Alexithymia and self-harm: A review of nonsuicidal self-injury, suicidal ideation, and suicide attempts

2020 ◽  
Vol 288 ◽  
pp. 112920 ◽  
Author(s):  
Adam Iskric ◽  
Amanda K. Ceniti ◽  
Yvonne Bergmans ◽  
Shane McInerney ◽  
Sakina J. Rizvi
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Self Injury ◽  
Self Harm ◽  
Nonsuicidal Self Injury

Double trouble: Nonsuicidal self-injury and its relationship to suicidal ideation and number of past suicide attempts in clinical adolescents

2018 ◽  
Vol 238 ◽  
pp. 579-585 ◽  
Author(s):  
Hayden Mbroh ◽  
Lucas Zullo ◽  
Nicholas Westers ◽  
Laura Stone ◽  
Jessica King ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Self Injury ◽  
Nonsuicidal Self Injury

scholarly journals A Comparison between Severe Suicidality and Nonsuicidal Self-Injury Behaviors in Bipolar Adolescents Referred to a Psychiatric Emergency Unit

2021 ◽  
Vol 11 (6) ◽  
pp. 790
Author(s):  
Gabriele Masi ◽  
Ilaria Lupetti ◽  
Giulia D’Acunto ◽  
Annarita Milone ◽  
Deborah Fabiani ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Self Injury ◽  
Depressive Feelings ◽  
Thought Disorders ◽  
Self Harm ◽  
Preventative Interventions ◽  
Anxiety Depression ◽  
Shared Risk

Background: Severe suicide ideation or attempts and non-suicidal self-injury (NSSI) present both differences and relevant overlaps, including frequent co-occurrence and shared risk factors. Specific categorical diagnoses, namely bipolar disorder (BD), may affect clinical features and natural histories of suicidal or not suicidal self-harm behaviour. Our study aimed to compare suicidality (severe suicidal ideation or suicidal attempts) and NSSI in referred bipolar adolescents. Methods: The sample included 95 bipolar adolescents (32 males, 63 females) aged 11 to 18 years. Thirty adolescents with suicide attempts/suicidal ideation and BD (SASIB) were compared with structured measures to 35 adolescents with NSSI and BD, without suicidal ideation or attempts (NSSIB), and to 30 adolescents with BD, without suicidal ideation or attempts or NSSI (CB). Results: Compared to CB, suicidality and NSSI were both associated with female sex, borderline personality disorder and self-reported internalizing disorders, anxiety/depression and thought disorders. The NSSI were specifically associated with somatic problems. Severe suicidal ideation and suicide attempts were associated with adverse life events, immigration, bullying, eating disorders, social problems, depressive feelings, performance and social anxiety, and feelings of rejection. Conclusions: Both shared and differential features between suicidal and not suicidal adolescents may represent possible targets for diagnostic and preventative interventions.

scholarly journals Prevalence of nonsuicidal Self-injury and Suicide Attempt among Young Adult university Students

2018 ◽  
Vol 52 (1) ◽  
Author(s):  
Jhun Robbie U. Galicia ◽  
Tomas D. Bautista
Keyword(s):  
Young Adult ◽  
Suicide Attempt ◽  
University Students ◽  
Suicide Attempts ◽  
Suicidal Attempt ◽  
Preventive Program ◽  
Cross Sectional ◽  
Self Injury ◽  
Self Harm ◽  
Nonsuicidal Self Injury

Objective. To determine the prevalence and possible risk factors associated with nonsuicidal self-injury (NSSI) and suicide attempt among young adult university students. Methods. A cross-sectional study involving six colleges from a university in Manila, from which randomization through a computer-generated random number was done. Data were obtained through self-administered questionnaires. Descriptive analysis and logistic regression were done to evaluate the data. Results. A total of 225 students participated in the study (mean age of 20.33 years). Majority were females (60.44%). Ideations of self-harm were reported in 49.33%. NSSI and suicide attempts were reported at 26.22% and 14.67%, respectively. In general, self-harm (NSSI and/or suicidal attempt) was reported at 33.78%, while 7.11% of the respondents reported both NSSI and suicidal attempt in the past. Furthermore, 2-3 out of 10 students who engaged in NSSI would have a suicide attempt. Associated factors of NSSI and suicide attempt were age, female gender, gender orientation, parental civil status, employment, economic standing, and psychopathology which support the findings cited in literature. Conclusion. The high prevalence of self-harm NSSI and/or suicidal attempt (33.78%) and the finding that NSSI was a gateway for suicidal attempt and that 2-3 out of ten who engaged in NSSI would have a suicide attempt underscores the need to develop an early intervention upon detecting self-harming behaviors and a preventive program for the progression of NSSI to suicide attempts.

