Nonsuicidal self-injury and suicide attempts among ED patients older than 50 years: comparison of risk factors and ED visit outcomes

2016 ◽  
Vol 34 (6) ◽  
pp. 1016-1021 ◽  
Author(s):  
Namkee G. Choi ◽  
Diana M. DiNitto ◽  
C. Nathan Marti ◽  
Bryan Y. Choi
Crisis ◽  
2017 ◽  
Vol 38 (4) ◽  
pp. 227-236 ◽  
Author(s):  
Brooke A. Ammerman ◽  
Evan M. Kleiman ◽  
Abbigail L. Jenkins ◽  
Mitchell E. Berman ◽  
Michael S. McCloskey

Abstract. Background: Self-injurious behavior (e.g., nonsuicidal self-injury, suicide attempts) is a serious public health concern. One potentially important but understudied predictor of nonsuicidal and suicidal self-injury involves the behavioral inhibition and activation system (BIS/BAS). Aims: The goal of the current study was to examine the relationship between nonsuicidal and suicidal self-injury and BIS/BAS, and to consider the influence of related variables in the relationship. Examination through this framework allowed us to consider BIS and BAS as potential unique risk factors of self-injury. Method: After examining the relationship between nonsuicidal and suicidal self-injury and BIS/BAS among 1,912 participants, we used propensity scores to match participants' propensity for nonsuicidal self-injury and suicide attempts based on demographic variables (e.g., gender, age) and related risk factors (e.g., anxiety, depressive symptomology, impulsivity, and substance use problems). Results: Participants who reported nonsuicidal self-injury or attempted suicide scored higher on BIS and BAS compared with those without a history of these behaviors. After matching procedures, however, the only group difference found was on BIS between those with and without a history of nonsuicidal self-injury. Conclusion: Results support the notion that the behavioral inhibition system might play a role in nonsuicidal self-injury but not in suicidal self-injury.


Author(s):  
Adam Bryant Miller ◽  
Maya Massing-Schaffer ◽  
Sarah Owens ◽  
Mitchell J. Prinstein

Nonsuicidal self-injury (NSSI) is direct, intentional harm to one’s own body performed without the intent to die. NSSI has a marked developmental onset reaching peak prevalence in adolescence. NSSI is present in the context of multiple psychological disorders and stands alone as a separate phenomenon. Research has accumulated over the past several decades regarding the course of NSSI. While great advances have been made, there remains a distinct need for basic and applied research in the area of NSSI. This chapter reviews prevalence rates, correlates and risk factors, and leading theories of NSSI. Further, it reviews assessment techniques and provides recommendations. Then, it presents the latest evidence-based treatment recommendations and provides a case example. Finally, cutting edge research and the next frontier of research in this area are outlined.


Author(s):  
Joseph C. Franklin ◽  
Matthew K. Nock

Nonsuicidal self-injury (NSSI) is the direct and intentional destruction of one’s own body tissue in the absence of suicidal intent. Although NSSI itself is explicitly nonsuicidal, nearly half of individuals who engage in NSSI also engage in suicidal behavior, and nearly all individuals who engage in suicidal behavior also engage in NSSI. Moreover, recent studies suggest that NSSI is one of the strongest known predictors of future suicide attempts, even exceeding the predictive power of prior suicide attempts in some instances. In this chapter we review the basic features and correlates of NSSI, evaluate the evidence for traditional models of NSSI, and discuss how an emerging model of NSSI may provide insight into the strong association between NSSI and suicidal behavior. We conclude by recommending how to evaluate when NSSI is a behavioral emergency and by noting the most crucial future directions for research on this topic.


Author(s):  
Margaret S. Andover ◽  
Heather T. Schatten ◽  
Blair W. Morris

Individuals diagnosed with borderline personality disorder (BPD) are at an elevated risk for engaging in self-injurious behaviors, including suicide, attempted suicide, and nonsuicidal self-injury (NSSI). The purpose of this chapter is to provide an overview of research on self-injurious behaviors among individuals with BPD. Definitions and prevalence rates are provided for NSSI, suicide, and attempted suicide. Clinical correlates of and risk factors for the behaviors, as well as associations between specific BPD criteria and self-injurious behaviors, are discussed, and a brief overview of treatments focused on reducing self-injurious behaviors among BPD patients is provided. By understanding risk factors for attempted suicide and NSSI in BPD, we can better identify patients who are at increased risk and focus treatment efforts on addressing modifiable risk factors.


Sign in / Sign up

Export Citation Format

Share Document