The DOI matches its Crossref record; 109 of the 109 references it cites were found in a registry or an index.
Correlates of suicide attempts among self-injurers: A meta-analysis
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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“A meta-analysis of 52 studies (all using retrospective self-report) found that the strongest correlates of suicide attempts among adolescents who engaged in non-suicidal self-harm were suicidal ideation, hopelessness, and non-suicidal self-harm characteristics (frequency and number of methods).20”
From Predictors of future suicide attempt among adolescents with suicidal thoughts or non-suicidal self-harm: a population-based birth cohort study (2019) · cites this paper as [20]
In the citing paper
“However, our results are consistent with previous research5, 20 that has suggested that these factors appear to be associated with suicide attempts because they are associated with the development of suicidal thoughts or non-suicidal self-harm, but are not involved in the transition.”
From Predictors of future suicide attempt among adolescents with suicidal thoughts or non-suicidal self-harm: a population-based birth cohort study (2019) · cites this paper as [20]
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Mars, B., Heron, J., Klonsky, E. D., Moran, P., O'Connor, R. C., Tilling, K., Wilkinson, P., & Gunnell, D. (2019) · The Lancet Psychiatry · doi:10.1016/s2215-0366(19)30030-6 · Cited by 546
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The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors
Kiekens, G., Hasking, P. A., Boyes, M. E., Claes, L., Mortier, P., Auerbach, R. P., Cuijpers, P. J., Demyttenaere, K., Green, J. G., Kessler, R. C., et al. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.06.033 · Cited by 467
Why Do People Hurt Themselves? A New Conceptual Model of Nonsuicidal Self-Injury
Hooley, J. M., & Franklin, J. C. (2017) · Clinical Psychological Science · doi:10.1177/2167702617745641 · Cited by 467
Relations between nonsuicidal self-injury and suicidal behavior in adolescence: a systematic review
Grandclerc, S., De Labrouhe, D., Spodenkiewicz, M., Lachal, J., & Moro, M.-R. (2016) · PLoS ONE · doi:10.1371/journal.pone.0153760 · Cited by 332
Metadata
- Authors
- Victor, S. E., & Klonsky, E. D.
- Affiliations
- University of British Columbia (CA)
- Corresponding author
- Victor, Sarah E.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 34
- Issue
- 4
- Pages
- 282-297
- ISSN
- 0272-7358 (ISSN-L)
- 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
- 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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