Examining the link between nonsuicidal self-injury and suicidal behavior: A review of the literature and an integrated model

Clinical Psychology Review

Volumn 32, Issue 6, 2012, Pages 482-495

  Hamza, Chloe A ^a   Stewart, Shannon L ^b,c   Willoughby, Teena ^a  

^a BROCK UNIVERSITY   (Canada)

^b Ministry of Children and Youth Services Child and Parent Resource Institute   (Canada)

^c WESTERN UNIVERSITY   (Canada)

Author keywords

Adolescents; Adults; Nonsuicidal self injury; Review; Self injurious behavior; Suicidal behavior

Indexed keywords

AUTOMUTILATION; GATEWAY THEORY; HUMAN; JOINER THEORY OF ACQUIRED CAPABILITY FOR SUICIDE; MORTALITY; NONSUICIDAL SELF INJURY; REVIEW; RISK FACTOR; STRANGULATION; SUICIDAL BEHAVIOR; SUICIDAL IDEATION; SUICIDE ATTEMPT; THEORY; THIRD VARIABLE THEORY;

ADOLESCENT; ADULT; HUMANS; INTENTION; MODELS, PSYCHOLOGICAL; RISK FACTORS; SELF-INJURIOUS BEHAVIOR; SUICIDAL IDEATION; SUICIDE; SUICIDE, ATTEMPTED;

EID: 84862297564     PISSN: 02727358     EISSN: 18737811     Source Type: Journal    
DOI: 10.1016/j.cpr.2012.05.003     Document Type: Review

References (102)

