Emotion-related impulsivity and rumination: Unique and conjoint effects on suicidal ideation, suicide attempts, and nonsuicidal self-injury across two samples

Introduction Rumination and emotion-related impulsivity predict suicidal ideation, suicide attempts, and nonsuicidal self-injury (NSSI). Because rumination and emotion-related impulsivity, though, are highly correlated, we consider their unique vs. conjoint influence on suicidal ideation and self-harm. Method Across two samples of adults (N’s = 171 and 191), we examined how rumination and emotion-related impulsivity relate to suicidal ideation, […]

Phenotypic characterization of youth admitted to acute psychiatric inpatient unit following self-harm behavior

Objective Deliberate self-harm (DSH) is a major health concern among adolescents, and is often associated with the need for inpatient psychiatric hospitalization. The aim of this study was to identify clinical and demographic characteristics associated with DSH behavior among adolescents admitted to an acute psychiatric inpatient unit. Method We retrospectively analyzed data from the electronic […]

Analgesic effect of alcohol mediates the association between alcohol intoxication and deliberate self-harm

We examined whether the analgesic effect of alcohol mediates the association between alcohol and deliberate self-harm (DSH) using data from a larger study on alcohol effects. Men (n = 106) and women (n = 104) low-risk alcohol drinkers (ages M = 26.00, SD = 6.98) recruited from the community who had no suicide attempt or episode of deliberate self-harm within the past year were randomly […]

Nonsuicidal self-injury and suicide attempts are uniquely associated with eating disorder pathology and behaviors over and above negative urgency

Nonsuicidal self-injury (NSSI) and suicidal behaviors are prevalent in individuals with eating disorders (EDs). Negative urgency (NU; the tendency to act rashly when distressed) is a common correlate of NSSI, suicide, and ED pathology. The aim of this study was to examine whether lifetime history of NSSI and suicide attempts (SA) contributed unique variance to current ED pathology after […]

Admissions of children and adolescents with deliberate self-harm to intensive care during the SARS-CoV-2 outbreak in Australia

Importance  Identification of potential indirect outcomes associated with the COVID-19 pandemic in the pediatric population may be essential for understanding the challenges of the current global public health crisis for children and adolescents. Objective  To investigate whether the SARS-CoV-2 outbreak and subsequent effective public health measures in Australia were associated with an increase in admissions to intensive […]

DUDE – a universal prevention program for non-suicidal self-injurious behavior in adolescence based on effective emotion regulation: Study protocol of a cluster-randomized controlled trial

Background Non-suicidal self-injury (NSSI) has become a substantial public health problem. NSSI is a high-risk marker for the development and persistence of mental health problems, shows high rates of morbidity and mortality, and causes substantial health care costs. Thus, there is an urgent need for action to develop universal prevention programs for NSSI before adolescents […]

Suicide risk among hospitalized versus discharged deliberate self-harm patients: Generalized random forest analysis using a large claims data set

Introduction: Suicide rates are extremely high among emergency department patients seen for deliberate self-harm. Inpatient hospitalization is often recommended for these patients, but evidence on the suicide prevention impacts of hospitalization is scarce. Confounding by indication and challenges to implementing randomized designs are barriers to advances in this field. Methods: Investigators used 2009-2012 statewide data on 57,312 […]

Suicide mortality after a nonfatal suicide attempt: A systematic review and meta-analysis

Introduction: Deliberate self-harm and suicide attempts share common risk factors but are associated with different epidemiological features. While the rate of suicide after deliberate self-harm has been evaluated in meta-analyses, the specific rate of death by suicide after a previous suicide attempt has never been assessed. The aim of our study was to estimate the incidence […]

Associations between periods of COVID-19 quarantine and mental health in Canada

Since the onset of the COVID-19 pandemic, many jurisdictions, including Canada, have made use of public health measures such as COVID-19 quarantine to reduce the transmission of the virus. To examine associations between these periods of quarantine and mental health, including suicidal ideation and deliberate self-harm, we examined data from a national survey of 3000 […]

Pain threshold and pain tolerance as a predictor of deliberate self-harm among adolescents and young adults

Background: Recently, the assessment of pain has been used as a parameter to differentiate adolescents who indulge in deliberate self-harm from healthy individuals. Aims and objectives: The present study was conducted to compare pain sensitivity between three groups, i.e., nonsuicidal self-injury/nonsuicidal self-harm (NSSI), suicide attempters (SA), and matched healthy control (NSSI, SA, and healthy controls). Materials and […]

Suicide and self-harm in adult survivors of critical illness: Population based cohort study

Objective To analyse the association between survival from critical illness and suicide or self-harm after hospital discharge. Design Population based cohort study using linked and validated provincial databases. Setting Ontario, Canada between January 2009 and December 2017 (inclusive). Participants Consecutive adult intensive care unit (ICU) survivors (≥18 years) were included. Linked administrative databases were used to compare ICU hospital […]

