Introduction to the special section on suicide and nonsuicidal self-injury: A review of unique challenges and important directions for self-injury science.
Abstract
Self-injurious behaviors, including nonsuicidal self-injury (NSSI) and suicidal behaviors, are remarkably prevalent and woefully understudied. This area of research involves numerous methodological, ethical, and practical challenges that have limited progress in understanding some of the most basic characteristics and correlates of self-injurious behavior. To date, relatively little data are available to develop empirically based preventions or interventions, and no empirically supported treatments currently are available to reduce NSSI or suicidality in most populations. The articles in this special section offer examples of methodologically innovative, theoretically based work that address these research needs. Articles in this special section include studies of functional models of NSSI, studies that examine more distal risk factors for NSSI, and studies of suicidality. A brief review of current research in these areas is offered.
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Another explanation for the relatively low number of empirical advances in understanding suicide may be the absence of a theory that comprehensively explains known facts and reliably identifies future risk.
“Thus, another explanation for the relatively low number of empirical advances in understanding the causes and correlates of suicide, as well as methods for suicide prevention, may therefore be the absence of a theory that can comprehensively explain known facts about suicide, as well as reliably and precisely identify risk for future occurrences of suicidal behavior.”
From The interpersonal theory of suicide. (2010) · cites this paper as Prinstein, 2008
Available theories mostly do not address both intra-individual and inter-individual factors.
“In addition, as noted by Prinstein (2008), available theories do not, for the most part, address both intra-individual and inter-individual factors.”
From The interpersonal theory of suicide. (2010) · cites this paper as Prinstein (2008)
Cites
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Silverman, M. M., Berman, A. L., Sanddal, N. D., O'Carroll, P. W., & Joiner, T. E. (2007) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2007.37.3.264 · Cited by 991 · see citing works
Self-injurious behaviors in a college population
Whitlock, J., Eckenrode, J., & Silverman, D. (2006) · PEDIATRICS · doi:10.1542/peds.2005-2543 · Cited by 874 · see citing works
Deliberate Self-Harm in a Nonclinical Population: Prevalence and Psychological Correlates
Klonsky, E. D., Oltmanns, T. F., & Turkheimer, E. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.8.1501 · Cited by 780 · see citing works
Contextual Features and Behavioral Functions of Self-Mutilation Among Adolescents.
Nock, M. K., & Prinstein, M. J. (2005) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.114.1.140 · Cited by 724 · see citing works
Self-citationSilverman, M. M., Berman, A. L., Sanddal, N. D., O'Carroll, P. W., & Joiner, T. E. (2007) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2007.37.3.248 · Cited by 593 · see citing works
Nock, M. K., & Mendes, W. B. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.1.28 · Cited by 572 · see citing works
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The interpersonal theory of suicide.
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010) · Psychological Review · doi:10.1037/a0018697 · Cited by 5,292 · see citing works
“Prinstein (2008) notes, “few theoretical models have been offered to help understand self-injury in the manner that other manifestations of psychopathology have been examined.”
BackgroundInfluentialChu, C., Buchman-Schmitt, J. M., Stanley, I. H., Hom, M. A., Tucker, R. P., Hagan, C. R., Rogers, M. L., Podlogar, M. C., Chiurliza, B., Ringer, F. B., et al. (2017) · Psychological Bulletin · doi:10.1037/bul0000123 · Cited by 1,231 · see citing works
“To advance the scientific understanding of factors that lead to suicide ideation and attempts—and, in some cases, death by suicide—and elucidate intervention points, it is crucial for suicide research to utilize theoretical frameworks (Klonsky, May, & Saffer, 2016; Prinstein, 2008; Selby, Joiner, & Ribeiro, 2014; Stan…”
BackgroundThe integrated motivational-volitional model of suicidal behavior
O’Connor, R. C. (2011) · Crisis · doi:10.1027/0227-5910/a000120 · Cited by 491 · see citing works
Guan, K., Fox, K. R., & Prinstein, M. J. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0029429 · Cited by 362 · see citing works
Sleep and suicide: A systematic review and meta-analysis of longitudinal studies
Liu, R. T., Steele, S. J., Hamilton, J. L., Do, Q. B. P., Furbish, K., Burke, T. A., Martinez, A. P., & Gerlus, N. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101895 · Cited by 239 · see citing works
“…statistical power for meaningful analysis (American Psychiatric Association, 2004; Borges et al., 2006; Klonsky et al., 2016; Nock et al., 2008; Prinstein, 2008; Prinstein et al., 2008), an obstacle most often addressed by including longer follow-up periods so as to maximize the number of STBs…”
BackgroundAdolescent Suicide as a Failure of Acute Stress-Response Systems.
Miller, A. B., & Prinstein, M. J. (2019) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050718-095625 · Cited by 235 · see citing works
“Notably, the distinction between these constructs is sometimes unclear, particularly among youths who may not be able to articulate their intent to die before considering or engaging in suicidal behavior (Hawton et al. 2012, Prinstein 2008).”
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Self-citationZaki, L. F., Coifman, K. G., Rafaeli, E., Berenson, K. R., & Downey, G. (2013) · Behavior Therapy · doi:10.1016/j.beth.2013.04.008 · Cited by 161 · see citing works
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The Need for Innovation in Health Care Systems to Improve Suicide Prevention
Stanley, B., & Mann, J. J. (2020) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2019.2769 · Cited by 51 · see citing works
Smith, P. N., Stanley, I. H., Joiner, T. E., Sachs-Ericsson, N. J., & Van Orden, K. A. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2016.1162245 · Cited by 35 · see citing works
- Authors
- Prinstein, M. J.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Prinstein, Mitchell J.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2008
- Volume
- 76
- Issue
- 1
- Pages
- 1-8
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2021947251
- Cited by
- 195
- References
- 7
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 8 · 2023: 11 · 2022: 8 · 2021: 7 · 2020: 14 · 2019: 11 · 2018: 7 · 2017: 16 · 2016: 6 · 2015: 12 · 2014: 17 · 2013: 20 · 2012: 15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- 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, suicide, self-harm, suicidality
- MeSH terms
- Suicide Prevention, Cross-Sectional Studies, Ethics, Medical, Humans, Risk Factors, Suicide, Suicide, Attempted, Self-Injurious Behavior
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