Cited by 1,617Suicide and Self-Harm StudiesPersonality Disorders and PsychopathologyHomicide, Infanticide, and Child Abuse

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

Abstract

Non-suicidal self-injury (NSSI) is a prevalent behavioral problem, yet many fundamental aspects of NSSI remain unknown. This case series study reports on the diagnostic correlates of adolescents with a recent history of NSSI and examines the relation between NSSI and suicide attempts. Data are from clinical interviews with 89 adolescents admitted to an adolescent psychiatric inpatient unit who engaged in NSSI in the previous 12 months. Results revealed that 87.6% of adolescents engaging in NSSI met criteria for a DSM-IV Axis I diagnosis (M=3.0, S.D.=2.2, range=0 to 8 diagnoses), including externalizing (62.9%), internalizing (51.7%), and substance use (59.6%) disorders. Most adolescents assessed also met criteria for an Axis II personality disorder (67.3%). Overall, 70% of adolescents engaging in NSSI reported a lifetime suicide attempt and 55% reported multiple attempts. Characteristics of NSSI associated with making suicide attempts included a longer history of NSSI, use of a greater number of methods, and absence of physical pain during NSSI. These findings demonstrate the diagnostic heterogeneity of adolescents engaging in NSSI, highlight the significant overlap between NSSI and suicide attempts, and provide a point of departure for future research aimed at elucidating the relations between non-suicidal and suicidal self-injury.

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Crossref · 10.1016/j.psychres.2006.05.010

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Authors
NOCK, M., JOINERJR, T., GORDON, K., LLOYDRICHARDSON, E., & PRINSTEIN, M.
Affiliations
  • Harvard University (US)
  • Florida State University (US)
  • University of North Carolina at Chapel Hill (US)
Corresponding author
NOCK, M
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2006-09-30
Volume
144
Issue
1
Pages
65-72
ISSN
0165-1781 (ISSN-L)
OpenAlex
W2165311544
Cited by
1,617
References
37
Citations by year
2026: 53 · 2025: 90 · 2024: 85 · 2023: 119 · 2022: 97 · 2021: 114 · 2020: 84 · 2019: 76 · 2018: 83 · 2017: 101 · 2016: 91 · 2015: 113 · 2014: 123 · 2013: 106 · 2012: 91
FWCI
32.80
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (MH11770, F32MH011770)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
non-suicidal self-injury, adolescents, suicide attempts, personality disorders, externalizing disorders, internalizing disorders, substance use disorders, repeated suicide attempts, self-injury methods, psychiatric inpatients
MeSH terms
Adolescent, Alcoholism, Mental Disorders, Child, Cross-Sectional Studies, Female, Humans, Interview, Psychological, Male, Personality Disorders, Statistics as Topic, Suicide, Attempted, Comorbidity, Self-Injurious Behavior, Substance-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders

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