Predictors of non-suicidal self-injury versus attempted suicide: similar or different?
Abstract
A nationally representative sample of Norwegian high school students (ages 14 to 19, N = 2,924) completed self-reports in school about non-suicidal self-injury (NSSI), suicide attempt (SA), and risk and protective factors. They were re-examined 5 years later. In all 2.2% reported NSSI with no SA during the follow-up period and 3.2% reported SA. Several risk and protective factors were common to NSSI and SA: previous SA, young age, debut of sexual intercourse before the age of 15, and non-heterosexual sexual interest. However, other risk and protective factors were unique to NSSI or SA: Previous NSSI increased the risk for future NSSI whereas satisfaction with social support protected against later NSSI. Suicidal ideation increased the risk for SA whereas attachment to parents protected against it. NSSI did not increase the risk of future SA. NSSI and SA may be thus conceived of as only partly overlapping phenomena, and not necessarily just representing different degrees of suicidality.
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Of the six studies to measure suicide attempt, the only study to report a significant association with loneliness and suicide attempt was Wichstrøm (2009).
“Of the six studies to measure suicide attempt, the only study to report a significant association with loneliness and suicide attempt was Wichstrøm (2009)”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Wichstrøm (2009)
Six studies (seven analyses) explored the unadjusted relationship between loneliness and suicidal behaviour, with only two finding a significant association; these two were the only studies to include self-harm without suicidal intent as an outcome variable.
“Six studies (seven analyses) explored the unadjusted relationship between loneliness and suicidal behaviour with only two of these studies finding a significant loneliness- suicidal behaviour association; these studies were also the only two studies to include self-harm without suicidal intent as an outcome variable”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Wichstrøm, 2009
Of the seven studies to measure suicidal behaviour, three identified a significant association; this included the three studies where self-harm was included as an outcome variable.
“Of the seven studies to measure suicidal behaviour, three identified a significant association; this included the three studies where self-harm was included as an outcome variable (Junker et al., 2017; Nickel et al., 2006; Wichstrøm, 2009).”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Wichstrøm, 2009
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- Authors
- Wichstr⊘m, L.
- Venue
- Archives of Suicide Research
- Publisher
- Informa UK Limited
- Published
- 2009-04-15
- Volume
- 13
- Issue
- 2
- Pages
- 105-122
- ISSN
- 1381-1118 (ISSN-L)
- 1543-6136
- OpenAlex
- W1974767812
- Cited by
- 186
- References
- 69
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 3 · 2023: 15 · 2022: 5 · 2021: 13 · 2020: 9 · 2019: 11 · 2018: 7 · 2017: 18 · 2016: 15 · 2015: 13 · 2014: 23 · 2013: 16 · 2012: 17
- FWCI
- 9.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Suicide Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Keywords
- non-suicidal self-injury, suicide attempts, adolescents, risk factors, protective factors, suicidal ideation, social support, parental attachment, sexual initiation, sexual orientation, longitudinal follow-up
- MeSH terms
- Adolescent, Child, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Male, Parent-Child Relations, Personal Satisfaction, Prospective Studies, Surveys and Questionnaires, Risk Factors, Self Concept, Sexual Behavior, Social Support, Students, Suicide, Attempted, Self-Injurious Behavior, Young Adult
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