Adolescent self-injurers: comparing non-ideators, suicide ideators, and suicide attempters.
Open accessAbstract
Adolescent non-suicidal self-injury (NSSI) and suicidality are serious health concerns; however, factors that contribute to the transition from NSSI to suicide ideation and suicide attempts are unclear. To address this gap, we investigated whether demographic characteristics, child maltreatment, and psychiatric factors are associated with the level suicidality among adolescents with a history of self-injury. Participants were three groups of adolescent inpatient self-injurers (n = 397, 317 female), aged 13-18 years (M = 15.44, SD = 1.36): (a) non-ideators (n = 96; no current suicide ideation and no lifetime suicide attempts), (b) suicide ideators (n = 149; current ideation and no lifetime attempts), and (c) suicide attempters (n = 152; current ideation and at least one lifetime attempt). Participants completed interviews assessing psychiatric diagnoses, suicidality, and NSSI characteristics, as well as questionnaires on childhood trauma, psychiatric symptoms, and risky behavior engagement. Depression severity was associated with greater odds being a suicide ideator (p < 0.001, OR = 1.04) and an attempter (p < 0.001, OR = 1.05) compared to a non-ideator. Suicide attempters used more NSSI methods and reported greater risky behavior engagement than non-ideators (p = 0.03, OR = 1.29 and p = 0.03, OR = 1.06, respectively) and ideators (p = 0.015, OR = 1.25 and p = 0.04, OR = 1.05, respectively); attempters used more severe NSSI methods (e.g., burning). Our results identify a wide range of risk markers for increasing lethality in a sample at high risk for suicide mortality; future research is needed to refine risk assessments for adolescent self-injurers and determine the clinical utility of using risk markers for screening and intervention.
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Persistent death wishes in adolescents are typically interpreted as persistent or chronic suicidality.
“Persistent death wishes in adolescents are typically interpreted as persistent or chronic suicidality, which is associated with increased hopelessness,8 emotion regulation problems,9 early-onset self-harm,10 and co-occurring psychiatric diagnoses.11”
From Requests for Medical Assistance in Dying by Young Dutch People With Psychiatric Disorders (2025) · cites this paper as [10]
The Abstract defines suicidal ideation as thoughts of killing oneself, but the paper does not say that persistent death wishes are typically interpreted as chronic suicidality. The Results (section 6.1; page unavailable) report earlier onset of self-injury among suicide attempters, which supports the sentence’s early-onset self-harm point, but the study does not establish an association with persistent suicidality. (LLM, conf=0.76)
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Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works
Assessment of suicidal intention: The Scale for Suicide Ideation.
Beck, A. T., Kovacs, M., & Weissman, A. (1979) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.47.2.343 · Cited by 3,419 · see citing works
(2006) · PubMed · Cited by 3,378 · see citing works
Casey, B. J., Jones, R. M., & Hare, T. A. (2008) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1440.010 · Cited by 3,345 · cited 2× · see citing works
“…increases in risk-taking and impulsivity during adolescence are thought to arise from increased maturation of limbic circuitry, responsible for heightened emotional reactivity, relative to under-developed prefrontal regions, responsible for inhibition and impulse control (Casey et al., 2008).”
BackgroundJoiner, T. E. (2007) · Harvard University Press eBooks · doi:10.2307/j.ctvjghv2f · Cited by 2,891 · see citing works
Youth risk behavior surveillance-United States, 2017
Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Queen, B., Lowry, R., Chyen, D., Whittle, L., Thornton, J., et al. (2018) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6708a1 · Cited by 2,502 · see citing works
The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity
MARCH, J. S., PARKER, J. D. A., SULLIVAN, K., STALLINGS, P., & CONNERS, C. K. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199704000-00019 · Cited by 2,236 · see citing works
Toward a clinical model of suicidal behavior in psychiatric patients
Mann, J. J., Waternaux, C., Haas, G. L., & Malone, K. M. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.2.181 · Cited by 1,791 · cited 2× · see citing works
“For example, aggression may play a critical role in adult suicide attempts (Mann et al., 1999).”
