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How Often, or How Many Ways: Clarifying the Relationship Between Non-Suicidal Self-Injury and Suicidality

Turner, Brianna J., Layden, Brianne K., Butler, Sean M., Chapman, Alexander L.·2013·Archives of Suicide Research

DOI 10.1080/13811118.2013.802660

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Abstract

This study clarified the association of maladaptive, potentially self-damaging behaviors with suicidality. Specifically, we examined whether greater frequency (i.e., how often) or greater versatility (i.e., how many ways) of several self-damaging behaviors, including non-suicidal self-injury (NSSI), substance use, and disordered eating, increased risk for suicide. Participants who engaged in NSSI (N = 142) completed questionnaires assessing suicidal and self-damaging behavior at baseline and engagement in suicidal behaviors (e.g., ideation, attempts, talking about suicide) 3 months later. Results suggest that the versatility rather than frequency of self-damaging behaviors is most robustly associated with suicide risk. Engaging in multiple methods of NSSI and using a greater number of illicit substances were positively associated with suicide risk. Further, versatility of NSSI interacted with depression to predict suicide risk at 3-month follow-up such that highly depressed participants who engaged in more methods of NSSI exhibited highest risk, whereas those who engaged in more methods with low depression exhibited the lowest risk.

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Authors: Turner, B. J., Layden, B. K., Butler, S. M., & Chapman, A. L.
Affiliations: Simon Fraser University (CA)
Corresponding author: Chapman, Alexander L.
ORCID: Turner, Brianna J.
Layden, Brianne K.
Chapman, Alexander L.
Venue: Archives of Suicide Research
Publisher: Informa UK Limited
Published: 2013-10
Volume: 17
Issue: 4
Pages: 397-415
ISSN: 1381-1118 (ISSN-L)
1543-6136
DOI: 10.1080/13811118.2013.802660
OpenAlex: W1966487085
Cited by: 135
References: 59
Citations by year: 2026: 7 · 2025: 9 · 2024: 17 · 2023: 14 · 2022: 9 · 2021: 13 · 2020: 6 · 2019: 12 · 2018: 11 · 2017: 9 · 2016: 10 · 2015: 10 · 2014: 7
FWCI: 10.00
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
Social Sciences › Psychology › Social Psychology › Mental Health via Writing
Keywords: non-suicidal self-injury, suicidality, suicide risk, behavior frequency, substance use, disordered eating, depression, suicidal ideation, suicide attempts
MeSH terms: Adolescent, Adult, Feeding and Eating Disorders, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Risk Factors, Suicide, Attempted, Self-Injurious Behavior, Substance-Related Disorders, Young Adult, Suicidal Ideation

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How Often, or How Many Ways: Clarifying the Relationship Between Non-Suicidal Self-Injury and Suicidality

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