics (e.g., automatic positive reinforcement, earlier onset NSSI) were associated with increased odds of experiencing STB. Limitations: Surveys relied on self-report, and thus, there is the potential for recall bias. Conclusions: This study provides support for the conceptualization of NSSI as a risk factor for STB. Investigation of the underlying pathways accounting for these time-ordered associations is an important avenue for future research. 2018 Journal Article http://hdl.handle.net/20.500.11937/69480 10.1016/j.jad.2018.06.033 Elsevier BV restricted |
| spellingShingle | Kiekens, G. Hasking, Penelope Boyes, Mark Claes, L. Mortier, P. Auerbach, R. Cuijpers, P. Demyttenaere, K. Green, J. Kessler, R. Myin-Germeys, I. Nock, M. Bruffaerts, R. The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors |
| title | The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors |
| title_full | The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors |
| title_fullStr | The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors |
| title_full_unstemmed | The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors |
| title_short | The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors |
| title_sort | associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors |
| url | http://hdl.handle.net/20.500.11937/69480 |