Cited by 127Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseGun Ownership and Violence Research

Non-suicidal self-injury and suicidal ideation as predictors of suicide attempts in adolescent girls: a multi-wave prospective study

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Scott, Lori N., Pilkonis, Paul A., Hipwell, Alison E., Keenan, Kate, Stepp, Stephanie D.·2015·Comprehensive Psychiatry

Abstract

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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Crossref · 10.1016/j.comppsych.2014.12.011

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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)
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
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

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