1. Andover M.S., Gibb B.E. Nonsuicidal self-injury, attempted suicide, and suicidal intent among psychiatric inpatients. Psychiatry Research 2010, 178:101-105.
2. Andover M.S., Primack J.M., Gibb B.E., Pepper C.M. An examination of non-suicidal self-injury in men: Do men differ from women in basic NSSI characteristics?. Archives of Suicide Research 2010, 14:79-88.
3. Anestis M.D., Bagge C.L., Tull M.T., Joiner T.E. Clarifying the role of dysregulation in the interpersonal-psychological theory of suicidal behavior in an undergraduate sample. Journal of Psychiatric Research 2011, 45:603-611.
4. Antochi R., Stravrakaki C., Emery P.C. Psychopharmacological treatments in persons with dual diagnosis of psychiatric disorders and developmental disabilities. Postgraduate Medical Journal 2003, 79:139-146.
5. Asarnow J.R., Porta G., Spirito A., Emslie G., Clarke G., Wagner K.D., et al. Suicide attempts and nonsuicidal self-injury in the treatment of resistant depression in adolescents: Findings from the TORDIA study. Journal of the American Academy of Child and Adolescent Psychiatry 2011, 50:772-781.
6. Baetens I., Claes L., Muehlenkamp J., Grietens H., Onghena P. Nonsuicidal and suicidal self-injurious behavior among Flemish adolescents: A web-base survey. Archives of Suicide Research 2011, 15:56-57.
7. Bebbington P.E., Minot S., Cooper C., Dennis M., Meltzer H., Jenkins R., et al. Suicidal ideation, self-harm and attempted suicide: Results from the British psychiatric morbidity survey 2000. European Psychiatry 2010, 25:427-431.
8. Bender T.W., Gordon K.H., Bresin K., Joiner T.E. Impulsivity and suicidality: The mediating role of painful and provocative experiences. Journal of Affective Disorders 2011, 129:301-307.
9. Boxer P. Variations in risk and treatment factors among adolescents engaging in different types of deliberate self-harm in an inpatient sample. Journal of Clinical Child and Adolescent Psychology 2010, 39:470-480.
10. Brausch A.M., Gutierrez P.M. Differences in non-suicidal self-injury and suicide attempts in adolescents. Journal of Youth and Adolescence 2010, 39:233-242.
11. Briere J., Gil E. Self-mutilation in clinical and general population samples: Prevalence, correlates, and functions. The American Journal of Orthopsychiatry 1998, 68:609-620.
12. Brown M.Z., Comtois K.A., Linehan Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder. Journal of Abnormal Psychology 2002, 111:198-202.
13. Brown G.K., Henriques G.R., Sosdjan D., Beck A.T. Suicide intent and accurate expectations of lethality: Predictors of medical lethality of suicide attempts. Journal of Consulting and Clinical Psychology 2004, 72:1170-1174.
14. Brunner R., Parzer P., Haffner J., Steen R., Roos J., Klett M., et al. Prevalence and psychological correlates of occasional and repetitive deliberate self-harm in adolescents. Archives of Pediatric Adolescent Medicine 2007, 7:641-649.
15. Bureau J.-F., Martin J., Freynet N., Poirier A.A., Lafontaine M.-F., Cloutier P. Perceived dimensions of parenting and non-suicidal self-injury in young adults. Journal of Youth and Adolescence 2010, 39:484-494.
16. Cavanagh J.T., Carson A.J., Sharpe M., Lawrie S.M. Psychological autopsy studies of suicide: A systematic review. Psychological Medicine 2003, 33:395-405.
17. Chartrand H., Sareen J., Toews M., Bolton J.M. Suicide attempts versus nonsuicidal self-injury among individuals with anxiety disorders in a nationally representative sample. Depression and Anxiety 2011, (Advanced online publication). 10.1002/da.20882.
18. Claes L., Muehlenkamp J., Vandereycken W., Hamelinck L., Martens H., Claes S. Comparison of non-suicidal self-injurious behavior and suicide attempts in patients admitted to a psychiatric crisis unit. Personality and Individual Differences 2010, 48:83-87.
19. Connor J.J., Rueter M.A. Parent-child relationships as a systems of support or risk for adolescent suicidality. Journal of Family Psychology 2006, 20:143-155.
20. Corcoran P., Reulbach U., Perry I.J., Arensman E. Suicide and deliberate self harm in older Irish adults. International Psychogeriatrics 2010, 22:1327-1336.
21. Csorba J., Dinya E., Plener P., Nagy E., Pali E. Clinical diagnoses, characteristics of risk behavior, differences between suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising self-injury. European Child & Adolescent Psychiatry 2009, 18:309-320.
22. Darche M.A. Psychological factors differentiating self-mutilating and non self-mutilating adolescent inpatient families. The Psychiatric Hospital 1990, 21:31-35.
23. Darke S., Torok M., Kaye S., Ross J. Attempted suicide, self-harm, and violent victimization among regular illicit drug users. Suicide & Life-Threatening Behavior 2010, 40:587-596.
24. Dougherty D.D., Mathias C.W., Marsh-Richard D.M., Prevette K.N., Dawes M.A., Hatzis E.S., et al. Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide. Psychiatry Research 2009, 169:22-27.
