Characteristics of nonsuicidal self‐injury among veterans

Lear, Mary K.; Penzenik, Molly; Forster, Jeri E.; Starosta, Amy J.; Brenner, Lisa A.; Nazem, Sarra

doi:10.1002/jclp.23027

Cited by 8 publications

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The lifetime prevalence of NSSI is estimated to be 6% in adults (Klonsky, 2011), although there is evidence that the prevalence of NSSI may be increasing (Klonsky, 2011; Swannell et al, 2014; Wester et al, 2018). The lifetime prevalence of NSSI appears to be slightly higher among active‐duty service members (i.e., 6.3%–7.9%; Turner et al, 2019) and even higher among military veterans, with estimates ranging from 13 to 16% (Lear et al, 2021; Monteith et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

The Screen for Nonsuicidal Self‐Injury: Development and initial validation among veterans with psychiatric disorders

Halverson

Patel

Mann

et al. 2022

Suicide & Life Threat Behav

View full text Add to dashboard Cite

Introduction Nonsuicidal self‐injury (NSSI) is associated with significant impairment and is a robust predictor of suicidal ideation, attempts, and death by suicide; however, the present lack of a brief screening instrument for NSSI coupled with consistent underidentification of NSSI in male adults has led to concerning rates of missed identification of NSSI. Methods The Screen for Nonsuicidal Self‐Injury (SNSI) is a brief, 10‐item screen designed to identify individuals currently engaging in NSSI with an emphasis on behaviors more frequently endorsed by male adults. The present study examined the development and validation of the SNSI. Results In a sample of veterans (N = 124) with complex psychiatric presentations, SNSI scores demonstrated good internal consistency and strong construct validity with area under the curve (AUC) estimates of 0.85–0.93 for the identification of NSSI disorder. SNSI scores also demonstrated good convergent (rs 0.59–0.90) and external validity (rs = 0.25–0.42), and excellent predictive validity identifying future NSSI Suicide and Life‐Threatening Behavior disorder (AUC = 0.88) and NSSI behaviors (AUC = 0.90). Importantly, SNSI performance was not affected by participants’ race, sex assigned at birth, or age. Conclusion The SNSI is an efficient screen to identify patients engaging in NSSI who are likely to benefit from more comprehensive assessment and treatment programs.

show abstract

Section: Introductionmentioning

confidence: 99%

The Screen for Nonsuicidal Self‐Injury: Development and initial validation among veterans with psychiatric disorders

Halverson

Patel

Mann

et al. 2022

Suicide & Life Threat Behav

View full text Add to dashboard Cite

show abstract

“…This finding is broadly consistent with Joiner's view that NSSI is used as a mediating step in SA. Whereas in the study by Kearns et al no cases were found in which suicide attempts appeared before NSSI, the results of that study showed that the transition time from NSSI to suicide attempts was about 4.25 years in psychiatric inpatients (43) and about 7.5 years in the community population (44). We can find some differences between the two studies in terms of the time of transition and the group of subjects investigated.…”

Section: Discussionmentioning

confidence: 73%

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

Xiong

Li³

2022

Front. Psychiatry

View full text Add to dashboard Cite

BackgroundNon-suicidal self-injury (NSSI) and suicide attempt (SA) are risk behaviors that lead to physical injury and even death in individuals, and are a very powerful risk factor when both occur together, with individuals presenting with more severe psychological and behavioral problems. Due to the different demographic characteristics of different study subjects, an overall understanding of the incidence and occurrence of this co-occurrence is lacking to clarify the focus of clinical interventions and future research directions.MethodsA systematic search was conducted for relevant studies in English and Chinese that reported data on co-occurring non-suicidal self-injury and suicide attempts as of May 2022. The incidence of co-occurrence of non-suicidal self-injury and suicide attempt (NSSI + SA) was calculated using Stata version 16.0 software based on a random-effects model, and the differences in incidence in different populations were compared by subgroups of age group, comorbidity, and time of occurrence. The study was written in strict accordance with PRISMA norms and registration was completed on the PROSPERO platform (CRD42022329095).ResultsA total of 37 studies (139,573 individuals) were included for meta-analysis, and the combined incidence of non-suicidal self-injury and suicide attempt co-occurrence was 9.6%. Among different groups, the prevalence of NSSI + SA was 10, 11, 6, and 26% in adolescents and young adults, adults, the general population, and people with mental illness, respectively, and the co-occurrence of NSSI + SA within 12 months was 17%.ConclusionThere is a significant group with a history of both non-suicidal self-injury and suicide attempts and presenting with more severe symptoms clinically. Targeted prevention and intervention are urgently needed, but the direction of intervention needs further research on the occurrence trajectory of this co-occurrence.Systematic Review Registrationhttp://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42022329095, identifier: CRD42022329095.

show abstract

“…Prevalence rates of lifetime NSSI are approximately 5% in the adult general population, although veterans endorse higher rates of NSSI engagement (Klonsky, 2011;Swannell et al, 2014). Rates of lifetime NSSI in non-treatment seeking veterans range from 4% to 16% with prevalence rates as high as 62% in veterans seeking treatment for posttraumatic stress disorder (PTSD; Bryan et al, 2014;Kachadourian et al, 2021;Kimbrel et al, 2015Kimbrel et al, , 2018Lear et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Interpersonal stress and nonsuicidal self‐injury disorder in veterans: An ecological momentary assessment study

Halverson

Dillon

Weber

et al. 2023

Suicide & Life Threat Behav

View full text Add to dashboard Cite

IntroNonsuicidal self‐injury (NSSI) is associated with marked functional impairment and is a robust predictor of suicide attempts. Prevalence rates of NSSI, and self‐directed violence more broadly, are elevated among military veterans. Despite the inclusion of interpersonal difficulty in the diagnostic criteria for NSSI disorder, the relationship between interpersonal risk factors and NSSI is not well‐characterized, especially among veterans. This ecological momentary assessment (EMA) study investigated the hypothesis that interpersonal stressors and associated distress would precede and predict NSSI urge and engagement—but not vice versa—via cross‐lagged multilevel modeling.MethodForty veterans with NSSI disorder completed a 28‐day EMA protocol with three daily prompts assessing NSSI urges, NSSI engagement, the occurrence of interpersonal stressors, and associated subjective interpersonal distress.ResultsInterpersonal stressors preceded and predicted subsequent NSSI urges, but not NSSI engagement, whereas subjective interpersonal distress preceded and predicted both NSSI urges and NSSI engagement.ConclusionResults identified interpersonal stressors as a risk factor for NSSI urges, and interpersonal distress as a risk factor for both NSSI urges and NSSI engagement. Findings highlight the importance of temporally assessing interpersonal factors related to NSSI and suggest that interpersonal distress may be a modifiable risk factor for NSSI.

show abstract

Characteristics of nonsuicidal self‐injury among veterans

Cited by 8 publications

References 32 publications

The Screen for Nonsuicidal Self‐Injury: Development and initial validation among veterans with psychiatric disorders

The Screen for Nonsuicidal Self‐Injury: Development and initial validation among veterans with psychiatric disorders

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

Interpersonal stress and nonsuicidal self‐injury disorder in veterans: An ecological momentary assessment study

Contact Info

Product

Resources

About