scholarly journals Protocol: A two-wave cross-sectional study in England investigating suicidal behaviour and self-harm amongst healthcare workers during the Covid-19 pandemic

2021 ◽  
Author(s):  
Prianka Padmanathan ◽  
Danielle Lamb ◽  
Hannah Scott ◽  
Simon Wessely ◽  
Paul Moran
Keyword(s):  
Suicidal Ideation ◽  
Cumulative Incidence ◽  
Suicidal Behaviour ◽  
Healthcare Workers ◽  
Online Survey ◽  
Suicide Attempts ◽  
Self Injury ◽  
Increased Risk ◽  
Self Harm ◽  
The Impact

AbstractIntroductionThere have been longstanding concerns regarding an increased risk of suicide amongst healthcare workers. The Covid-19 pandemic has placed an additional burden on staff, yet few studies have investigated the impact of the pandemic on their risk of suicide and self-harm. We aimed to investigate the cumulative incidence, prevalence and correlates of suicidal ideation, suicide attempts and non-suicidal self-injury amongst healthcare workers during the Covid-19 pandemic.Methods and AnalysisNHS Check is an online survey that was distributed to all staff (clinical and non-clinical), students, and volunteers in 18 NHS Trusts across England during the Covid-19 pandemic. Data collected in wave 1 (collected between April 2020 and January 2021) and wave 2 (collected 6-month after wave 1) will be analysed. The full cohort of wave 1 participants will be weighted to represent the age, sex, ethnicity, and roles profile of the workforce at each Trust, and the weighted prevalence and cumulative incidence of suicidal ideation, suicide attempts and non-suicidal self-injury will be described. Two-level random effects logistic regression models will be used to investigate the relationship between suicidal behaviour and self-harm, and demographic characteristics (age, sex, ethnicity) and workplace factors (concerns regarding access to personal protective equipment, re-deployment status, moral injury, confidence around raising and the management of safety concerns, support by supervisors or managers, satisfaction with standard of care provided). Results will be stratified by role (clinical/non-clinical).

Attachment Organization in Suicide Prevention Research

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Amanda Venta ◽  
Carla Sharp
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Interpersonal Relationships ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Critical Role ◽  
Self Report ◽  
Future Research ◽  
Self Harm

Background: Identifying risk factors for suicide-related thoughts and behaviors (SRTB) is essential among adolescents in whom SRTB remain a leading cause of death. Although many risk factors have already been identified, influential theories now suggest that the domain of interpersonal relationships may play a critical role in the emergence of SRTB. Because attachment has long been seen as the foundation of interpersonal functioning, we suggest that attachment insecurity warrants attention as a risk factor for SRTB. Aims: This study sought to explore relations between attachment organization and suicidal ideation, suicide attempts, and self-harm in an inpatient adolescent sample, controlling for demographic and psychopathological covariates. Method: We recruited 194 adolescents from an inpatient unit and assigned them to one of four attachment groups (secure, preoccupied, dismissing, or disorganized attachment). Interview and self-report measures were used to create four variables reflecting the presence or absence of suicidal ideation in the last year, single lifetime suicide attempt, multiple lifetime suicide attempts, and lifetime self-harm. Results: Chi-square and regression analyses did not reveal significant relations between attachment organization and SRTB, although findings did confirm previously established relations between psychopathology and SRTB, such that internalizing disorder was associated with increased self-harm, suicide ideation, and suicide attempt and externalizing disorder was associated with increased self-harm. Conclusion: The severity of this sample and methodological differences from previous studies may explain the nonsignificant findings. Nonsignificant findings may indicate that the relation between attachment organization and SRTB is moderated by other factors that should be explored in future research.

Latent Class Analysis of Nonsuicidal Self-Injury Among Justice-Involved Juveniles: Association With Motivational and Emotional Aspects of Self-Harm Behavior

2021 ◽  
pp. 009385482199841
Author(s):  
Melinda Reinhardt ◽  
Zsolt Horváth ◽  
Boglárka Drubina ◽  
Gyöngyi Kökönyei ◽  
Kenneth G. Rice
Keyword(s):  
Latent Class Analysis ◽  
Latent Class ◽  
Juvenile Detention ◽  
Class Analysis ◽  
Detention Centers ◽  
Self Injury ◽  
Class 1 ◽  
Emotional Aspects ◽  
Self Harm ◽  
Nonsuicidal Self Injury

