Prospective risk for suicidal thoughts and behaviour in adolescents with onset, maintenance or cessation of direct self-injurious behaviour

Direct self-injurious behaviour (D-SIB) is associated with suicidal behaviour and suicide risk. It is not known if D-SIB cessation reduces these risks. The aim of this study was to explore trajectories of D-SIB and their prospective influence on suicidal thoughts and behaviour during adolescence. Da...

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Main Authors: Koenig, Julian (Author) , Brunner, Romuald (Author) , Fischer-Waldschmidt, Gloria (Author) , Parzer, Peter (Author) , Resch, Franz (Author) , Kaess, Michael (Author)
Format: Article (Journal)
Language:English
Published: 2017
In: European child & adolescent psychiatry
Year: 2017, Volume: 26, Issue: 3, Pages: 345-354
ISSN:1435-165X
DOI:10.1007/s00787-016-0896-4
Online Access:Verlag, Volltext: http://dx.doi.org/10.1007/s00787-016-0896-4
Verlag, Volltext: https://doi.org/10.1007/s00787-016-0896-4
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Author Notes:Julian Koenig, Romuald Brunner, Gloria Fischer-Waldschmidt, Peter Parzer, Paul L. Plener, JiYeon Park, Camilla Wasserman, Vladimir Carli, Christina W. Hoven, Marco Sarchiapone, Danuta Wasserman, Franz Resch, Michael Kaess
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Summary:Direct self-injurious behaviour (D-SIB) is associated with suicidal behaviour and suicide risk. It is not known if D-SIB cessation reduces these risks. The aim of this study was to explore trajectories of D-SIB and their prospective influence on suicidal thoughts and behaviour during adolescence. Data (n = 506; 62.06 % females, 14.53 years) from the Saving and Empowering Young Lives in Europe study were analysed. D-SIB and suicidal thoughts and behaviour were assessed at baseline (T0), 1- (T1) and 2-year follow-up (T2). Onset and maintenance of D-SIB between T0 and T1 were associated with a two to threefold increased odds ratio for suicidal thoughts and behaviour at T2. Suicidal thoughts and behaviour in those terminating D-SIB before T1 were similar compared to those with no life-time history of D-SIB. Late onset and maintenance of D-SIB prospectively indicate risk for suicidal thoughts and behaviour. This is the first study showing that D-SIB cessation reduces later risk for suicidal thoughts and behaviour in adolescence. Suicide prevention efforts should set one focus on reducing adolescent D-SIB.
Item Description:First online: 24 August 2016
Gesehen am 29.10.2018
Physical Description:Online Resource
ISSN:1435-165X
DOI:10.1007/s00787-016-0896-4