Using Propensity Scores to Examine the Association Between Behavioral Inhibition/Activation and Nonsuicidal and Suicidal Self-Injury

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
Keyword(s):  
Risk Factors ◽  
Behavioral Inhibition ◽  
Propensity Scores ◽  
Suicide Attempts ◽  
Health Concern ◽  
Behavioral Inhibition System ◽  
Self Injury ◽  
History Of ◽  
The Relationship ◽  
Nonsuicidal Self Injury

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.

scholarly journals HUBUNGAN NONSUICIDAL SELF-INJURY (NSSI) DENGAN ACQUIRED CAPABILITY FOR SUICIDE: STUDI META-ANALISIS

2021 ◽  
Vol 5 (2) ◽  
pp. 590
Author(s):  
Puti Andini Pradipta ◽  
Monty Prawiratirta Satiadarma ◽  
Untung Subroto
Keyword(s):  
Effect Size ◽  
Suicide Attempts ◽  
Meta Analysis ◽  
Random Effect ◽  
Interpersonal Theory ◽  
Acquired Capability ◽  
Self Injury ◽  
The Relationship ◽  
Commit Suicide ◽  
Nonsuicidal Self Injury

Suicide was the third leading cause of death in adolescents in the world in 2016 with a mortality rate of about 136,000 cases. Reasons teenagers commit suicide include family financial problems, psychological distress, low self-esteem, lack of confidence, and depression. In addition, the difficulty of professional help and social support from the surrounding environment also opens up opportunities for adolescents to commit suicide. Suicidal behavior is often associated with nonsuicidal self-injury (NSSI). NSSI is an act of self-injury with no intention to commit suicide, but according to the Interpersonal Theory for Suicide by Joiner (2005), NSSI’s actions are considered to be one of the factors increasing the ability to commit suicide attempts (acquired capability). This study is aimed at exploring the relationship between NSSI and acquired capability for suicide by meta-analysis study. Eight studies from 119 articles involving the term NSSI and acquired capability were studied using the random-effects model. A total of 3398 samples were included in the study. The results showed that the effect size between NSSI and acquired capability was (r = .208), which means that NSSI is positively correlated with acquired capability and has a weak relationship. The results of this study also show that this study has a high heterogeneity value (I2 = 91,48) and there is no publication bias. Bunuh diri adalah penyebab kematian nomor tiga pada remaja di dunia pada tahun 2016 dengan angka kematian sekitar 136.000 kasus. Alasan remaja melakukan bunuh diri antara lain adalah masalah-masalah keuangan keluarga, distres psikologis, rendahnya harga diri, kurang percaya diri, dan depresi. Selain itu, sulitnya pertolongan tenaga profesional dan dukungan sosial dari lingkungan sekitarnya juga membuka peluang para remaja untuk melakukan percobaan bunuh diri. Perilaku bunuh diri sering dihubungkan dengan Nonsuicidal Self-Injury (NSSI). NSSI merupakan tindakan perusakan diri dengan tanpa adanya keinginan untuk bunuh diri, namun menurut teori Interpersonal Theory for Suicide oleh Joiner (2005), tindakan NSSI dianggap menjadi salah satu faktor meningkatnya kemampuan seseorang untuk melakukan percobaan bunuh diri (acquired capability). Penelitian ini bertujuan untuk mengeksplorasi hubungan antara NSSI dan acquired capability dengan studi meta-analisis. Delapan artikel korelasional dari 119 artikel yang melibatkan istilah NSSI dan acquired capability dipelajari menggunakan random-effect models. Sebanyak 3398 sampel dilibatkan dalam penelitian ini. Hasil penelitian menunjukkan nilai effect size antara NSSI dan acquired capability adalah sebesar (r = .208), yang berarti NSSI berkorelasi positif dengan acquired capability dan memiliki hubungan yang lemah. Hasil penelitian ini juga menunjukkan bahwa studi ini memiliki nilai heterogenitas yang tinggi(I2 = 91,48) dan tidak terdapat bias publikasi.

