Longitudinal association between self-injurious thoughts and behaviors and suicidal behavior in adolescents and young adults: A systematic review with meta-analysis

Castellví, Pere; Lucas-Romero, E.; Miranda-Mendizábal, Andrea; Parés‐Badell, Oleguer; Almenara, José; Alonso, Iciar; Blasco, María Jesús; Cebrià, Ana Isabel; Gabilondo, Andrea; Gili, Margalida; Lagares‐Franco, Carolina; Rodríguez, José Antonio Piqueras; Roca, Miquel; Marín, Jesús Rodríguez; Rodríguez-Jiménez, Tiscar; Soto‐Sanz, Victoria; Alonso, Jordi

doi:10.1016/j.jad.2017.03.035

Cited by 209 publications

(116 citation statements)

References 49 publications

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“…The World Health Organization considers suicide a major public health issue and has emphasised the importance of targeting new suicide prevention approaches to individuals and groups who are at particular risk of suicide [5,6]. Given that depressive disorders [7] and history of suicidal ideation and behaviour [8] are among the strongest predictors of future suicidal behaviour, there is a need for targeted suicide prevention approaches to support young people exhibiting these risk factors.…”

Section: Introductionmentioning

confidence: 99%

An Enhanced Social Networking Intervention for Young People with Active Suicidal Ideation: Safety, Feasibility and Acceptability Outcomes

Bailey

Álvarez‐Jiménez

Robinson

et al. 2020

IJERPH

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Online social networking interventions have potential to support young people who experience suicidal thoughts by specifically addressing interpersonal risk factors for suicide, but may also pose a risk of harm. This uncontrolled, single-group pilot study aimed to evaluate the safety, feasibility, and acceptability of an enhanced online social networking intervention (“Affinity”) among a sample of young people who experienced active suicidal ideation, and to explore potential changes in clinical outcomes and the therapeutic targets of the intervention. Twenty young people with current or recent suicidal ideation who were receiving treatment for depression at a tertiary-level mental health service were given access to Affinity for two months. Participants were assessed at baseline and 8-week follow-up; 90 percent reported clinical suicidal ideation at baseline. A priori criteria related to feasibility, safety and acceptability were satisfied. In terms of potential clinical effects, significant and reliable pre-post improvements were found on self-report outcomes including suicidal ideation. This study provides initial world-first evidence to support the use of an online intervention incorporating social networking as an adjunct to treatment for young people who experience suicidal ideation. The effectiveness of Affinity needs to be evaluated in a randomised controlled trial.

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Section: Introductionmentioning

confidence: 99%

An Enhanced Social Networking Intervention for Young People with Active Suicidal Ideation: Safety, Feasibility and Acceptability Outcomes

Bailey

Álvarez‐Jiménez

Robinson

et al. 2020

IJERPH

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“…There is abundant literature on risk factors associated with suicidal behaviour. These include prior presence of suicidal behaviour ; exposure to traumatic stressful events, such as abuse or victimization; the existence of some legal factors ; certain psychological factors, such as hopelessness, impulsiveness, or low self‐esteem ; the presence of somatic or disabling problems ; or previous history of mental disorders, especially emotional (depression and anxiety) and behavioural disorders .…”

Section: Introductionmentioning

confidence: 99%

Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta‐analysis of longitudinal studies

Soto‐Sanz

Castellví

Rodríguez

et al. 2019

Acta Psychiatr Scand

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Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta-analysis of longitudinal studies.Objective: To assess internalizing and externalizing symptoms as risk factors for suicidal behaviour and suicide among adolescents and young adults. Method: We conducted a systematic review of articles published until January 2017. We identified 26 883 potential papers; 1701 full-text articles were assessed for eligibility, of which 1479 were excluded because of methodological reasons. Diverse meta-analyses were performed for each group of symptoms. Odds ratios (ORs) and 95% confidence intervals (95% CI) or beta coefficients for categorical variables, and effect size (ES) were calculated for continuous variables. Results: Finally, 41 studies were included, involving participants aged 12-26 years for a systematic review, and 24 articles were included for meta-analysis. The meta-analysis showed that youths with any internalizing (ES = 0.93) or externalizing symptoms (ES = 0.76 and OR = 2.59) were more likely to attempt suicide in future. This effect was also seen in depression symptoms (OR = 6.58 and ES = 1.00), legal problems (OR = 3.36), and anxiety (ES = 0.65). Conclusion: Reported internalizing and externalizing symptoms are predictors of suicide behaviour in young people; therefore, the detection and management of these symptoms in young populations could be a crucial strategy for preventing suicidality in this group.

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“…Non-suicidal self-injury (NSSI), as a growing health concern around the world, has been increasingly common in individuals with no mental illness, especially among adolescents and university students (Hawton et al 1997, White-Kress et al 2004. A recent meta-analysis study with a systematic review showed that adolescents who have self-injurious thoughts and behaviors had a two-fold risk of dying by suicide (Castellvi et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Non-Suicidal Self-Injury Among University Students in Turkey: The Effect of Gender and Childhood Abuse

Idig-Camuroglu

Gölge²

2018

Psychiat Danub

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Background: The purpose of this study was to explore the effect of gender and childhood abuse on non-suicidal self-injurious (NSSI) behaviors among university students in Turkey. Subjects and methods: In this study convenience sampling technique was used, the sample consisted of 1000 young adults who were from the eight universities in two big cities; Istanbul and Ankara. Besides with demographic questionnaire, Inventory of Statements about Self-Injury and Childhood Trauma Questionnaire were used. Results: The prevalence of NSSI was 28.5% and the most prevalent three self-injurious behaviors were wound picking, banging/hitting and pinching self. There was not a gender difference in NSSI behavior frequency but in the type of behavior; males had significantly higher percentages of hitting and burning behavior. Examining the intrapsychic and interpersonal functions of NSSI, "affect regulation" and "toughness" functions were the most used ones among the participants. In terms of gender differences, "revenge" function was used by females more than males. Self-injurers had higher childhood abuse scores on sexual, physical, and emotional abuse and neglect subscales than non self-injurers, and males were significantly more abused than females. Conclusions: Accepting childhood abuse as an important predictor of NSSI behavior, screening and assessment of abused children and adolescents can help to prevent the onset of the behavior.

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Longitudinal association between self-injurious thoughts and behaviors and suicidal behavior in adolescents and young adults: A systematic review with meta-analysis

Abstract: Although more than two thirds of suicide deaths in adolescence/young adulthood have occurred with no previous suicidal behavior, previous SITBs have a much higher risk of dying by suicide than previously reported in this age group.

Cited by 209 publications

References 49 publications

An Enhanced Social Networking Intervention for Young People with Active Suicidal Ideation: Safety, Feasibility and Acceptability Outcomes

An Enhanced Social Networking Intervention for Young People with Active Suicidal Ideation: Safety, Feasibility and Acceptability Outcomes

Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta‐analysis of longitudinal studies

Non-Suicidal Self-Injury Among University Students in Turkey: The Effect of Gender and Childhood Abuse

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