A meta-analysis of co-occurrence of non-suicidal self-injury and suicide attempt: Implications for clinical intervention and future diagnosis

Ye, Zhiyu; Xiong, Fang; Li, Wentian

doi:10.3389/fpsyt.2022.976217

Cited by 15 publications

(9 citation statements)

References 61 publications

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“…Recent studies have identified nonsuicidal self-injury (NSSI) as a highly significant risk factor for future fatal and non-fatal suicide attempts (5)(6)(7). People with mental disorders who also have suicidal ideation and NSSI are clearly a group at highest risk of attempting suicide.…”

Section: Introductionmentioning

confidence: 99%

Functions of nonsuicidal self-injurious behavior in Russian patients with suicidal ideation

Zinchuk,

Kustov,

Popova

et al. 2023

Front. Public Health

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IntroductionNonsuicidal self-injurious behavior (NSSI) is an important risk factor for future suicide attempts. Previous research has identified a number of motivations for engaging in NSSI. The aim of the present study was to translate the Inventory of Statements About Self-Injury (ISAS) into Russian and then to evaluate its psychometric properties in a sample of patients with non-psychotic mental disorders and suicidal ideation (SI). Other aims were to determine the prevalence of specific NSSI functions in this population and to assess the relationship between different NSSI functions and clinical and psychological parameters.Participants and methodsThe study was conducted at the largest center for non-psychotic mental disorders in Moscow. All admitted patients with both NSSI and SI completed the Russian version of the ISAS-II, underwent the Self-Injurious Thoughts and Behaviors Interview, and completed the Personality Inventory for DSM-5 and ICD-11 Brief Form Plus-Modified, the Beck Depression Inventory, and the State–Trait Anxiety Inventory.ResultsA total of 614 patients were included in the study. 543 (88.4%) patients were assigned female at birth with a mean age of 24.86 (7.86) years. Factor analysis supported a two-factor structure (Intrapersonal and Interpersonal) of the Russian version of the ISAS-II, but in contrast to the original study, the “Marking distress” function loaded more strongly on the Interpersonal factor. In people with non-psychotic mental disorders and SI, Interpersonal functions of NSSI are associated with more severe depressive symptoms (r = 0.34), 12 months history of NSSI (r = 0.30), higher number of NSSI methods (r = 0.41), likelihood of future NSSI (r = 0.35) and psychoticism (r = 0.32).ConclusionThe Russian version of the ISAS-II is a valid and reliable instrument for assessing NSSI functions in a population at high risk for suicide attempts. Interpersonal functions are associated with a number of unpleasant clinical and psychological features.

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Section: Introductionmentioning

confidence: 99%

Functions of nonsuicidal self-injurious behavior in Russian patients with suicidal ideation

Zinchuk,

Kustov,

Popova

et al. 2023

Front. Public Health

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“…Adolescents showing both NSSI and SI or suicidal behavior have become increasingly common in clinical practice. Recent meta-analysis reported that combined incidence of NSSI and suicide attempt co-occurrence was 9.6% [ 15 ]. Suicidal behavior and self-harm in children and adolescents were increased significantly during the COVID-19 pandemic [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Analyzing Co-Occurrence of Non-Suicidal Self-Injury With Suicidal Ideation and Related Factors Among Adolescents in Jeju Island

Moon,

Chung,

Kwack

et al. 2024

J Korean Acad Child Adolesc Psychiatry

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Objectives Non-suicidal self-injury (NSSI) and suicidal behavior, including suicidal ideation (SI) and suicide attempts, are important predictors of suicide in adolescents. This study aimed to investigate the associations between NSSI, SI, NSSI+SI, mental health problems, and family factors in Korean adolescents in Jeju Island, with an emphasis on key findings. Methods A total of 561 adolescents completed self-report questionnaires regarding demographics, NSSI, SI, suicidal behavior, perceived family functioning, and mental health problems, which were assessed using Center for Epidemiological Studies Depression Scale for Children, Screen for Children Anxiety-Related Disorders (SCARED), and Youth Self-Report (YSR). Data were analyzed using descriptive statistics, one-way analysis of variance, chi-square test, post-hoc analyses, and multivariate logistic regression. Results In this study, 22.3% of adolescents reported either NSSI or SI, with 5.5% reporting NSSI and 20.7% reporting SI. Combined (NSSI+SI) group showed a significantly higher SCARED score, anxiety/depression, thought problems, attention problem, and rule breaking on YSR than did the SI only group. Higher level of depression and anxiety were significantly associated with NSSI and SI. Female sex and perceived family dissatisfaction were significantly associated factors for SI, but not for NSSI in multivariate logistic regression. Conclusion This study provides insights into the clinical characteristics and associated factors among adolescents with NSSI, SI, and NSSI+SI in Jeju Island. Identifying these results can inform the development of targeted prevention and intervention strategies to mitigate the negative consequences of these behaviors and contribute to a better understanding of the role of family in this context.

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“…NSSI is associated with various poor outcomes, such as cognitive impairment, lack of interpersonal and familial relationships, and increased rates of mood disorders among adolescents and young adults [7, 8]. According to a systematic review, the combined incidence of NSSI and suicide attempt co-occurrence was 9.6% [9]. However, there has been controversy over whether NSSI and suicide attempts should be regarded as the same or different concepts.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Psychotherapy on Prevention of Suicidal Re-Attempts in Psychiatric Emergencies: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials

Jeong

Yim

Lee

et al. 2023

Psychother Psychosom

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Introduction: Many psychological interventions aim to prevent suicide, but there is limited information regarding their comparative effectiveness. Objectives: We conducted a systematic review and network meta-analysis to evaluate the relative effects of psychological interventions for preventing suicide re-attempts in psychiatric emergencies. Methods: We searched PubMed, Embase, Cochrane, and PsycINFO from inception to December 1, 2022. Selection and data extraction were conducted independently by two reviewers based on prespecified criteria. We evaluated the efficacy of interventions, potential effect moderators, and study quality both within individual studies and across studies. Global and local inconsistencies and publication bias were explored. The primary outcome was suicide re-attempt rate. The network meta-analysis was conducted using the “netmeta” package in R. The protocol was registered with PROSPERO (CRD42021291407). Results: There were 3,155 participants from 26 randomized controlled trials included in the network meta-analysis. Cognitive behavioral therapy (CBT) was the only intervention that was more effective than a common comparator for reducing suicide re-attempts among psychological interventions in both direct and indirect comparisons (odds ratio: [95% confidence interval], 0.46 [0.25–0.85] vs. 0.47 [0.27–0.83]). CBT had the highest score (p score = 0.8727) across the various psychological interventions. Neither global nor local inconsistencies were significant. There was no clear evidence of violations of the transitivity assumption when comparing characteristics of studies across interventions. Publication bias was not suspected for the primary outcome. Conclusions: CBT may be regarded as a reasonable first-line psychological intervention to prevent re-attempts among people with previous suicide attempts. We observed a moderate quality of evidence supporting an 87% probability of CBT being the best treatment available for preventing suicide re-attempts.

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A meta-analysis of co-occurrence of non-suicidal self-injury and suicide attempt: Implications for clinical intervention and future diagnosis

Cited by 15 publications

References 61 publications

Functions of nonsuicidal self-injurious behavior in Russian patients with suicidal ideation

Functions of nonsuicidal self-injurious behavior in Russian patients with suicidal ideation

Analyzing Co-Occurrence of Non-Suicidal Self-Injury With Suicidal Ideation and Related Factors Among Adolescents in Jeju Island

Effectiveness of Psychotherapy on Prevention of Suicidal Re-Attempts in Psychiatric Emergencies: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials

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