The Relationship Between Portrayals of Nonsuicidal Self-Injury, Attitudes, Knowledge, and Behavior

Crisis ◽  
2013 ◽  
Vol 34 (5) ◽  
pp. 324-334 ◽  
Author(s):  
Sara Radovic ◽  
Penelope Hasking
Keyword(s):  
Young People ◽  
Online Survey ◽  
Harmful Effect ◽  
Self Injury ◽  
High Prevalence ◽  
History Of ◽  
Key Variables ◽  
And Behavior ◽  
The Relationship ◽  
Nonsuicidal Self Injury

Background: The high prevalence of nonsuicidal self-injury (NSSI) among young people has prompted research into why this may be a chosen coping strategy. One possibility is that the behavior is modeled from media depictions. Aims: The study examined the relationship between viewing films featuring NSSI and an individuals’ knowledge, attitudes toward, and engagement in NSSI. Method: 317 individuals (18–30 years) completed an online survey measuring these key variables. Results: Exposure to NSSI in film was related to history of NSSI; an even stronger relationship emerged when individuals identified with the character. Films increase knowledge and empathy toward those engaging NSSI, but they may also serve to trigger NSSI. Conclusions: Portrayal of NSSI in film could be designed to minimize imitation and to consider the potential to increase knowledge of NSSI among those with little exposure to the behavior. However, because films may also trigger NSSI, further work is needed to determine under what circumstances, and for which individuals, films exert a protective or harmful effect.

Examining the Time to Transition From Nonsuicidal Self-Injury to Suicide Attempt

Crisis ◽  
2020 ◽  
pp. 1-5
Author(s):  
Caitlin O'Loughlin ◽  
Taylor A. Burke ◽  
Brooke A. Ammerman
Keyword(s):  
Suicide Attempt ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
Strong Predictor ◽  
Theoretical Models ◽  
Self Report ◽  
Risk Assessments ◽  
Self Injury ◽  
History Of ◽  
Nonsuicidal Self Injury

Abstract. Background: Nonsuicidal self-injury (NSSI) is a strong predictor of suicide attempts (SA). Characteristics of NSSI have been shown to influence the NSSI–SA relationship; however, the temporal nature of this association is understudied. Aims: This study aimed to elucidate the NSSI-SA relationship by examining the association between NSSI characteristics and time lapsed from NSSI onset to first SA. Method: Participants were 111 individuals with a history of NSSI that preceded their first SA who completed a series of self-report measures. Results: NSSI methods of cutting and burning, and the anti-dissociation function, were associated with a shorter transition time from NSSI to SA. Earlier age of NSSI onset and the interpersonal boundaries function were related to a longer time to transition. Limitations: This sample size was limited, and data were collected cross-sectionally. Conclusion: Findings provide foundational knowledge regarding NSSI characteristics to inform theoretical models of the NSSI–SA association. This information can inform suicide risk assessments among those with a history of NSSI.

scholarly journals Childhood sexual abuse and non-suicidal self-injury: meta-analysis

2008 ◽  
Vol 192 (3) ◽  
pp. 166-170 ◽  
Author(s):  
E. David Klonsky ◽  
Anne Moyer
Keyword(s):  
Risk Factors ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Empirical Evidence ◽  
Meta Analysis ◽  
Effect Sizes ◽  
Self Injury ◽  
History Of ◽  
Weighted Aggregate ◽  
The Relationship

BackgroundMany theorists posit that childhood sexual abuse has a central role in the aetiology of self-injurious behaviour. Studies that report statistically significant associations between a history of such abuse and self-injury are cited to support this view.AimsA meta-analysis was conducted to determine systematically the magnitude of the association between childhood sexual abuse and self-injurious behaviour.MethodForty-five analyses of the association were identified. Effect sizes were converted to a standard metric and aggregated.ResultsThe relationship between childhood sexual abuse and self-injurious behaviour is relatively small (mean weighted aggregate ϕ=0.23). This figure may be inflated owing to publication bias. In studies that statistically controlled for psychiatric risk factors, childhood sexual abuse explained little or no unique variance in self-injurious behaviour.ConclusionsTheories that childhood sexual abuse has a central or causal role in the development of self-injurious behaviour are not supported by the available empirical evidence. Instead, it appears that the two are modestly related because they are correlated with the same psychiatric risk factors.