BackgroundA scale for the assessment of hedonic tone the Snaith-Hamilton pleasure scale
Snaith, R. P., Hamilton, M., Morley, S., Humayan, A., Hargreaves, D., & Trigwell, P. (1995) · British Journal of Psychiatry · doi:10.1192/bjp.167.1.99 · Cited by 1,778 · see citing works
Sheehan, D. V., Sheehan, K. H., Shytle, R. D., Janavs, J., Bannon, Y., Rogers, J. E., Milo, K. M., Stock, S. L., & Wilkinson, B. (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.09m05305whi · Cited by 1,730 · see citing works
Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013) · JAMA Psychiatry · doi:10.1001/2013.jamapsychiatry.55 · Cited by 1,666 · see citing works
Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts
NOCK, M., JOINERJR, T., GORDON, K., LLOYDRICHARDSON, E., & PRINSTEIN, M. (2006) · Psychiatry Research · doi:10.1016/j.psychres.2006.05.010 · Cited by 1,617 · see citing works
Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007) · Psychological Assessment · doi:10.1037/1040-3590.19.3.309 · Cited by 1,352 · see citing works
Avenevoli, S., Swendsen, J., He, J.-P., Burstein, M., & Merikangas, K. R. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2014.10.010 · Cited by 1,202 · see citing works
Van Orden, K. A., Witte, T. K., Gordon, K. H., Bender, T. W., & Joiner, T. E. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.1.72 · Cited by 1,126 · see citing works
Characteristics and functions of non-suicidal self-injury in a community sample of adolescents
Lloyd‐Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007) · Psychological Medicine · doi:10.1017/s003329170700027x · Cited by 929 · see citing works
Nock, M. K., Hwang, I., Sampson, N., Kessler, R. C., Angermeyer, M., Beautrais, A., Borges, G., Bromet, E., Bruffaerts, R., de Girolamo, G., et al. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000123 · Cited by 912 · cited 5× · see citing works
“Adolescents most often report using NSSI to reduce aversive emotional states (Nock et al., 2009a,b).”
BackgroundResultInfluentialNock, M. K., Prinstein, M. J., & Sterba, S. K. (2009) · Journal of Abnormal Psychology · doi:10.1037/a0016948 · Cited by 662 · see citing works
Asarnow, J. R., Porta, G., Spirito, A., Emslie, G., Clarke, G., Wagner, K. D., Vitiello, B., Keller, M., Birmaher, B., McCracken, J., et al. (2011) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2011.04.003 · Cited by 632 · see citing works
Nonsuicidal self-injury as a gateway to suicide in young adults
Whitlock, J., Muehlenkamp, J., Eckenrode, J., Purington, A., Baral Abrams, G., Barreira, P., & Kress, V. (2013) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2012.09.010 · Cited by 618 · see citing works
Risk for Suicide Attempts Among Adolescents Who Engage in Non-Suicidal Self-Injury
Muehlenkamp, J. J., & Gutierrez, P. M. (2006) · Archives of Suicide Research · doi:10.1080/13811110600992902 · Cited by 495 · see citing works
Youth Risk Behavior Surveillance--United States, 2003
Grunbaum, J. A., Kann, L., Kinchen, S., Ross, J., Hawkins, J., & Lowry, R. (2004) · PsycEXTRA Dataset · doi:10.1037/e307132005-001 · Cited by 477 · see citing works
What distinguishes suicide attempters from suicide ideators? A meta-analysis of potential factors.
May, A. M., & Klonsky, E. D. (2016) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12136 · Cited by 459 · see citing works
Psychiatric Impairment Among Adolescents Engaging in Different Types of Deliberate Self-Harm
Jacobson, C. M., Muehlenkamp, J. J., Miller, A. L., & Turner, J. B. (2008) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374410801955771 · Cited by 394 · see citing works
Correlates of suicide attempts among self-injurers: a meta-analysis
Victor, S. E., & Klonsky, E. D. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.03.005 · Cited by 390 · see citing works
Differences in Non-Suicidal Self-Injury and Suicide Attempts in Adolescents
Brausch, A. M., & Gutierrez, P. M. (2009) · Journal of Youth and Adolescence · doi:10.1007/s10964-009-9482-0 · Cited by 376 · see citing works
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 · see citing works
Non-suicidal self-injury, attempted suicide, and suicidal intent among psychiatric inpatients
Andover, M. S., & Gibb, B. E. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2010.03.019 · Cited by 319 · see citing works
Impulsivity and suicidality: The mediating role of painful and provocative experiences
Bender, T. W., Gordon, K. H., Bresin, K., & Joiner, T. E. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.07.023 · Cited by 317 · see citing works
A multimethod analysis of impulsivity in nonsuicidal self-injury.
