Non-suicidal self-injury and suicidal ideation as predictors of suicide attempts in adolescent girls: a multi-wave prospective study
Open accessAbstract
Although both suicide ideation (SI) and non-suicidal self-injury (NSSI) are known risk factors for suicidal behavior, few longitudinal studies have examined whether having a history of one or both of these factors prospectively predicts increased risk for suicide attempts. According to the theory of acquired capability for suicide, engagement in NSSI may reduce inhibitions around self-inflicted violence, imparting greater risk for suicide attempts among those with SI than would be observed in those with SI who do not have a history of NSSI. We used prospective data from the Pittsburgh Girls Study, a large community sample, to compare groups of girls reporting no SI or NSSI, SI only, or both NSSI and SI between early to late adolescence on any lifetime or recent suicide attempts in late adolescence and early adulthood. As compared to girls with no SI or NSSI history and those with only an SI history, girls with a history of both NSSI and SI were significantly more likely to subsequently report both lifetime and recent suicide attempts. Results are consistent with the acquired capability theory for suicide and suggest that adolescent girls who have engaged in NSSI and also report SI represent a particularly high-risk group in need of prevention and intervention efforts.
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Typical behavioral manifestations of emotion dysregulation, such as self-harm, suicidal ideation, eating disorder behaviors, or substance abuse, are associated with increased morbidity and mortality.
“Additionally, typical behavioral manifestations of emotion dysregulation, such as self-harm, suicidal ideation, eating disorder behaviors, or substance (ab)use, are associated with increased morbidity and mortality (4–7).”
From Radical Acceptance of Reality: Putting DBT®-A Skill Groups Online During the COVID-19 Pandemic: A Qualitative Study (2022) · cites this paper as [5]
The Discussion and Conclusions (page unavailable) report that nonsuicidal self-injury and suicidal ideation in adolescent girls predict suicide attempts, supporting the claim’s self-harm and suicidal-ideation components. The paper does not establish the broader claim about eating-disorder behaviors or substance use, or about morbidity and mortality generally. (LLM, conf=0.86)
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- Authors
- Scott, L. N., Pilkonis, P. A., Hipwell, A. E., Keenan, K., & Stepp, S. D.
- Affiliations
- University of Pittsburgh (US)
- University of Chicago (US)
- Corresponding author
- Scott, Lori N.
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 2015-04
- Volume
- 58
- Pages
- 1-10
- ISSN
- 0010-440X (ISSN-L)
- PMC
- PMC4369422
- OpenAlex
- W1984447367
- Cited by
- 127
- References
- 49
- Citations by year
- 2026: 9 · 2025: 13 · 2024: 16 · 2023: 14 · 2022: 13 · 2021: 16 · 2020: 9 · 2019: 14 · 2018: 5 · 2017: 10 · 2016: 6 · 2015: 2
- FWCI
- 7.05
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Comprehensive Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute of Mental Health (R01 MH101088, R01 MH56630, R01 MH056888, K01 MH101289)
- National Institute on Drug Abuse (R01 DA012237)
- Office of Juvenile Justice and Delinquency Prevention
- FISA Foundation
- Falk Fund
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Health › Gun Ownership and Violence Research
- Keywords
- non-suicidal self-injury, suicidal ideation, suicide attempts, adolescent girls, acquired capability for suicide, suicide risk factors, Pittsburgh Girls Study, suicide prevention
- MeSH terms
- Adolescent, Adolescent Behavior, Borderline Personality Disorder, Child, Depression, Female, Humans, Prospective Studies, Risk Factors, Suicide, Attempted, Self-Injurious Behavior, Young Adult, Suicidal Ideation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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