Expanding our understanding of the relationship between nonsuicidal self-injury and suicide attempts: The roles of emotion regulation self-efficacy and the acquired capability for suicide

Gratz, Kim L.; Spitzen, Tara L.; Tull, Matthew T.

doi:10.1002/jclp.22950

Cited by 36Suicide and Self-Harm StudiesPersonality Disorders and PsychopathologyHomicide, Infanticide, and Child Abuse

Expanding our understanding of the relationship between nonsuicidal self-injury and suicide attempts: The roles of emotion regulation self-efficacy and the acquired capability for suicide

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Gratz, Kim L., Spitzen, Tara L., Tull, Matthew T.·2020·Journal of Clinical Psychology

DOI 10.1002/jclp.22950PMC PMC7723229

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Abstract

OBJECTIVE: Although past literature has emphasized the role of acquired capability in the relationship between nonsuicidal self-injury (NSSI) and suicide attempts, support for the indirect relationship of NSSI to suicide attempts through acquired capability is limited. Thus, research examining other factors that may underlie this relationship is needed. Across two studies, this research examined the indirect relationships of NSSI frequency to suicide attempts through both acquired capability and emotion regulation self-efficacy (ERSE). METHOD: Two large samples of adults (one nationwide community sample and one clinical sample of patients with substance use disorders) completed questionnaires and/or interviews. RESULTS: Results revealed significant indirect relationships of NSSI frequency to lifetime suicide attempts through ERSE, but not acquired capability, within both samples. CONCLUSIONS: Results highlight the relevance of ERSE to both suicide attempts and the NSSI-suicide attempt relationship, and suggest the potential utility of interventions aimed at increasing ERSE among individuals with repeated NSSI.

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Studies have shown that emotion dysregulation eases the development of suicidal ideation and behavior.
“Accordingly, studies have shown that emotion dysregulation eases the development of suicidal ideation and behavior [15,16,17,18].”
From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [18]
The General Discussion reports that lower emotion-regulation self-efficacy was indirectly associated with suicide attempts among people who engage in nonsuicidal self-injury. It suggests that repeated failures to regulate emotions may increase the likelihood of a transition from suicidal ideation to an attempt. It does not establish that emotion dysregulation causes the development of suicidal ideation, and its findings are narrower than the claim’s general statement about suicidal behavior. Page numbers are unavailable in our copy. (LLM, conf=0.84)
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The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature
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“Accordingly, studies have shown that emotion dysregulation eases the development of suicidal ideation and behavior [15–18].”
Background
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Authors: Gratz, K. L., Spitzen, T. L., & Tull, M. T.
Affiliations: University of Toledo (US)
Corresponding author: Gratz, Kim L.
ORCID: Gratz, Kim L.
Spitzen, Tara L.
Tull, Matthew T.
Venue: Journal of Clinical Psychology
Publisher: Wiley
Published: 2020-03-30
Volume: 76
Issue: 9
Pages: 1653-1667
ISSN: 0021-9762 (ISSN-L)
1097-4679
DOI: 10.1002/jclp.22950
PMC: PMC7723229
OpenAlex: W3013241601
Cited by: 36
References: 78
Citations by year: 2026: 3 · 2025: 11 · 2024: 4 · 2023: 5 · 2022: 8 · 2021: 2 · 2020: 3
FWCI: 1.80
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Office of Research and Sponsored Projects at the University of Toledo
National Institute on Drug Abuse of the National Institutes of Health (R21 DA030587)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords: non-suicidal self-injury, suicide attempts, emotion regulation self-efficacy, acquired capability for suicide, indirect effects, substance use disorders, self-injury frequency, suicide prevention interventions
MeSH terms: Emotional Regulation, Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Suicide, Attempted, Self-Injurious Behavior, Self Efficacy, Qualitative Research, Young Adult

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Expanding our understanding of the relationship between nonsuicidal self-injury and suicide attempts: The roles of emotion regulation self-efficacy and the acquired capability for suicide

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