Glenn, C. R., & Klonsky, E. D. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0017427 · Cited by 273 · see citing works
Self-Mutilative Behavior in Adolescents Who Attempt Suicide by Overdose
Guertin, T. L., Lloyd‐Richardson, E. E., Spirito, A., Donaldson, D. L., & Boergers, J. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200109000-00015 · Cited by 223 · see citing works
Miranda, R., SCOTT, M., Hicks, R. C., Wilcox, H. C., Munfakh, J. L. H., & Shaffer, D. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31815a56cb · Cited by 201 · see citing works
Dougherty, D. M., Mathias, C. W., Marsh‐Richard, D. M., Prevette, K. N., Dawes, M. A., Hatzis, E. S., Palmes, G. K., & Nouvion, S. O. (2009) · Psychiatry Research · doi:10.1016/j.psychres.2008.06.011 · Cited by 193 · see citing works
Paul, E., Tsypes, A., Eidlitz, L., Ernhout, C., & Whitlock, J. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2014.12.026 · Cited by 168 · see citing works
Taliaferro, L. A., & Muehlenkamp, J. J. (2013) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12046 · Cited by 166 · see citing works
Impulsivity and suicidality in adolescent inpatients
Auerbach, R. P., Stewart, J. G., & Johnson, S. L. (2017) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-016-0146-8 · Cited by 166 · see citing works
Muehlenkamp, J. J., Ertelt, T. W., Miller, A. L., & Claes, L. (2010) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2010.02305.x · Cited by 136 · see citing works
Turner, B. J., Layden, B. K., Butler, S. M., & Chapman, A. L. (2013) · Archives of Suicide Research · doi:10.1080/13811118.2013.802660 · Cited by 135 · see citing works
Scott, L. N., Pilkonis, P. A., Hipwell, A. E., Keenan, K., & Stepp, S. D. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.12.011 · Cited by 127 · see citing works
Honings, S., Drukker, M., Groen, R. N., & van Os, J. (2015) · Psychological Medicine · doi:10.1017/s0033291715001841 · Cited by 115 · see citing works
Martin, G., Thomas, H. J., Andrews, T., Hasking, P. A., & Scott, J. G. (2014) · Psychological Medicine · doi:10.1017/s0033291714001615 · Cited by 108 · see citing works
Attempted suicide and self-injury in patients diagnosed with eating disorders
Stein, D. J., Lilenfeld, L., Wildman, P. C., & Marcus, M. D. (2004) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2004.07.011 · Cited by 96 · see citing works
Identifying correlates of suicide attempts in suicidal ideators: a population-based study
Brezo, J., Paris, J., Tremblay, R. E., Vitaro, F., Hébert, M., & Turecki, G. (2007) · Psychological Medicine · doi:10.1017/s0033291707000803 · Cited by 96 · see citing works
Csorba, J., Dinya, E., Plener, P. L., Nagy, E., & Páli, E. (2009) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-008-0733-5 · Cited by 89 · see citing works
Psychometric properties and clinical utility of the Scale for Suicidal Ideation (SSI) in adolescents
Holi, M. M., Pelkonen, M., Karlsson, L., Kiviruusu, O., Ruuttu, T., Heilä, H., Tuisku, V., & Marttunen, M. (2005) · BMC Psychiatry · doi:10.1186/1471-244x-5-8 · Cited by 87 · see citing works
Larsson, B. S., & Sund, A. M. (2008) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2008.38.2.152 · Cited by 86 · see citing works
Landheim, A. S., Bakken, K., & Vaglum, P. (2006) · European Addiction Research · doi:10.1159/000090430 · Cited by 60 · see citing works
Differentiating Suicide Ideators from Attempters: Violence—A Research Note
Stack, S. J. (2013) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12054 · Cited by 60 · see citing works
Victor, S. E., Styer, D. M., & Washburn, J. J. (2015) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-015-0053-8 · Cited by 57 · see citing works
Auerbach, R. P., & Gardiner, C. K. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.06.002 · Cited by 48 · see citing works
Liu, R. T., Case, B. G., & Spirito, A. (2014) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2014.05.001 · Cited by 43 · see citing works
Flagged first, then by citations
3 of the 54 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
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 428 · see citing works
Angelakis, I., Austin, J. L., & Gooding, P. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.12563 · Cited by 385 · see citing works
