An Investigation of Differences Between Self‐Injurious Behavior and Suicide Attempts in a Sample of Adolescents
Abstract
Data from 390 high school students were collected to examine potential differences between adolescents who had attempted suicide and those who engaged in self‐injurious behavior on measures of depression, suicidal ideation, and attitudes toward life and death. Significant differences were found between controls and the self‐harm groups on all dependent variables. A significant difference on attitudes toward life was found between the self‐injury and suicide attempt groups. Post‐hoc regression analyses showed that measures of depression, suicide ideation, and attitudes towards life predicted participants' self‐harm categorization. These findings provide preliminary evidence that self‐injurious behavior is different from attempted suicide among a community sample of adolescents.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The data corroborates the association between depression, anxiety and self-injury.
“the data corroborates the association between depression, anxiety and self-injury [73, 93–101]”
From A 'choice', an 'addiction', a way 'out of the lost': Exploring self-injury in autistic people without intellectual disability (2019) · cites this paper as [96]
Cites
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)
American Psychiatric Association (2000) · doi:10.1176/appi.books.9780890423349 · Cited by 11,069 · see citing works
Youth Risk Behavior Surveillance — United States, 2001
Grunbaum, J. A., Kann, L. K., Kinchen, S. A., Williams, B., Ross, J. G., Lowry, R., & Kolbe, L. J. (2002) · Journal of School Health · doi:10.1111/j.1746-1561.2002.tb07917.x · Cited by 1,412 · see citing works
Beyond the tower of Babel: A nomenclature for suicidology
O'Carroll, P. W., Berman, A. L., Maris, R. W., Moscicki, E. K., Tanney, B. L., & Silverman, M. M. (1996) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1996.tb00609.x · Cited by 982 · see citing works
A Study of the Frequency of Self-Mutilation in a Community Sample of Adolescents
Ross, S., & Heath, N. L. (2002) · Journal of Youth and Adolescence · doi:10.1023/a:1014089117419 · Cited by 787 · see citing works
The Coming of Age of Self-Mutilation
Favazza, A. R. (1998) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199805000-00001 · Cited by 712 · see citing works
The deliberate self-harm syndrome
Pattison, Ε. M., & Kahan, J. (1983) · American Journal of Psychiatry · doi:10.1176/ajp.140.7.867 · Cited by 560 · see citing works
Self-Injurious Behavior as a Separate Clinical Syndrome.
Muehlenkamp, J. J. (2005) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.75.2.324 · Cited by 447 · see citing works
Self-citationFemale habitual self‐mutilators
Favazza, A. R., & Conterio, K. (1989) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1989.tb10259.x · Cited by 444 · see citing works
Adolescent suicidal ideation and attempts: Prevalence, risk factors, and clinical implications.
Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1996) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.1996.tb00056.x · Cited by 383 · see citing works
Diagnostic Issues in Self-Mutilation
Favazza, A. R., & Rosenthal, R. (1993) · Psychiatric Services · doi:10.1176/ps.44.2.134 · Cited by 339 · see citing works
Self-Mutilation: Theory, Research, and Treatment
Walsh, B. W., & Rosen, P. M. (1988) · Medical Entomology and Zoology · Cited by 337 · see citing works
de Beauvoir, S. (1970) · Medical Entomology and Zoology · Cited by 315 · see citing works
Are Suicide Attempters Who Self-Mutilate a Unique Population?
