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An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA

Plener, P. L., Libal, G., Keller, F., Fegert, J. M., Muehlenkamp, J. J.·2009·Psychological Medicine

Abstract

Background: This study examined the prevalence of non-suicidal self-injury (NSSI), suicide attempts, suicide threats and suicidal ideation in a German school sample and compared the rates with a similar sample of adolescents from the midwestern USA by using cross-nationally validated assessment tools. Method: Data were provided from 665 adolescents (mean age 14.8 years, s.d.=0.66, range 14–17 years) in a school setting. Students completed the Self-Harm Behavior Questionnaire (SHBQ), the Ottawa Self-Injury Inventory (OSI) and a German version of the Center for Epidemiological Studies–Depression Scale (CES-D). Results: A quarter of the participants (25.6%) endorsed at least one act of NSSI in their life, and 9.5% of those students answered that they had hurt themselves repetitively (more than four times). Forty-three (6.5%) of the students reported a history of a suicide attempt. No statistically significant differences were observed between the German and US samples in terms of self-injury or suicidal behaviors. Conclusions: By using the same validated assessment tools, no differences were found in the prevalence and characteristics of self-injury and suicidal behaviors between adolescents from Germany and the USA. Thus, it seems that NSSI has to be understood as worldwide phenomenon, at least in Western cultures.

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Metadata

Authors
Plener, P. L., Libal, G., Keller, F., Fegert, J. M., & Muehlenkamp, J. J.
Venue
Psychological Medicine
Published
2009-01-27
Volume
39
Issue
9
Pages
1549-1558
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
OpenAlex
W2099347751
Cited by
342
References
43
FWCI
19.24
Type
journal article
Language
en
Open access
closed

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Plener, P. L., Libal, G., Keller, F., Fegert, J. M., & Muehlenkamp, J. J. (2009). An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. Psychological Medicine. https://doi.org/10.1017/s0033291708005114

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