Nonsuicidal Self‐Injury Is Predictive of Suicide Attempts Among Individuals with Mood Disorders
Open accessAbstract
Nonsuicidal self‐injury ( NSSI ) prior to age 18 was evaluated as a risk factor for adulthood suicide attempt ( SA ). Archival data from 222 mood‐disordered participants were analyzed using multivariate Cox proportional hazards analysis. Participants with a youth SA were excluded. The hazards of SA among adult participants with a history of youth NSSI were twice than those of mood‐disordered participants without youth NSSI (hazard ratio = 2.00, 95% confidence interval = 1.16–3.44, p = .01). Moreover, participants who had both youth and adult NSSI attempted suicide significantly earlier than participants who began NSSI as an adult. Youth NSSI is associated with persistent, elevated SA risk in adulthood.
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Engaging in NSSI increases the risk of subsequent suicidal ideation, suicide attempts, and death by suicide.
“A growing body of evidence demonstrates that engaging in NSSI increases the risk of subsequent suicidal ideation, suicide attempts, and death by suicide [5, 7, 27, 63].”
From Does treatment method matter? A meta-analysis of the past 20 years of research on therapeutic interventions for self-harm and suicidal ideation in adolescents (2020) · cites this paper as [7]
The Abstract and Discussion (page numbers unavailable) report that NSSI before age 18 predicted suicide attempts in adulthood among participants with mood disorders. The Clinical Implications section mentions more frequent suicidal ideation in people with histories of both NSSI and suicide attempts, but does not establish that NSSI increases subsequent ideation. The paper does not report an increased risk of death by suicide. (LLM, conf=0.89)
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“A growing body of evidence demonstrates that engaging in NSSI increases the risk of subsequent suicidal ideation, suicide attempts, and death by suicide [5, 7, 27, 63].”
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- Authors
- Chesin, M. S., Galfavy, H., Sonmez, C. C., Wong, A., Oquendo, M. A., Mann, J. J., & Stanley, B.
- Affiliations
- William Paterson University (US)
- Molecular Imaging and Neuropathology Division New York State Psychiatric Institute New York NY USA
- Department of Psychology Columbia University New York NY USA
- Rutgers, The State University of New Jersey (US)
- New York State Psychiatric Institute (US)
- Corresponding author
- Chesin, Megan S.
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2017-02-17
- Volume
- 47
- Issue
- 5
- Pages
- 567-579
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- PMC
- PMC5724372
- OpenAlex
- W2588532370
- Cited by
- 105
- References
- 60
- Citations by year
- 2026: 8 · 2025: 15 · 2024: 6 · 2023: 17 · 2022: 15 · 2021: 12 · 2020: 20 · 2019: 8 · 2018: 2 · 2017: 1 · 2012: 1
- FWCI
- 10.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Suicide and Life-Threatening Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (P50MH090964)
- 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 › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- non-suicidal self-injury, suicide attempts, mood disorders, suicide risk factors, adulthood
- MeSH terms
- Adolescent, Adult, Female, Humans, Male, Prognosis, Psychiatric Status Rating Scales, Risk Factors, Suicide, Attempted, United States, Multivariate Analysis, Proportional Hazards Models, Self-Injurious Behavior, Age of Onset, Risk Assessment, Mood Disorders
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