People have engaged in self-injury—defined as direct and deliberate bodily harm in the absence of suicidal intent—for thousands of years; however, systematic research on this behavior has been lacking. Recent theoretical and empirical work on self-injury has significantly advanced the understanding of this perplexing behavior. Self-injury is most prevalent among adolescents and young adults, typically […]

Self-criticism as a transdiagnostic process in nonsuicidal self-injury and disordered eating: Systematic review and meta-analysis

Nonsuicidal self-injury (NSSI) and disordered eating (DE) are highly comorbid and may be regarded as belonging to a spectrum of self-harm behaviors. We investigated self-criticism as a transdiagnostic correlate of these behaviors, in keeping with etiological theories of both NSSI and DE. We reviewed the literature and meta-analyzed the relation of self-criticism to both NSSI […]

Self-directed violence surveillance: Uniform definitions and recommended data elements.

Self-directed violence (SDV) is an important cause of mortality and morbidity in the United States and worldwide. Though numerous organizations collect information on fatal and non-fatal SDV, there is considerable confusion about how to define the phenomenon. To address the current lack of uniform definitions, the Centers for Disease Control and Prevention (CDC) proposes the following […]

The association of multiple identities with self-directed violence and depression among transgender individuals.

Transgender individuals have a high prevalence of self-directed violence; however, there is scant literature focusing on their unique experiences. The differences in self-harm, suicidal ideation, suicide attempt, and depression based on racial/ethnic identity and sexual orientation were examined among transgender individuals. Data were gathered from the Fall 2008 and Spring 2009 National College Health Assessment. […]

Psychological models of suicide.

Suicidal behavior is highly complex and multifaceted. Consequent to the pioneering work of Durkheim and Freud, theoreticians have attempted to explain the biological, social, and psychological nature of suicide. The present work presents an overview and critical discussion of the most influential theoretical models of the psychological mechanisms underlying the development of suicidal behavior. All […]

Precarious employment and the risk of suicidal ideation and suicide attempts.

Highlights ¥ The effect of occupation or employment status on suicide risk is notable. ¥ There are few studies on the effect of precarious employment on suicide. ¥ We investigated the association between precarious employment and suicide risk. ¥ Precarious workers had a higher suicide risk than non-precarious workers. ¥ Precarious employment is an important […]

Risk management with suicidal patients.

The patient who is at-risk for suicide is complex and is difficult to evaluate and treat effectively. Should suicidal behavior occur, the clinician faces the potential wrath of bereaved survivors and their externalized blame exercised through a malpractice suit.

Suicide clusters and contagion.

Youth suicide is one of the most serious preventable health problems in the United States. It is the third leading cause of death among adolescents. According to a recent national survey of students in grades 9-12, nearly 15% of respondents had seriously considered suicide and 7% actually had attempted suicide in the previous 12 months. […]

Minimizing social contagion in adolescents who self-injure: Considerations for group work, residential treatment, and the internet.

Social contagion among adolescents is a growing concern as the numbers of youth who self-injure increases. Mental health counselors face challenges in treating self-injurers in settings that are prone to social contagion. This article describes social contagion as one factor motivating self-harm in group settings, residential facilities, and audiences for social and electronic media. It […]

The cessation of deliberate self-harm in a university sample: The reasons, barriers, and strategies involved.

Journal copy is held in CSP Library.

The support needs and experiences of suicidally bereaved family and friends.

This study aimed to identify what suicidally bereaved persons’, particularly close relatives’ and loved ones’, perceptions of their need for support were and their experiences of support directed at meeting those needs.

Post-hospitalization course and predictive signs of suicidal behavior of suicidal patients admitted to a psychiatric hospital: a 2-year prospective follow-up study.

Background Suicidal patients admitted to a psychiatric hospital are considered to be at risk of suicidal behavior (SB) and suicide. The present study aimed to seek predictors of SB recurrence of the high-risk patients by examining their post-hospitalization course. Method The design was 2-year prospective follow-up study of patients consecutively admitted with SB to a […]

The relationship of hypomania, creativity, and suicidal ideation in undergraduates.

Elevations in hypomanic symptoms have been linked to high levels of creativity, and clinicians assess hypomania as one means of identifying individuals most at risk for attempting suicide among individuals diagnosed with depression. However, potential relationships between hypomania, creativity (i.e., divergent thinking and creative achievement), and suicidal ideation in college students are seldom investigated. Participants […]

Associations between risk behaviors and suicidal ideation and suicide attempts: do racial/ethnic variations in associations account for increased risk of suicidal behaviors among Hispanic/Latina 9th- to 12th-grade female students?


Polydrug use and attempted suicide among Hispanic adolescents in Puerto Rico.


Repetitive nonsuicidal self-injury as experiential avoidance among a community sample of adolescents.

Objective This study examined the relationship between experiential avoidance, functionally equivalent behaviors, and repetitive nonsuicidal self-injury (NSSI/RNSSI) among adolescents. Method Self-report questionnaires from adolescents ( N = 211) from 3 school-based samples were employed to assess three forms of experiential avoidance (thought suppression, alexithymia, and avoidance/cognitive fusion), various aspects of self-mutilating behaviors, and the existence […]

Suicidal ideation and behavior screening in intractable focal epilepsy eligible for drug trials.


Development and initial validation of the structured interview for self-destructive behaviors.


Manifestations of indirect self-destructiveness and methods of suicide attempts.


Seasonality of self-destructive behaviour: seasonal variations in demographic and suicidal characteristics in Van, Turkey.


Do suicide survivors suffer social stigma: a review of the literature.


The possibility of hope


Mamow Ki-ken-da-ma-win: a Partnership Approach to Child, Youth, Family and Community Wellbeing

Mamow-Sha-way-gi-kay-win: North-South Partnership for Children represents a coalition of individuals & organizations from southern Ontario who have partnered with First Nations communities in 30 remote northern locations. This paper draws on the experiences of the Partnership in the development of a unique approach to improving life conditions of northern First Nations peoples in Ontario. A […]