The Relationship between Childhood Maltreatment and Non-Suicidal Self-Injury: A Systematic Review
Serafini, G., Canepa, G., Adavastro, G., Nebbia, J., Murri, M. B., Erbuto, D., Pocai, B., Fiorillo, A., Pompili, M., Flouri, E., et al. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2017.00149 · Cited by 254 · see citing works
Tang, J., Li, G., Chen, B., Huang, Z., Zhang, Y., Chang, H., Wu, C., Ma, X., Wang, J., & Yu, Y. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.09.051 · Cited by 172 · see citing works
Life stress and suicide in adolescents
Stewart, J. G., Shields, G. S., Esposito, E. C., Cosby, E. A., Allen, N. B., Slavich, G. M., & Auerbach, R. P. (2019) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-019-00534-5 · Cited by 144 · see citing works
Self-citationAllen, N. B., Nelson, B. W., Brent, D., & Auerbach, R. P. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.03.044 · Cited by 115 · see citing works
Vergara, G. A., Stewart, J. G., Cosby, E. A., Lincoln, S. H., & Auerbach, R. P. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.11.084 · Cited by 99 · see citing works
Self-citationFrom ideation to action: recent advances in understanding suicide capability
May, A. M., & Victor, S. E. (2017) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2017.07.007 · Cited by 90 · see citing works
Fredrick, S. S., Demaray, M. K., Malecki, C. K., & Dorio, N. B. (2018) · Psychology in the Schools · doi:10.1002/pits.22125 · Cited by 91 · see citing works
Andrade, A., Correia, C. K., & Coimbra, D. R. (2019) · Cyberpsychology, Behavior, and Social Networking · doi:10.1089/cyber.2019.0341 · Cited by 81 · see citing works
Robinson, K., Garisch, J. A., & Wilson, M. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.12.201 · Cited by 79 · see citing works
Factors Associated With Non-suicidal Self-Injury in Chinese Adolescents: A Meta-Analysis
Fan, Y., Liu, J., Zeng, Y.-Y., Conrad, R. C., & Tang, Y. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.747031 · Cited by 78 · see citing works
Peer victimization and suicidal ideation: The role of gender and depression in a school-based sample
Fredrick, S. S., & Demaray, M. K. (2018) · Journal of School Psychology · doi:10.1016/j.jsp.2018.02.001 · Cited by 76 · see citing works
Peer victimization and suicidal thoughts and behaviors in depressed adolescents
Stewart, J. G., Valeri, L., Esposito, E. C., & Auerbach, R. P. (2018) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-017-0304-7 · Cited by 60 · see citing works
Romanelli, M., Sheftall, A. H., Irsheid, S. B., Lindsey, M. A., & Grogan, T. M. (2021) · Prevention Science · doi:10.1007/s11121-021-01295-8 · Cited by 71 · see citing works
Howe, S. J., Hewitt, K., Baraskewich, J., Cassidy, S., & McMorris, C. A. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04394-7 · Cited by 61 · see citing works
Geng, J., Lei, L., Han, L., & Gao, F. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.01.035 · Cited by 57 · see citing works
Kirshenbaum, J. S., Pagliaccio, D., Bitran, A., Xu, E., & Auerbach, R. P. (2024) · Translational Psychiatry · doi:10.1038/s41398-024-02914-y · Cited by 63 · see citing works
Non-suicidal self-injury and suicide attempts in a New Zealand birth cohort
Coppersmith, D. D. L., Nada‐Raja, S., & Beautrais, A. L. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.06.029 · Cited by 54 · see citing works
Model complexity improves the prediction of nonsuicidal self-injury.
Fox, K., Huang, X., Linthicum, K. P., Wang, S. B., Franklin, J., & Ribeiro, J. D. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000421 · Cited by 49 · see citing works
Auerbach, R. P., Pagliaccio, D., & Kirshenbaum, J. S. (2022) · Current topics in behavioral neurosciences · doi:10.1007/7854_2022_358 · Cited by 47 · see citing works
Peters, J. R., Mereish, E. H., Krek, M., Chuong, A., Ranney, M. L., SOLOMON, J. M., Spirito, A., & Yen, S. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.112664 · Cited by 46 · see citing works
Peng, C., Hu, W., Yuan, S., Xiang, J., Kang, C., Wang, M., Rong, F., Huang, Y., & Yu, Y. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.565364 · Cited by 48 · see citing works