Relations Between Nonsuicidal Self-Injury and Suicide Attempt Characteristics in a Sample of Recent Suicide Attempters

Crisis ◽  
2016 ◽  
Vol 37 (4) ◽  
pp. 310-313 ◽  
Author(s):  
Erin F. Ward-Ciesielski ◽  
Julie A. Schumacher ◽  
Courtney L. Bagge
Keyword(s):  
Suicide Attempt ◽  
Suicide Attempts ◽  
Self Report ◽  
Medical Attention ◽  
Suicide Attempters ◽  
Risk Of Death ◽  
Self Injury ◽  
Increased Risk ◽  
History Of ◽  
Nonsuicidal Self Injury

Abstract. Background: Although nonsuicidal self-injury (NSSI) is known to be associated with increased risk of death by suicide and suicide attempts, minimal research has focused on comparing recent suicide attempters with and without NSSI on suicide attempt characteristics (frequency and severity of suicide attempts). Understanding how NSSI impacts suicide attempt characteristics can help providers to enhance their assessment and treatment strategies so as to prevent future suicidal behaviors. Aims: The present study investigated the extent to which a history of NSSI was related to the frequency and severity of suicide attempts in a sample of recent suicide attempters. Method: Participants included 171 adult patients who presented to the hospital within 24 hr of a suicide attempt. Information about their suicide attempts and NSSI was gathered using self-report questionnaires and interviews. Results: Suicide attempters with a history of NSSI reported significantly more suicide attempts and more suicide attempts requiring medical attention, after controlling for important clinical covariates. Conclusion: NSSI was uniquely associated with suicide attempt characteristics, highlighting the importance of NSSI in suicide assessment, prevention, and treatment efforts.

scholarly journals Is the relationship between child abuse and suicide attempts mediated by nonsuicidal self‐injury and pain tolerance?

2020 ◽  
Author(s):  
Antje Schönfelder ◽  
Dajana Rath ◽  
Thomas Forkmann ◽  
Laura Paashaus ◽  
Katarina Stengler ◽  
...  
Keyword(s):  
Child Abuse ◽  
Suicide Attempts ◽  
Pain Tolerance ◽  
Self Injury ◽  
The Relationship ◽  
Nonsuicidal Self Injury

Risk factors of self-injury behavior among psychiatric inpatients

2017 ◽  
Vol 41 (S1) ◽  
pp. S569-S570
Author(s):  
N. Charfi ◽  
S. Hentati ◽  
M. Maâlej Bouali ◽  
L. Zoauri ◽  
N. Zouari ◽  
...  
Keyword(s):  
Risk Factors ◽  
Emotional Abuse ◽  
Suicide Attempts ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
University Hospital ◽  
Impulsive Behavior ◽  
Self Injury ◽  
History Of ◽  
Physical Neglect

BackgroundSelf-injury behavior among mental patients has been recognized for several years, yet our understanding of its mechanisms and its risk factors remains limited.ObjectivesThis study aimed to assess the prevalence of deliberate self-harm (DSH) among psychiatric inpatients and to identify its association with personal and clinical factors.MethodsIt was a descriptive and analytic study. It included 87 psychiatric inpatients followed in the psychiatry department “C” at the Hedi Chaker University Hospital of Sfax in Tunisia. Barratt Impulsivity Scale (Bis11) and the 28-items Childhood Trauma Questionnaire (CTQ) were used to assess respectively impulsivity and child maltreatment.ResultsThe average age of patients was 29.32 ± 8 years. Most of them were male (75%) and single. Fifty-nine percent of patients had previously attempted suicide. A history of DSH was found in 60.9% of cases. The most frequent trauma types were emotional abuse and physical neglect with respectively 58.7% and 69.8%. Factors positively correlated with DSH were: male gender (P = 0.026), father alcoholism (P = 0.024), history of suicide attempts (P = 0.017), borderline personality (P = 0.00) and history of emotional abuse (P = 0.008) or physical abuse (P = 0.04) or neglect (P = 0.004). Score “Bis11” was significantly correlated with suicide attempts (P = 0.00) and presence of childhood abuse (P = 0.00) or neglect (P = 0.01).ConclusionDSH seems to be a prevalent problem among psychiatric inpatients. It concerns mainly patients with a history of child abuse and impulsive behavior such as suicidal attempts underlying borderline personality disorder. Patients with these risk factors warrant specific attention in mental health services.Disclosure of InterestThe authors have not supplied their declaration of competing interest.

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