Help-seeking duration and its impact on the course of non-suicidal self-injury and suicide attempts in outpatient adolescents
Background - Adolescents with self-harming behavior (comprising non-suicidal self-injury [NSSI] and suicidal behavior) do often not seek professional help or do so with delay. The aim of this study was to investigate (i) the relationship between the duration of help-seeking (HS-DU) for first NSSI an...
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| Main Authors: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
28 April 2025
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| In: |
Journal of psychiatric research
Year: 2025, Volume: 187, Pages: 18-24 |
| ISSN: | 1879-1379 |
| DOI: | 10.1016/j.jpsychires.2025.04.033 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jpsychires.2025.04.033 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0022395625002705 
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| Author Notes: | Luisa von den Driesch, Marialuisa Cavelti, Johannes Josi, Julian Koenig, Corinna Reichl, Michael Kaess |
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| 520 | |a Background - Adolescents with self-harming behavior (comprising non-suicidal self-injury [NSSI] and suicidal behavior) do often not seek professional help or do so with delay. The aim of this study was to investigate (i) the relationship between the duration of help-seeking (HS-DU) for first NSSI and frequency of NSSI at 1-year follow-up, and (ii) the relationship between HS-DU for first NSSI, suicidal thoughts, suicide attempts and frequency of suicide attempts at follow-up in a cohort of adolescents seeking treatment for self-harm. - Methods - This sample consisted of 285 adolescent outpatients (88 % female, mean age = 15.11 ± 1.44 years). Time from symptom onset to first contact with professional care was assessed as a predictor variable at baseline. Frequency of suicide attempts in the previous year and frequency of NSSI in the past 6 months were assessed as outcome variables at baseline and 1-year follow-up. Generalized linear mixed models were used to assess associations between HS-DU for each variable and NSSI or suicide attempts at follow-up, controlling for age and gender. - Results - There was a significant decrease in the frequency of self-harm between baseline and 1-year follow-up. However, help-seeking duration for NSSI, suicidal thoughts or suicide attempt was not significantly associated with NSSI or suicide attempts at follow-up. - Discussion - Duration between onset of suicidal thoughts and self-harm and first contact with mental health services was not associated with the treatment outcome of self-harm. Clinically, this may indicate that self-harm can still be effectively reduced by intervention, even if professional help is sought late. | ||
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| 650 | 4 | |a Duration of untreated illness | |
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| 650 | 4 | |a Non-suicidal self-injury | |
| 650 | 4 | |a Suicide attempts | |
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