Stanley, B., Gameroff, M. J., Michalsen, V., & Mann, J. J. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.3.427 · Cited by 315 · see citing works
Trends in deliberate self-harm in Oxford, 1985–1995
Hawton, K. E., Fagg, J., Simkin, S., Bale, E., & Bond, A. (1997) · The British Journal of Psychiatry · doi:10.1192/bjp.171.6.556 · Cited by 292 · see citing works
Development and Initial Validation of the Self-Harm Behavior Questionnaire
Gutierrez, P. M., Osman, A., Barrios, F. X., & Kopper, B. A. (2001) · Journal of Personality Assessment · doi:10.1207/s15327752jpa7703_08 · Cited by 279 · see citing works
Self-citationFavazza, A. R. (1996) · Johns Hopkins University Press eBooks · doi:10.56021/9780801852992 · Cited by 250 · see citing works
Self‐Mutilation and Eating Disorders
Favazza, A. R., DeRosear, L., & Conterio, K. (1989) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1989.tb00566.x · Cited by 247 · see citing works
Self‐Mutilation and Symptoms of Depression, Anxiety, and Borderline Personality Disorder
Andover, M. S., Pepper, C. M., Ryabchenko, K. A., Orrico, E. G., & Gibb, B. E. (2005) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2005.35.5.581 · Cited by 245 · see citing works
Self-Mutilative Behavior in Adolescents Who Attempt Suicide by Overdose
Guertin, T. L., Lloyd‐Richardson, E. E., Spirito, A., Donaldson, D. L., & Boergers, J. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200109000-00015 · Cited by 223 · see citing works
Adolescent suicidal behaviours: a population-based study of risk
Patton, G. C., Harris, R., Carlin, J. B., Hibbert, M., Coffey, C., SCHWARTZ, M., & Bowes, G. (1997) · Psychological Medicine · doi:10.1017/s003329179600462x · Cited by 207 · see citing works
Reynolds Adolescent Depression Scale
Reynolds, W. M. (2010) · The Corsini Encyclopedia of Psychology · doi:10.1002/9780470479216.corpsy0798 · Cited by 174 · see citing works
TWENTY SUICIDE ASSESSMENT INSTRUMENTS: EVALUATION AND RECOMMENDATIONS
Range, L. M. (1997) · Death Studies · doi:10.1080/074811897202128 · Cited by 147 · see citing works
Stanley, E., & Barter, J. T. (1970) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.1970.tb00681.x · Cited by 139 · see citing works
Adolescent suicide, depression and family dysfunction
Martin, G., Rotaries, P., Pearce, C. W., & Allison, S. C. (1995) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1995.tb09594.x · Cited by 136 · see citing works
A Multi-Attitude Suicide Tendency Scale for adolescents.
Orbach, I., Milstein, I., Har-Even, D., Apter, A., Tiano, S., & Elizur, A. (1991) · Psychological Assessment: A Journal of Consulting and Clinical Psychology · doi:10.1037/1040-3590.3.3.398 · Cited by 127 · see citing works
Self-Injurious Behaviors: Assessment and Treatment
(2001) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9798894550381 · Cited by 122 · see citing works
Suicide and the self-harm continuum: phenomenological and biochemical evidence
Stanley, B., Winchel, R., Molcho, A., Simeon, D., & Stanley, M. (1992) · International Review of Psychiatry · doi:10.3109/09540269209066312 · Cited by 114 · see citing works
Reliability and Validity of the Reynolds Adolescent Depression Scale with Young Adolescents
Reynolds, W. M., & Mazza, J. J. (1998) · Journal of School Psychology · doi:10.1016/s0022-4405(98)00010-7 · Cited by 111 · see citing works
Suicide risk assessment in a college student population.
Gutierrez, P. M., Osman, A., Kopper, B. A., Barrios, F. X., & Bagge, C. L. (2000) · Journal of Counseling Psychology · doi:10.1037/0022-0167.47.4.403 · Cited by 97 · see citing works
Self-citationPinto, A., Whisman, M. A., & McCoy, K. J. M. (1997) · Psychological Assessment · doi:10.1037/1040-3590.9.1.63 · Cited by 94 · see citing works
Deliberate self-harm in children and adolescents: a research update
Fortune, S. A., & Hawton, K. (2005) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000172059.55778.c9 · Cited by 84 · see citing works
Proposal for a Distinctive Diagnosis: the Deliberate Self‐Harm Syndrome (DSH)
Kahan, J., & Pattison, Ε. M. (1984) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1984.tb00334.x · Cited by 82 · see citing works
Adolescent Attitudes About Death in Relation to Suicidality
Gutierrez, P. M., King, C. A., & Ghaziuddin, N. (1996) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1996.tb00252.x · Cited by 65 · see citing works
Self-citationField, T. M., Diego, M., & Sanders, C. (2001) · PubMed · Cited by 61 · see citing works
Anxiety measures and their relationship to adolescent suicidal ideation and behavior
Valentiner, D. P., Gutierrez, P. M., & Blacker, D. (2002) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(01)00086-x · Cited by 45 · see citing works
Self-citationCotton, C. R., & Range, L. M. (1996) · Death Studies · doi:10.1080/07481189608252765 · Cited by 43 · see citing works
Self-Injurious Behaviors: Assessment and Treatment
Links, P. S. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.4.692 · Cited by 39 · see citing works
Deacon, B., Valentiner, D. P., Gutierrez, P. M., & Blacker, D. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00076-6 · Cited by 37 · see citing works
Self-citationDavis, L. J., Hurt, R. D., Offord, K. P., Lauger, G. G., Morse, R. M., & Bruce, B. K. (1994) · Journal of Clinical Psychology · doi:10.1002/1097-4679(199411)50:6 · Cited by 31 · see citing works
Suicide and deliberate self-harm in children and adolescents