25. Favaro A., Santonastaso P., Monteleone P., Bellodi L., Mauri M., Rotondo A., et al. Self-injurious behavior and attempted suicide in purging and bulimia nervosa: Associations with psychiatric comorbidity. Journal of Affective Disorders 2008, 105:285-289.
26. Favazza A.R. The coming age of self-mutilation. The Journal of Nervous and Mental Disease 1998, 186:259-268.
27. Favazza A.R., Rosenthal R.J. Diagnostic issues in self-mutilation. Hospital & Community Psychiatry 1993, 44:134-140.
28. Franklin J.C., Hessel E.T., Prinstein M.J. Clarifying the role of pain tolerance in suicidal capability. Psychiatry Research 2011, 189:362-367.
29. Garrison C.Z., Addy C.L., McKeown R.E., Cuffe S.P., Jackson K.L., Waller J.L. Nonsuicidal physically self-damaging acts in adolescents. Journal of Child and Family Studies 1993, 2:339-352.
30. Glenn C.R., Klonsky E.D. Social context during non-suicidal self-injury indicates suicide risk. Personality and Individual Differences 2009, 46:25-29.
31. Golub A., Johnson B. The shifting of importance of alcohol and marijuana as gateway substances among serious drug abusers. Journal of Studies on Alcohol 1994, 55:607-614.
32. Gould M.S., Greenberg T., Velting D.M., Shaffer D. Youth suicide risk and preventative interventions: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry 2003, 42:386-405.
33. Gratz K.L., Conrad S.D., Roemer L. Risk factors for deliberate self-harm among college students. The American Journal of Orthopsychiatry 2002, 72:128-140.
34. Guertin T., Lloyd-Richardson E., Spirito A., Donaldson D., Boergers J. Self-mutilative behavior in adolescents who attempt suicide by overdose. Journal of the American Academy of Child and Adolescent Psychiatry 2001, 39:470-480.
35. Haw C., Bergen H., Casey D., Hatwon K. Repetition of deliberate self-harm: A study of the characteristics and subsequent deaths in patients presenting to a general hospital according to extent of repetition. Suicide & Life-Threatening Behavior 2007, 37:379-396.
36. Hawton K., Harriss L. How often does deliberate self-harm occur relative to each suicide? A study of variations by gender and age. Suicide & Life-Threatening Behavior 2008, 38:650-660.
37. Heath, N. L., Toste, J. R., & Beettam, E. L. (2007). School counsellors' experiences with self-injury in the schools. Paper presented at the Canadian Academy for Child and Adolescent Psychiatry annual conference, Montreal, Quebec.
38. Heath N.L., Toste J.R., Nedecheva T., Charlebois A. An examination of nonsuicidal self-injury among college students. Journal of Mental Health Counselling 2008, 30:137-156.
39. Hilt L.M., Nock M.K., Lloyd-Richardson E.E., Prinstein M.J. Longitudinal study of nonsuicidal self-injury among young adolescents: Rates, correlates, and preliminary test of an interpersonal model. Journal of Early Adolescence 2008, 28:455-469.
40. Hooley J.M., Ho D.T., Slater J., Lockshin A. Pain perception and nonsuicidal self-injury: A laboratory investigation. Personality Disorders, Theory, Research and Treatment 2010, 1:170-179.
41. Hukkanen R., Sourander A., Bergroth L. Suicidal ideation and behavior in children's homes. Nordic Journal of Psychiatry 2003, 57:131-137.
42. Hunt I.M., Kapur N., Webb R., Robinson J., Burns J., Turnbull P., et al. Suicide in current psychiatric in-patients: A case-control study. Psychological Medicine 2007, 37:831-837.
43. Jacobs D., Walsh B.W., McDade M., Pigeon S. Signs of self-injury prevention manual 2009, Screening for Mental Health, Wellesley Hills, MA.
44. Jacobson C.M., Gould M. The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: A critical review of the literature. Archives of Suicide Research 2007, 11:129-147.
45. Jacobson C.M., Muehlenkamp J.J., Miller A.L., Turner J.B. Psychiatric impairment among adolescents engaging in different types of deliberate self-harm. Journal of Child and Adolescent Psychology 2008, 37:363-375.
46. Joiner T. Why people die by suicide 2005, Harvard University Press, Cambridge, MA.
47. King E.A., Baldwin D.S., Sinclair J.M.A., Campbell M.J. The Wessex recent in-patient suicide study 2: Case-control study of 59 in-patient suicides. The British Journal of Psychiatry 2001, 178:537-542.
48. Kleespies P.M., AhnAllen C.G., Knight J.A., Presskreischer B., Barrs K.L., Boyd B.L., Dennis J.P. A study of self-injurious behaviors and suicidal behavior in a veteran population. Psychological Services 2011, 8:236-250.
49. Klonsky E.D. The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review 2007, 27:226-239.
50. Klonsky E.D. Non-suicidal self-injury in United States adults: Prevalence, sociodemographics, topography and functions. Psychological Medicine 2011, (Advanced online publication). 10.1017/S0033291710002497.