Social media use and deliberate self-harm among youth: A systematized narrative review

Background Suicide is now the 2nd leading cause of death among adolescents and young adults. Social media’s influence on youth suicidal risk or attenuation of risk is a novel and rapidly expanding topic of research that requires attention from a broad range of mental health services professionals. We aimed to provide an updated review of […]

Deliberate self-harm and associated risk factors in young adults: The importance of education attainment and sick leave

Purpose: The prevalence of deliberate self-harm (DSH) is high in young adults. However, few studies have examined risk in this specific age group. We, therefore, examined the relative influence and interactive nature of a wide range of potential sociodemographic and sick leave related risk factors in young adults, aged 18-35 years, using Norwegian register data. Methods: All […]

Physical, mental, and social wellbeing and their association with death by suicide and self-harm in older adults: A community-based cohort study

Objective To assess associations between physical, mental, and social well‐being and suicide and self‐harm in a community‐based sample of older adults. Methods Using a cohort design, questionnaire data from 102,880 individuals aged 65 years or older living in New South Wales, Australia during 2006–2009 were linked to hospital and cause‐of‐death databases until 2017. Poisson regressions […]

Psychosocial aspects of deliberate physical suicide attempts by children and adolescents

BACKGROUND AND OBJECTIVES. Suicide is a topical issue in Lithuania and all around the world. It is the second common cause of death among young people. There’s a lack of research studies on the psychosocial aspects of adolescents’ suicide in Lithuania. The study aimed to evaluate the demography, life circumstances, health conditions as possible suicide […]

Does state dissociation mediate the relation between alcohol intoxication and deliberate self-harm?

Research supports the notion that alcohol intoxication is a risk factor for deliberate self-harm (DSH). However, the underlying mechanisms for this relationship are poorly understood. We aimed to determine whether alcohol-induced dissociation mediated alcohol’s effects on DSH. We used data from a dose-response study of alcohol intoxication and DSH to test the proposed model. Participants […]

How do families represent the functions of deliberate self-harm? A comparison between the social representations from adolescents and their parents

Research has recognized the importance of understanding the social representations about the functions of deliberate self-harm, particularly in the context of clinical intervention. In addition, parents can play a relevant role in the rehabilitation of adolescents with these behaviors. However, there are few studies that focused on the description and comparison of the social representations […]

A narrative review of suicide and suicidal behavior in medical students

Studies across different countries have consistently demonstrated high rates of several psychiatric disorders among medical students. These findings, in turn, may be correlated with the higher than expected rate of suicide in student doctors. We aimed to provide a narrative review of the literature concerning suicidality in medical students worldwide. A  narrative review is not […]

Parental death by external causes and risk of hospital-treated deliberate self-harm in bereaved offspring

Previous studies have reported an increased risk of hospital-treated deliberate self-harm (DSH) in offspring who have lost a parent, but inconclusive findings regarding differences between loss from suicide and accidents. The present study aimed to investigate the association between parental death by external causes before age 18 and hospital-treated DSH, and potential differences between different […]

Correlates of near-fatal deliberate self-harm in Qatar: A restrospective study of psychiatric admissions for suicidal behaviors

Abstract. Background: There are few research studies from Arab countries on suicide since many cultural and religious factors influence reporting. Aims: The purpose of this study was to explore the correlates of near-fatal deliberate self-harm in Qatar. Method: The study comprised a retrospective review of documented data of all patients with a suicide attempt admitted to the only Psychiatry Hospital in […]

International prevalence of adolescent non-suicidal self-injury and deliberate self-harm

Background: The behaviours of non-suicidal self-injury (NSSI) and deliberate self-harm (DSH) are prevalent among adolescents, and an increase of rates in recent years has been postulated. There is a lack of studies to support this postulation, and comparing prevalence across studies and nations is complicated due to substantial differences in the methodology and nomenclature of existing […]

Interventions for self-harm in children and adolescents (Review)

BACKGROUND: Self-harm (SH; intentional self-poisoning or self-injury) is common in children and adolescents, often repeated, and strongly associated with suicide. This is an update of a broader Cochrane review on psychosocial and pharmacological treatments for deliberate SH first published in 1998 and previously updated in 1999. We have now divided the review into three separate […]

Antidepressant dose, age, and the risk of deliberate self-harm

OBJECTIVE: To assess the risk of deliberate self-harm by antidepressant dose, by age group. DESIGN, SETTING, AND PARTICIPANTS: This was a propensity score-matched cohort study using population-based health care utilization data from 162,625 US residents with depression ages 10 to 64 years who initiated antidepressant therapy with selective serotonin reuptake inhibitors at modal or at […]