Fortune, S. A., & Hawton, K. E. (2005) · Current Paediatrics · doi:10.1016/j.cupe.2005.08.008 · Cited by 31 · see citing works
The use of motor vehicle exhaust for suicide and the availability of cars
Lester, D., & Frank, M. L. (1989) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1989.tb10251.x · Cited by 24 · see citing works
The Multi‐Attitude Suicide Tendency Scale: Further Validation with Adolescent Psychiatric Inpatients
Osman, A., Gilpin, A. R., Panak, W. F., Kopper, B. A., Barrios, F. X., Gutierrez, P. M., & Chiros, C. E. (2000) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2000.tb01104.x · Cited by 22 · see citing works
Self-citationLibal, G., Plener, P. L., Ludolph, A. G., & Fegert, J. M. (2005) · Child and Adolescent Psychopharmacology News · doi:10.1521/capn.2005.10.4.1 · Cited by 12 · see citing works
Frank, R. (2005) · Monatsschrift Kinderheilkunde · doi:10.1007/s00112-005-1235-x · Cited by 12 · see citing works
Self-Harm Behavior Questionnaire
Gutierrez, P. M. (1998) · PsycTESTS Dataset · doi:10.1037/t05142-000 · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Suicide, Suicide Attempts, and Suicidal Ideation
Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-021815-093204 · Cited by 1,675 · see citing works
Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St John, N. J. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12070 · Cited by 1,624 · 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
Hamza, C. A., Stewart, S. L., & Willoughby, T. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.05.003 · Cited by 769 · see citing works
Self‐injury: A research review for the practitioner
Klonsky, E. D., & Muehlenkamp, J. J. (2007) · Journal of Clinical Psychology · doi:10.1002/jclp.20412 · Cited by 722 · see citing works
Self-citationGender differences in the prevalence of nonsuicidal self-injury: A meta-analysis
Bresin, K., & Schoenleber, M. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.02.009 · Cited by 678 · 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
Relations between nonsuicidal self-injury and suicidal behavior in adolescence: a systematic review
Grandclerc, S., De Labrouhe, D., Spodenkiewicz, M., Lachal, J., & Moro, M.-R. (2016) · PLoS ONE · doi:10.1371/journal.pone.0153760 · Cited by 332 · see citing works
Prevalence and Correlates of Self-Injury Among University Students
Gollust, S. E., Eisenberg, D., & Golberstein, E. (2008) · Journal of American College Health · doi:10.3200/jach.56.5.491-498 · Cited by 282 · see citing works
Nonsuicidal self-harm in youth: a population-based survey
Nixon, M. K., Cloutier, P., & Jansson, S. M. (2007) · Canadian Medical Association Journal · doi:10.1503/cmaj.061693 · Cited by 283 · see citing works
Andover, M. S., Morris, B. W., Wren, A., & Bruzzese, M. E. (2012) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/1753-2000-6-11 · Cited by 271 · see citing works
Swannell, S., Martin, G., Page, A., Hasking, P., Hazell, P., Taylor, A., & Protani, M. (2012) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2012.05.005 · Cited by 204 · see citing works
Glenn, C. R., Lanzillo, E. C., Esposito, E. C., Santee, A. C., Nock, M. K., & Auerbach, R. P. (2017) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-016-0214-0 · Cited by 197 · see citing works
Predictors of non-suicidal self-injury versus attempted suicide: similar or different?
Wichstr⊘m, L. (2009) · Archives of Suicide Research · doi:10.1080/13811110902834992 · Cited by 186 · see citing works
Life adversities and suicidal behavior in young individuals: a systematic review
Serafini, G., Muzio, C., Piccinini, G., Flouri, E., Ferrigno, G., Pompili, M., Girardi, P., & Amore, M. (2015) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-015-0760-y · Cited by 184 · see citing works
Lynam, D. R., Miller, J. D., Miller, D. J., Bornovalova, M. A., & Lejuez, C. W. (2011) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/a0019978 · Cited by 176 · see citing works
Gratz, K. L., & Chapman, A. L. (2007) · Psychology of Men & Masculinity · doi:10.1037/1524-9220.8.1.1 · Cited by 174 · see citing works
Maciejewski, D. F., Creemers, H. E., Lynskey, M. T., Madden, P. A. F., Heath, A. C., Statham, D. J., Martin, N. G., & Verweij, K. J. H. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2014.89 · Cited by 127 · see citing works
Scott, L. N., Pilkonis, P. A., Hipwell, A. E., Keenan, K., & Stepp, S. D. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.12.011 · Cited by 127 · see citing works
Suicidality in Autistic Spectrum Disorders: A Systematic Review
Zahid, S., & Upthegrove, R. (2017) · Crisis · doi:10.1027/0227-5910/a000458 · Cited by 115 · see citing works
Moseley, R. L., Gregory, N. J., Smith, P., Allison, C., & Baron-Cohen, S. (2019) · Molecular Autism · doi:10.1186/s13229-019-0267-3 · Cited by 97 · see citing works
Using data linkage to investigate inconsistent reporting of self-harm and questionnaire non-response
Mars, B., Cornish, R., Heron, J., Boyd, A., Crane, C., Hawton, K., Lewis, G., Tilling, K., Macleod, J., & Gunnell, D. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2015.1033121 · Cited by 96 · see citing works
Cawood, C. D., & Huprich, S. K. (2011) · Journal of Personality Disorders · doi:10.1521/pedi.2011.25.6.765 · Cited by 97 · see citing works
Ferrara, M., Terrinoni, A., & Williams, R. (2012) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/1753-2000-6-12 · Cited by 85 · see citing works
Screening pediatric medical patients for suicide risk: Is depression screening enough?