Boduszek, D., Debowska, A., Ochen, E. A., Fray, C., Nanfuka, E. K., Powell-Booth, K., Turyomurugyendo, F., Nelson, K., Harvey, R., Willmott, D., et al. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.01.063 · Cited by 48 · see citing works
Wan, L.-P., Yang, X., Liu, B.-P., Zhang, Y., Liu, X., Jia, C.-X., & Wang, X. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.01.061 · Cited by 41 · see citing works
Li, D., Yang, R., Wan, Y., Tao, F., Fang, J. Q., & Zhang, S. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16132366 · Cited by 40 · see citing works
Bjureberg, J., Ohlis, A., Ljótsson, B., D'Onofrio, B. M., Hedman‐Lagerlöf, E., Jokinen, J., Sahlin, H., Lichtenstein, P., Cederlöf, M., & Hellner, C. (2018) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12967 · Cited by 39 · see citing works
Suicidal Thoughts and Behaviors Among Adolescent Psychiatric Inpatients
Alqueza, K. L., Pagliaccio, D., Durham, K., Srinivasan, A., Stewart, J. G., & Auerbach, R. P. (2021) · Archives of Suicide Research · doi:10.1080/13811118.2021.1999874 · Cited by 39 · see citing works
Mbroh, H., Zullo, L., Westers, N. J., Stone, L., King, J. L., Kennard, B. D., Emslie, G. J., & Stewart, S. M. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.05.056 · Cited by 38 · see citing works
Baer, M. M., Tull, M. T., Forbes, C. N., Richmond, J. R., & Gratz, K. L. (2019) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12596 · Cited by 38 · see citing works
Non-suicidal Self-injurious Thoughts and Behaviors Among Adolescent Inpatients
Millon, E. M., Alqueza, K. L., Kamath, R. A., Marsh, R., Pagliaccio, D., Blumberg, H. P., Stewart, J. G., & Auerbach, R. P. (2022) · Child Psychiatry & Human Development · doi:10.1007/s10578-022-01380-1 · Cited by 36 · see citing works
Mediators between adverse childhood experiences and suicidality
Rytilä‐Manninen, M., Haravuori, H., Fröjd, S. A., MARTTUNEN, M. J., & Lindberg, N. (2018) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2017.12.007 · Cited by 35 · see citing works
Parents’ Experience and Psychoeducation Needs When Supporting a Young Person Who Self-Harms
Krysinska, K. E., Curtis, S., Lamblin, M., Stefanac, N., Gibson, K. L., Byrne, S. J., Thorn, P., Rice, S., McRoberts, A., Ferrey, A. E., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17103662 · Cited by 35 · see citing works
Gilmore, D., Harris, L., Longo, A., & Hand, B. N. (2020) · Autism · doi:10.1177/1362361320955109 · Cited by 34 · see citing works
Factors Associated with Suicide Attempts and Suicides in the General Population of Andalusia (Spain)
Mejías-Martín, Y., del Castillo, J. D. D. L., Rodríguez-Mejías, C., Martí‐García, C., Valencia-Quintero, J. P., & García‐Caro, M. P. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16224496 · Cited by 33 · see citing works
Trends and instigators among young adolescent suicide in the United States
Labuhn, M., LaBore, K., Ahmed, T., & Ahmed, R. (2021) · Public Health · doi:10.1016/j.puhe.2021.08.004 · Cited by 31 · see citing works
Predescu, E., & Șipoș, R. (2023) · Children · doi:10.3390/children10040725 · Cited by 28 · see citing works
MacPherson, H. A., Weinstein, S. M., & West, A. E. (2017) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-017-0331-4 · Cited by 26 · see citing works
Stewart, J. G., Polanco-Roman, L. A., Duarte, C. S., & Auerbach, R. P. (2019) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-019-00194-1 · Cited by 30 · see citing works
Pérez, S., Ros, M. C., Layrón, J. E., & Marco, J. H. (2018) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12521 · Cited by 25 · see citing works
Park, Y., & Ammerman, B. A. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.12.040 · Cited by 24 · see citing works
Differential Experiences of Mental Health among Transgender and Gender-Diverse Youth in Colorado
Ash, B. A., Kattari, S. K., Harner, V., Prince, D. M., Verdino, A. P., Kattari, L., & Park, I. Y. (2021) · Behavioral Sciences · doi:10.3390/bs11040048 · Cited by 23 · see citing works
Wang, Y., Zhou, X., Cao, B., Chen, L., Wang, R., Qi, L., Meng, L., Zeng, L., Liu, X., Wang, W., et al. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.10.130 · Cited by 22 · see citing works
Yu, L., Zhao, J., Zhao, T., Xiao, Y., Ou, Q., He, J., Luo, J., Zhong, Y., Cen, Y., Luo, W., et al. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.09.081 · Cited by 22 · see citing works
