The DOI matches its Crossref record; 51 of the 54 references it cites were found in a registry or an index.
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, 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]
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Citations
Cites
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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 467
“However, in contrast with prior findings (Stewart et al., 2017; Victor and Klonsky, 2014), this was not necessarily the case for those who engaged in a greater variety of NSSI methods.”
BackgroundResultAngelakis, I., Austin, J. L., & Gooding, P. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.12563 · Cited by 385
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
“(2) also reported indirect links (between NSSI and physical abuse).”
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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
Self-citation
Metadata
- 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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