Horowitz, L. M., Mournet, A. M., Lanzillo, E., He, J.-P., Powell, D. S., Ross, A. M., Wharff, E. A., Bridge, J. A., & Pao, M. (2021) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2021.01.028 · Cited by 78 · see citing works
Tuisku, V., Pelkonen, M., Karlsson, L., Kiviruusu, O., Holi, M., Ruuttu, T., Punamäki, R.-L., & Marttunen, M. (2006) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-005-0522-3 · Cited by 78 · see citing works
Moskowitz, A., Stein, J. A., & Lightfoot, M. (2013) · Journal of Youth and Adolescence · doi:10.1007/s10964-012-9793-4 · Cited by 73 · see citing works
Santamarina‐Perez, P., Mendez, I., Singh, M. K., Berk, M., Picado, M., Font, E., Moreno, E., Martínez, E., Morer, A., Borràs, R., et al. (2020) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12612 · Cited by 67 · see citing works
Howe, S. J., Hewitt, K., Baraskewich, J., Cassidy, S., & McMorris, C. A. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04394-7 · Cited by 61 · see citing works
Nielsen, E., Sayal, K., & Townsend, E. (2016) · PLoS ONE · doi:10.1371/journal.pone.0159854 · Cited by 53 · see citing works
Risk factors for self-injurious behaviour in custody: problems of definition and prediction
Lohner, J., & Konrad, N. (2007) · International Journal of Prisoner Health · doi:10.1080/17449200701321654 · Cited by 51 · see citing works
de Klerk, S., van Noorden, M. S., van Giezen, A. E., Spinhoven, P., den Hollander-Gijsman, M. E., Giltay, E. J., Speckens, A. E. M., & Zitman, F. G. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.03.021 · Cited by 42 · see citing works
Treatment For Suicidal Thoughts and Behavior: A Review of Family‐Based Interventions
Frey, L. M., & Hunt, Q. A. (2018) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12234 · Cited by 39 · see citing works
Gratz, K. L., Spitzen, T. L., & Tull, M. T. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22950 · Cited by 36 · see citing works
Adolescent non-suicidal self-injurious behavior: The latest epidemic to assess and treat
Miller, A. L., & Smith, H. L. (2008) · Applied and Preventive Psychology · doi:10.1016/j.appsy.2008.05.003 · Cited by 33 · see citing works
Individuals with current suicidal ideation demonstrate implicit “fearlessness of death”
Hussey, I., Barnes-Holmes, D., & Booth, R. (2016) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2015.11.003 · Cited by 29 · see citing works
- Authors
- Muehlenkamp, J. J., & Gutierrez, P. M.
- Affiliations
- Northern Illinois University (US)
- Corresponding author
- Muehlenkamp, Jennifer J.
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2004-03
- Volume
- 34
- Issue
- 1
- Pages
- 12-23
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- OpenAlex
- W1976379773
- Cited by
- 533
- References
- 45
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 19 · 2023: 23 · 2022: 15 · 2021: 20 · 2020: 22 · 2019: 13 · 2018: 20 · 2017: 26 · 2016: 28 · 2015: 34 · 2014: 46 · 2013: 40 · 2012: 43
- FWCI
- 15.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Suicide and Life-Threatening Behavior (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 › Death Anxiety and Social Exclusion
- Keywords
- self-harm, suicide attempts, adolescents, depression, suicidal ideation, life attitude, attitudes toward death, high school students
- MeSH terms
- Adolescent, Female, Humans, Male, Surveys and Questionnaires, Suicide, Attempted, United States, Self-Injurious Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review