Cited by 390Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbusePersonality Disorders and Psychopathology

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Correlates of suicide attempts among self-injurers: A meta-analysis

Victor, Sarah E., Klonsky, E. David·2014·Clinical Psychology Review

DOI 10.1016/j.cpr.2014.03.005

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Abstract

Suicide attempts (SAs) are common among those who engage in non-suicidal self-injury (NSSI). It is therefore important to determine which suicide risk factors are most predictive of SA among those who self-injure. Toward this aim, we conducted a systematic review of studies examining predictors of SA history among self-injurers. A total of 52 empirical articles provided data comparing self-injurers with and without SA. From these studies we focused our meta-analysis on the 20 variables that were evaluated with respect to SA history in five or more different samples. The strongest correlate of SA history was suicidal ideation. After suicidal ideation, the strongest predictors of SA history were NSSI frequency, number of NSSI methods, and hopelessness. Additional, moderate predictors of SA history included Borderline Personality Disorder, impulsivity, Post-Traumatic Stress Disorder, the NSSI method of cutting, and depression. Demographic characteristics, such as gender, ethnicity, and age, were weakly associated with SA history. Notably, some oft-cited risk factors for SA displayed small or negligible associations with SA among self-injurers, including histories of sexual and physical abuse, anxiety, substance use, and eating disorders. Findings have implications for conceptual models of the NSSI-SA relationship and the evaluation of suicide risk among self-injuring populations.

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Authors: Victor, S. E., & Klonsky, E. D.
Affiliations: University of British Columbia (CA)
Corresponding author: Victor, Sarah E.
ORCID: Victor, Sarah E.
Klonsky, E. David
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2014-06
Volume: 34
Issue: 4
Pages: 282-297
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2014.03.005
OpenAlex: W2018420818
Semantic Scholar: 6c712388fdee278dfbbdadd874cb6b1aa4eeaad8
Cited by: 390
References: 108
Citations by year: 2026: 19 · 2025: 37 · 2024: 35 · 2023: 38 · 2022: 33 · 2021: 45 · 2020: 39 · 2019: 26 · 2018: 29 · 2017: 32 · 2016: 28 · 2015: 24 · 2014: 5
FWCI: 4.51
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: suicide attempts, non-suicidal self-injury, suicidal ideation, hopelessness, borderline personality disorder, impulsivity, post-traumatic stress disorder, depression, suicide risk factors, cuttings, suicide risk assessment
MeSH terms: Borderline Personality Disorder, Humans, Impulsive Behavior, Risk Factors, Suicide, Attempted, Self-Injurious Behavior

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Correlates of suicide attempts among self-injurers: A meta-analysis

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