51. Klonsky E.D., Glenn C.R. Assessing the functions of non-suicidal self-injury: Psychometric properties of the inventory of statements about self-injury. Journal of Psychopathology and Behavioural Assessment 2009, 31:215-219.
52. Klonsky E.D., Olino T.M. Identifying clinically distinct subgroups of self-injurers among young adults: A latent class analysis. Journal of Consulting and Clinical Psychology 2008, 76:22-27.
53. World report on violence and health 2002, World Health Organization, Geneva. E.G. Krug, L.L. Dahlberg, J.A. Mercy, A.B. Zwi, R. Lozono (Eds.).
54. Langbehn D.R., Pfohl B. Clinical correlates of self-mutilation among psychiatric inpatients. Annals of Clinical Psychiatry 1993, 5:45-51.
55. Larson B., Sund A.M. Prevalence, course, incidence and 1-year prediction of deliberate self-harm and suicide attempts in early Norwegian school adolescents. Suicide & Life-Threatening Behavior 2008, 38:152-165.
56. Lin P., Tsai G. Association between serotonin transporter gene promoter polymorphism and suicide: Results of a meta-analysis. Biological Psychiatry 2004, 55:1023-1030.
57. Linehan M.M. Suicidal people: One population of two?. Annals New York Academy of Science 1986, 487:16-33.
58. Lloyd-Richardson E.E., Perrine N., Dierker L., Kelley M.L. Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine 2007, 37:1183-1192.
59. Lynam D.R., Miller J.D., Miller D.J., Bornovalova M.A., Lejuez C.W. Testing the relations between impulsivity-related traits, suicidality, and nonsuicidal self-injury: A test of the incremental validity of the UPSS Model. Personality Disorders: Theory, Research, and Treatment 2011, 2:151-160.
60. Maddock G.R., Carter G.L., Murrell E.R., Lewin T.J., Conrad A.M. Distinguishing suicidal from non-suicidal deliberate self-harm events in women with Borderline Personality Disorder. The Australian and New Zealand Journal of Psychiatry 2010, 44:574-582.
61. Maddock G.R., Carter G.L., Murrell E.R., Lewin T.J., Conrad A.M. Australian and New Zealand Journal of Psychiatry 2011, 17:435-446.
62. McAuliffe C., Arensman E., Keeley H.S., Corcoran P., Fitzgerald A.P. Motives and suicide intent underlying hospital treated deliberate self-harm and their association with repetition. Suicide & Life-Threatening Behavior 2007, 37(4):397-408.
63. Muehlenkamp J.J. Self-injurious behavior as a separate clinical syndrome. The American Journal of Orthopsychiatry 2005, 75:324-333.
64. Muehlenkamp J.J., Ertelt T.W., Miller A.L., Claes L. Borderline personality symptoms differentiate non-suicidal and suicidal self-injury in ethnically diverse adolescent outpatients. Journal of Child Psychology and Psychiatry 2011, 52:148-155.
65. Muehlenkamp J.J., Gutierrez P.M. An investigation of differences between self-injurious behavior and suicide attempts in a sample of adolescents. Suicide & Life-Threatening Behavior 2004, 34:12-22.
66. Muehlenkamp J.J., Gutierrez P.M. Risk for suicide attempts among adolescents who engage in non-suicidal self-injury. Archives of Suicide Research 2007, 11:69-82.
67. Muehlenkamp J.J., Kerr P.L., Bradley A.R., Adams L.M. Abuse subtypes and nonsuicidal self-injury: Preliminary evidence of complex emotion regulation patterns. The Journal of Nervous and Mental Disease 2010, 198:258-263.
68. Muehlenkamp J.J., Walsh B.W., McDade Preventing nonsuicidal self-injury in adolescents: The signs of self-injury program. Journal of Youth and Adolescence 2010, 39:306-314.
69. Nixon M., Cloutier P., Aggarwal S. Affect regulation and addictive aspects of repetitive self-injury in hospitalized adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 2002, 41:1333-1341.
70. Nock M.K. Self-injury. Annual Review of Clinical Psychology 2010, 6:339-363.
71. Nock M.K., Borges G., Bromet E.J., Cha C.B., Kessler R.C., Lee S. Suicide and suicidal behavior. Epidemiologic Reviews 2008, 30:133-154.
72. Nock M.K., Favazza A. Non-suicidal self-injury: Definition and classifications. Understanding nonsuicidal self-injury: Origins, assessment and treatment 2009, American Psychological Association, Washington DC. M.K. Nock (Ed.).
73. Nock M.K., Prinstein M.J. Contextual features and behavioral functions of self-mutilation among adolescents. Journal of Abnormal Psychology 2005, 114:140-146.
74. Nock M.K., Joiner E.E., Gordon K.H., Lloyd-Richardson E., Prinstein M.J. Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Research 2006, 144:65-72.
75. Nock M.K., Prinstein M.J. A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology 2004, 72:885-890.
76. Ougrin D., Zundel T., Kryiakopoulos, Banarsee R., Stahl D., Taylor E. Adolescents with suicidal and nonsuicidal self-harm: Clinical characteristics and response to therapeutic assessment. Psychological Assessment 2011, August 22, (Advance online publication). 10.1037/a0025043.
77. Patton G.C., Harris R., Carlin J.B., Hibbert M.E., Coffey C., Schwartz M., et al. Adolescent suicidal behaviors: A population-based study of risk. Psychological Medicine 1997, 27:715-724.