Ambrosia, M., Eckstrand, K., Morgan, J. K., Allen, N. B., Jones, N. P., Sheeber, L., Silk, J. S., & Forbes, E. E. (2018) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsy028 · Cited by 22 · see citing works
Taliaferro, L. A., Almeida, J., Aguinaldo, L. D., & McManama O’Brien, K. H. (2019) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104519862340 · Cited by 21 · see citing works
Reasons assigned to suicide attempts: adolescents’ perceptions
Simões, É. V., de Oliveira, A. M. N., de Pinho, L. B., Lourenção, L. G., de Oliveira, S. M., & de Farias, F. L. R. (2021) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2021-0163 · Cited by 21 · see citing works
Gu, H., Bao, X., & Xia, T. (2022) · Current Psychology · doi:10.1007/s12144-022-03758-9 · Cited by 20 · see citing works
Roles of protective factors and risk factors in suicidal ideation among adolescents in Taiwan
Huang, H., & Wang, R. (2019) · Public Health Nursing · doi:10.1111/phn.12584 · Cited by 20 · see citing works
Kim, K. L., Galione, J. N., Schettini, E., DeYoung, L. L. A., Gilbert, A. C., Jenkins, G. A., Barthelemy, C. M., MacPherson, H. A., Radoeva, P. D., Kudinova, A. Y., et al. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113240 · Cited by 20 · see citing works
Fındık, O. T. P., Erdoğdu, A. B., Fadıloğlu, E., & Arman, A. R. (2021) · Child Psychiatry and Human Development · doi:10.1007/s10578-021-01125-6 · Cited by 17 · see citing works
Čolić, L., Sankar, A., Goldman, D. A., Kim, J. A., & Blumberg, H. P. (2024) · Molecular Psychiatry · doi:10.1038/s41380-024-02758-4 · Cited by 22 · see citing works
Berny, L. M., & Tanner‐Smith, E. E. (2022) · Journal of Dual Diagnosis · doi:10.1080/15504263.2021.2016343 · Cited by 19 · see citing works
Lanfredi, M., Macis, A., Ferrari, C., Meloni, S., Pedrini, L., Ridolfi, M. E., Zonca, V., Cattane, N., Cattaneo, A., & Rossi, R. (2021) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-021-00154-w · Cited by 22 · see citing works
Stress exposure in at‐risk , depressed, and suicidal adolescents
Stewart, J. G., Pizzagalli, D. A., & Auerbach, R. P. (2023) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13935 · Cited by 20 · see citing works
Association between Concussions and Suicidal Behaviors in Adolescents
Wangnoo, T., Zavorsky, G. S., & Owen‐Smith, A. A. (2018) · Journal of Neurotrauma · doi:10.1089/neu.2018.5721 · Cited by 18 · see citing works
May, A. M., Czyz, E. K., & West, B. T. (2020) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2020.04.018 · Cited by 18 · see citing works
Xu, Z., Li, N., Kong, Y., Lin, L., Liu, Y., Zhang, H., He, Y., & Zhao, S. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1434191 · Cited by 17 · see citing works
Gouveia‐Pereira, M., Duarte, E., Gomes, H. S., da Silva, C. T., & Santos, N. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114400 · Cited by 17 · see citing works
Emotional dysregulation and its pathways to suicidality in a community-based sample of adolescents
Mittermeier, S., Seidel, A., Scheiner, C., Kleindienst, N., Romanos, M., & Buerger, A. (2024) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-023-00699-4 · Cited by 17 · see citing works
Chen, D.-D., Tu, J.-H., Ling, K.-N., Jin, X., & Huang, H. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1463676 · Cited by 16 · see citing works
Duarte, E., Gouveia‐Pereira, M., & Gomes, H. S. (2019) · Psychiatric Quarterly · doi:10.1007/s11126-019-09660-1 · Cited by 16 · see citing works
Wu, C., Zong, Z., Huang, T.-T., Yu, L.-X., & Sun, Q. (2022) · Death Studies · doi:10.1080/07481187.2022.2132319 · Cited by 15 · see citing works
Zhou, J., Zhao, H., & Zou, Y. (2023) · Social Science Computer Review · doi:10.1177/08944393231192237 · Cited by 16 · see citing works
Etherson, M. E., Lee, S., Loney, K. J., Steward, I. P., Ward, J., McClelland, H., Kandola, A. A., Mendes, J. A. D. A., Hollis, C. P., Townsend, E., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0326381 · Cited by 14 · see citing works
Theta oscillatory dynamics serving cognitive control index psychosocial distress in youth
Schantell, M. D., Taylor, B. K., Mansouri, A., Arif, Y., Coutant, A. T., Rice, D. L., Wang, Y., Calhoun, V. D., Stephen, J. M., & Wilson, T. W. (2023) · Neurobiology of Stress · doi:10.1016/j.ynstr.2023.100599 · Cited by 13 · see citing works
