Clinical and Psychosocial Predictors of Suicide Attempts and Nonsuicidal Self-Injury in the Adolescent Depression Antidepressants and Psychotherapy Trial (ADAPT)

2012 ◽  
Vol 2012 ◽  
pp. 13-15
Author(s):  
A.H. Mack
Keyword(s):  
Adolescent Depression ◽  
Suicide Attempts ◽  
Psychosocial Predictors ◽  
Self Injury ◽  
Nonsuicidal Self Injury

Nonsuicidal Self-Injury and Its Relation to Suicidal Behavior

2014 ◽  
Author(s):  
Joseph C. Franklin ◽  
Matthew K. Nock
Keyword(s):  
Suicidal Behavior ◽  
Predictive Power ◽  
Suicide Attempts ◽  
Strong Association ◽  
Future Directions ◽  
Suicidal Intent ◽  
Self Injury ◽  
Basic Features ◽  
Insight Into ◽  
Nonsuicidal Self Injury

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.

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