78. Plener P.L., Libal G., Keller F., Fegert J.M., Muehlenkamp J.J. An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. Psychological Medicine 2009, 39:1549-1558.
79. Portzky G., van Heeringen K. Deliberate self-harm in adolescents. Current Opinion in Psychiatry 2007, 20:227-342.
80. Powell J., Geddes J., Hawton K., Deeks J., Goldacre M. Suicide in psychiatric hospital in-patients: Risk factors and their predictive power. The British Journal of Psychiatry 2000, 176:266-272.
81. Prinstein M.J., Nock M.K., Simon V., Aikin J.W., Cheah C.S.L., Spirito A. Longitudinal trajectories and predictors of suicidal ideation and attempts following inpatient hospitalization. Journal of Consulting and Clinical Psychology 2008, 76:92-103.
82. Rebellon C.J., Grundy K.V. Can social psychological delinquency theory explain the link between marijuana and other illicit drug use? A longitudinal analysis of the gateway hypothesis. Journal of Drug Issues 2006, 36:515-539.
83. Ross S., Heath N. A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence 2002, 31:67-77.
84. Schwartz R.H., Cohen P., Hoffmann N.G., Meeks J.E. Self-harm behaviors (carving) in female adolescent drug abusers. Clinical Pediatrics 1989, 28:340-346.
85. Sher L., Stanley B.H. Biological models of nonsuicidal self-injury. Understanding nonsuicidal self-injury: Origins, assessment and treatment 2009, American Psychological Association, Washington DC. M.K. Nock (Ed.).
86. Sinclair J.M.A., Hawton K., Gray A. Six year follow-up of a clinical sample of self-harm patients. Journal of Affective Disorders 2010, 121:247-252.
87. Stanley B., Gameroff M.J., Michalsen V., Mann J.J. Are suicide attempters who self-mutilate a unique population?. The American Journal of Psychiatry 2001, 158:427-432.
88. Stanley B., Winchell R., Molcho A., Simeon D., Stanley M. Suicide and the self-harm continuum: Phenomenological and biochemical evidence. International Review of Psychiatry 1992, 4:149-155.
89. Stats Canada Suicide: Guide to the latest information [on-line] Available:. http://www.statcan.gc.ca/search-recherche/bb/info/3000019-eng.htm.
90. Tang J., Yu Y., Wu Y., Du Y., Ma Y., Zhu H., et al. Association between non-suicidal self-injuries and suicide attempts in Chinese adolescents and college students: A cross-sectional study. PLoS One 2011, 6(4):e17977. 10.1371/journal.pone.0017977.
91. Tiefenbacher S., Novak M.A., Lutz C.K., Meyer J.S. The physiology and neurochemistry of self-injurious behavior: A nonhuman primate model. Frontiers in Bioscience 2005, 10:1-11.
92. Tulloch A.L., Blizzard L., Pinkus Z. Adolescent-parent communication in self-harm. Journal of Adolescent Health 1997, 21:267-275.
93. Van Orden K.A., Witte T.K., Cukrowicz K.C., Braithwaite S.R., Selby E.A., Joiner T.E. The interpersonal theory of suicide. Psychological Review 2010, 117:575-600.
94. Van Orden K.A., Witte T.K., Gordon K.H., Bender T.W., Joiner T.E. Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults. Journal of Consulting and Clinical Psychology 2008, 76:72-83.
95. Whitlock J., Knox K.L. The relationship between self-injurious behavior and suicide in a young adult population. Archives of Pediatrics & Adolescent Medicine 2007, 161:634-640.
96. Whitlock J., Muehlenkamp J., Eckenrode Variation in nonsuicidal self-injury: Identification and features of latent classes in a college population of emerging adults. Journal of Clinical Child and Adolescent Psychology 2008, 37:725-735.
97. Wilcox H.C., Arria A.M., Caldeira K.M., Vincent K.B., Pinchevsky G.M., O'Grady K.E. Longitudinal predictors of past-year non-suicidal self-injury and motives among college students. Psychological Medicine 2011, (Advance online publication). 10.1017/S0033291711001814.
98. Wilkinson P., Kelvin R., Roberts C., Dubicka B., Goodyear I. Clinical and psychosocial predictors of suicide attempts and nonsuicidal self-injury in the adolescent depression antidepressants and psychotherapy trial. The American Journal of Psychiatry 2011, 168:495-501.
99. Yates T.M., Tracy A.J., Luthar S.A. Nonsuicidal self-injury among privileged youths: Longitudinal and cross-sectional approaches to developmental process. Journal of Consulting and Clinical Psychology 2008, 76:52-62.
100. Young R., Sweeting H., West P. Prevalence of deliberate self harm and attempted suicide within Goth youth subculture: Longitudinal cohort study. British Medical Journal 2006, 332:1058-1061.
101. Zlotnick C., Donaldson D., Spirito A., Pearlstein M.D. Affect regulation and suicide attempts in adolescent inpatients. Journal of the American Academy of Child and Adolescent Psychiatry 1997, 36:793-798.
102. Zoroglu S.S., Tuzun U., Sar V., Tutkun H., Savacs H.A., Ozturk M., et al. Suicide attempt and self-mutilation among Turkish high school students in relation with abuse, neglect and dissociation. Psychiatry and Clinical Neurosciences 2003, 57:119-126.