Haghish, E. F. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.02.015 · Cited by 13 · see citing works
Requests for Medical Assistance in Dying by Young Dutch People With Psychiatric Disorders
Schweren, L. J. S., Rasing, S. P. A., Kammeraat, M., Middelkoop, L. A., Werner, R., Mérelle, S. Y. M., Garcia, J. M., Creemers, D. H. M., & van Veen, S. M. P. (2025) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2024.4006 · Cited by 11 · see citing works
Characteristics and Functions of Non-Suicidal Self-Injury That Inform Suicide Risk
Park, Y., Qu, W. Y., & Ammerman, B. A. (2024) · Archives of Suicide Research · doi:10.1080/13811118.2024.2310556 · Cited by 11 · see citing works
Latent class analysis of health behaviors, anxiety, and suicidal behaviors among Korean adolescents
Lee, M., & Lee, H. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.03.025 · Cited by 11 · see citing works
Bao, J., Wan, J., Li, H., & Sun, F. (2024) · Acta Psychologica · doi:10.1016/j.actpsy.2024.104271 · Cited by 10 · see citing works
Jones, M. S., Kevorkian, S. S., Lehmann, P. S., Chouhy, C., & Meldrum, R. C. (2024) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2024.106834 · Cited by 10 · see citing works
Predicting the trajectory of non‐suicidal self‐injury among adolescents
Mason, G. E., Auerbach, R. P., & Stewart, J. G. (2024) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.14046 · Cited by 10 · see citing works
Karimi, S., Pirmoradi, M., Ashouri, A., & Aghebati, A. (2021) · Iranian Journal of Psychiatry and Clinical Psychology · doi:10.32598/ijpcp.26.4.2955.2.1 · Cited by 10 · see citing works
Thompson, A., Ruch, D. A., Bridge, J. A., Fontanella, C. A., & Beauchaine, T. P. (2024) · Development and Psychopathology · doi:10.1017/s0954579424001342 · Cited by 9 · see citing works
Aguilar-Velázquez, D. G., González‐Castro, T. B., Tovilla‐Zárate, C. A., Juárez‐Rojop, I. E., López‐Narváez, M. L., Fresán, A., Hernández‐Díaz, Y., & Guzmán‐Priego, C. G. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.09.083 · Cited by 9 · see citing works
Yang, W., Ning, L., Miao, Q., Xu, F. H., Li, K., Chen, X., & Lu, H. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06943-9 · Cited by 9 · see citing works
Tabares, Á. S. G. (2023) · psicología desde el caribe · doi:10.14482/psdc.38.3.362.28 · Cited by 7 · see citing works
Zheng, Y., Wang, J., Jiang, Q., Liao, M., & Huang, F. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1179518 · Cited by 10 · see citing works
Haliczer, L. A., Harnedy, L. E., Oakley, M., & Dixon–Gordon, K. L. (2021) · The Journal of Primary Prevention · doi:10.1007/s10935-021-00639-y · Cited by 8 · see citing works
Peripheral and neural correlates of self-harm in children and adolescents: a scoping review
Sparrow-Downes, V. M., Trincao-Batra, S., Cloutier, P., Helleman, A., Salamatmanesh, M., Gardner, W., Baksh, A., Kapur, R., Sheridan, N., Suntharalingam, S., et al. (2021) · BMC Psychiatry · doi:10.1186/s12888-022-03724-6 · Cited by 9 · see citing works
Environmental Stressors May Drive Inflammation and Alter Neurocircuitry to Promote Suicidal Behavior
Mościcki, E. K., & Umhau, J. C. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1007-2 · Cited by 8 · see citing works
Zhao, S., Hu, J., Li, D., Wan, Y., Zhao, L., Fang, J. Q., & Zhang, S. (2021) · Current Psychology · doi:10.1007/s12144-021-02166-9 · Cited by 10 · see citing works
Changes in suicide capability during short-term partial hospital treatment
Stewart, J. G., Meddaoui, B., Kaufman, E. A., Björgvinsson, Þ., & Beard, C. (2023) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2023.100492 · Cited by 7 · see citing works
Autolesão não suicida na adolescência como fator de predisposição ao suicídio
Carmo, J. D. S., Silveira, P. H. F. S., Vignardi, R. G., Canicoba, G. S., Mota, A. C. M. F., Miziara, C. S. M. G., & Miziara, I. D. (2020) · Saúde Ética & Justiça · doi:10.11606/issn.2317-2770.v25i1p3-9 · Cited by 6 · see citing works
Shi, T., Merai, R., Lowry, N. J., Ruch, D. A., Bridge, J. A., Pao, M., & Horowitz, L. M. (2025) · JAACAP Open · doi:10.1016/j.jaacop.2025.01.001 · Cited by 5 · see citing works