Significantly higher rates of nonsuicidal self-injury (NSSI) have been discovered among justice-involved juveniles. Our study aimed to discriminate homogeneous subgroups of justice-involved youth with different self-harm behavior characteristics based on latent class analysis. A total of 244 adolescents (92.6% boys; Mage = 16.99, SD = 1.28) in Hungarian juvenile detention centers completed measures of NSSI and dissociation. High-NSSI (Class 1; 9%), moderate-NSSI (Class 2; 42.6%), and low-NSSI (Class 3; 48.4%) profiles were detected relating to different forms of NSSI. Multiple comparisons showed that girls were members of Class 1 and 2 at higher rates and these subgroups showed significantly higher dissociation proportions than Class 3. Our findings pointed out diversity in self-harm profiles with different characteristics in terms of methods and severity of self-harm, experienced emotions, and other emotion regulation tendencies among justice-involved adolescents. These results suggest sophisticated treatment approaches to match variations in severity and presentation.

Polycystic Ovary Syndrome and Non-Suicidal Self-Injury: A community-based study

2021 ◽  
Author(s):  
Sophie Williams ◽  
Dean Fido ◽  
David Sheffield
Keyword(s):  
Suicidal Ideation ◽  
Polycystic Ovary Syndrome ◽  
Emotion Dysregulation ◽  
Polycystic Ovary ◽  
Indirect Pathway ◽  
Ovary Syndrome ◽  
Cross Sectional ◽  
Self Injury ◽  
Suicidal Intention ◽  
Self Harm

Polycystic Ovary Syndrome (PCOS) is an endocrine condition that has been associated with atypical emotional regulation strategy use as well as elevated levels of depression, anxiety, self-harm, and suicidal ideation. Despite the existence of clinical screening guidance for this population, there is still little to know understanding of how non-suicidal self-injury and suicidal ideation and intention manifests in women with PCOS, and how this might differ from women without PCOS. Within this cross-sectional investigation, women with and without a diagnosis of PCOS (n = 418) completed validated metrics of emotion dysregulation, rumination, and non-suicidal self-injury, as well as self-reported indices of previous suicidal ideation and future suicidal intention. Group comparisons indicated that women with, relative to those without PCOS reported significantly greater metrics across all variables. Moreover, serial mediation analyses were conducted to test the ideation-to-action framework of suicide in women with PCOS, with the positive relationship between a PCOS diagnosis and future suicidal intention being explained through the indirect pathway of increased emotion dysregulation, recent suicidal ideation, and NSSI. Our findings call to action the need for international screening for suicide intention and self-harm in women with PCOS.

scholarly journals Suicidal and self-harm presentations to Emergency Departments: The challenges of identification through diagnostic codes and presenting complaints

2019 ◽  
Vol 49 (1) ◽  
pp. 38-46 ◽  
Author(s):  
Jerneja Sveticic ◽  
Nicholas CJ Stapelberg ◽  
Kathryn Turner
Keyword(s):  
Suicidal Ideation ◽  
Gold Standard ◽  
Emergency Departments ◽  
Policy Development ◽  
Suicide Attempts ◽  
Predictive Values ◽  
Diagnostic Codes ◽  
Icd 10 ◽  
Self Harm ◽  
Low Sensitivity

Background: The accuracy of data on suicide-related presentations to Emergency Departments (EDs) has implications for the provision of care and policy development, yet research on its validity is scarce. Objective: To test the reliability of allocation of ICD-10 codes assigned to suicide and self-related presentations to EDs in Queensland, Australia. Method: All presentations due to suicide attempts, non-suicidal self-injury (NSSI) and suicidal ideation between 1 July 2017 and 31 December 2017 were reviewed. The number of presentations identified through relevant ICD-10-AM codes and presenting complaints in the Emergency Department Information System were compared to those identified through an application of an evolutionary algorithm and medical record review (gold standard). Results: A total of 2540 relevant presentations were identified through the gold standard methodology. Great heterogeneity of ICD-10-AM codes and presenting complaints was observed for suicide attempts (40 diagnostic codes and 27 presenting complaints), NSSI (27 and 16, respectively) and suicidal ideation (38 and 34, respectively). Relevant ICD codes applied as primary or secondary diagnosis had very low sensitivity in detecting cases of suicide attempts (18.7%), NSSI (38.5%) and suicidal ideation (42.3%). A combination of ICD-10-AM code and a relevant presenting complaint increased specificity, however substantially reduced specificity and positive predictive values for all types of presentations. ED data showed bias in detecting higher percentages of suicide attempts by Indigenous persons (10.1% vs. 6.9%) or by cutting (28.1% vs. 10.3%), and NSSI by female presenters (76.4% vs. 67.4%). Conclusion: Suicidal and self-harm presentations are grossly under-enumerated in ED datasets and should be used with caution until a more standardised approach to their formulation and recording is implemented.

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