Berny, L. M., Mojekwu, F., Nichols, L. M., & Tanner‐Smith, E. E. (2024) · Child Psychiatry & Human Development · doi:10.1007/s10578-023-01659-x · Cited by 5 · see citing works
Suicide and Suicide Attempts During Adolescence
Esposito-Smythers, C. L., Whitmyre, E. D., Defayette, A. B., López, R., Maultsby, K. D., & Spirito, A. (2021) · Comprehensive Clinical Psychology · doi:10.1016/b978-0-12-818697-8.00059-5 · Cited by 5 · see citing works
Rong, F., Kang, C., Peng, C., Wang, M., Cheng, J., Ding, H., & Yu, Y. (2022) · Current Psychology · doi:10.1007/s12144-022-03647-1 · Cited by 5 · see citing works
Theoretical Models Linking NSSI to Suicide
Victor, S. E., Christensen, K., & Trieu, T. H. (2023) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197611272.013.3 · Cited by 5 · see citing works
Wang, X., Liu, Y., Lyu, S., Ge, T., & Jiang, Q. (2023) · Journal of School Violence · doi:10.1080/15388220.2023.2278472 · Cited by 5 · see citing works
Núñez, C., Tabares, Á. S. G., Méndez, J. H. M., Arbeláez, A. C. M., Velez, I. G. O., & Caballo, V. E. (2024) · Ciencias Psicológicas · doi:10.22235/cp.v18i1.3362 · Cited by 4 · see citing works
Neyshabouri, M. D., Dolatshahi, B., & Mohammadkhani, P. (2020) · Cogent Psychology · doi:10.1080/23311908.2020.1733333 · Cited by 4 · see citing works
Differentiating Between Youth with a History of Suicidal Thoughts, Plans, and Attempts
Rivers, A. S., Winston‐Lindeboom, P., Atte, T., Rosen, P., Wintersteen, M. B., Watkins, N. K., Tien, A. Y., & Diamond, G. S. (2023) · School Mental Health · doi:10.1007/s12310-023-09575-0 · Cited by 4 · see citing works
Stephenson, M. E., Ohlsson, H., Lannoy, S., Sundquist, J., Sundquist, K., & Edwards, A. C. (2024) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13675 · Cited by 4 · see citing works
Hepp, J., Rose, S., Trull, T. J., & Carpenter, R. W. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.121028 · Cited by 3 · see citing works
Barker, J., Oakes-Rogers, S., Lince, K., Taylor, A., Keddie, R., Bruce, H., Selvarajah, S., Fish, D., Aspen, C., & Leddy, A. (2023) · Death Studies · doi:10.1080/07481187.2023.2192532 · Cited by 3 · see citing works
Understanding the distribution of recent deliberate self-harm among young LGBTQ+ australians
Lim, G., Amos, N., Anderson, J., Norman, T. L., Power, J., Jones, J. B., & Bourne, A. (2024) · Psychology and Sexuality · doi:10.1080/19419899.2024.2439354 · Cited by 3 · see citing works
Neural circuit for Non-Suicidal Self-Injury and Causal Clinical Validation.
Wang, S., Wu, Y., Wang, W.-J., Zhang, J.-H., Geng, F., Li, Q.-Q., Xiao, G., Zu, M.-D., Nie, J., Ni, L.-P., et al. (2025) · Behavioural Brain Research · doi:10.1016/j.bbr.2025.115736 · Cited by 3 · see citing works
The Prevalence and Correlates of Suicidality in a Sample of Adolescents in Guangdong, China
Yan, P., Ren, Y., Li, M., Lin, M.-P., Xu, S., Liu, J.-Q., Zhou, G.-F., Xu, L., & You, J.-N. (2020) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2020.39.02.77 · Cited by 3 · see citing works
- Authors
- Stewart, J. G., Esposito, E. C., Glenn, C. R., Gilman, S. E., Pridgen, B., Gold, J., & Auerbach, R. P.
- Affiliations
- Harvard University (US)
- University of Rochester (US)
- National Institutes of Health (US)
- Corresponding author
- Stewart, Jeremy G.
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 84
- Pages
- 105-112
- ISSN
- 0022-3956 (ISSN-L)
- PMC
- PMC5204373
- OpenAlex
- W2529681323
- Cited by
- 139
- References
- 54
- Citations by year
- 2026: 9 · 2025: 15 · 2024: 19 · 2023: 14 · 2022: 15 · 2021: 24 · 2020: 11 · 2019: 14 · 2018: 11 · 2017: 7
- FWCI
- 14.27
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychiatric Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K23MH097786)
- 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
- non-suicidal self-injury, adolescent self-injury, suicidal ideation, suicide attempts, suicide lethality, depression severity, child abuse, risk-taking, self-injury methods, suicide risk markers, psychiatric comorbidity
- MeSH terms
- Adolescent, Analysis of Variance, Depression, Female, Humans, Inpatients, Interview, Psychological, Male, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk-Taking, Suicide, Attempted, Multivariate Analysis, Self-Injurious Behavior, Suicidal Ideation
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