Non-suicidal self-injury and suicide risk among adult medical inpatients
Background: Non-suicidal self-injury (NSSI) is a potent risk factor for suicide among youth. There is limited research, however, on the association between NSSI and suicide risk among adults, particularly among adult medical patients, who are a population at increased risk for suicide. To address th...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Journal of Affective Disorders Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666915323000136 |
| _version_ | 1797946303386222592 |
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| author | Nathan J. Lowry Patrick C. Ryan Annabelle M. Mournet Deborah J. Snyder Cynthia Claassen David Jobes Colin Harrington Maryland Pao Lisa M. Horowitz Jeffrey A. Bridge |
| author_facet | Nathan J. Lowry Patrick C. Ryan Annabelle M. Mournet Deborah J. Snyder Cynthia Claassen David Jobes Colin Harrington Maryland Pao Lisa M. Horowitz Jeffrey A. Bridge |
| author_sort | Nathan J. Lowry |
| collection | DOAJ |
| description | Background: Non-suicidal self-injury (NSSI) is a potent risk factor for suicide among youth. There is limited research, however, on the association between NSSI and suicide risk among adults, particularly among adult medical patients, who are a population at increased risk for suicide. To address this research gap, the current analysis aimed to describe the association between lifetime history of NSSI and suicide risk in an adult medical inpatient population. Method: Adult medical inpatients aged 18 or older from one of four United States hospitals were screened for suicide risk and a lifetime history of NSSI. Suicide risk was determined using the Ask Suicide-Screening Questions (ASQ). NSSI history, methods, frequency, and severity were assessed via a structured interview based on the Self-Injurious Thoughts and Behaviors Interview. Results: A total of 621 adult medical inpatients were included in this secondary analysis (55.2% male; 60.9% White; M[SD] age = 50.3[16.7]); 5.8% of patients (36/621) reported a lifetime history of NSSI and 16.1% (100/621) screened positive for suicide risk. Patients with a lifetime history of NSSI were significantly more likely to screen positive for suicide risk (OR = 9.4 [95% CI, 4.4–20.8]; p < 0.0001). Limitations: This analysis used cross sectional data and could not examine any causal relationships between NSSI and suicide risk. Conclusions: Adult medical inpatients with a lifetime history of NSSI were significantly more likely to screen positive for suicide risk. Research examining NSSI among adult medical patients is especially relevant for suicide risk detection and prevention efforts. |
| first_indexed | 2024-04-10T21:08:55Z |
| format | Article |
| id | doaj.art-84da69d0308b49ec8750928c76eb9a44 |
| institution | Directory Open Access Journal |
| issn | 2666-9153 |
| language | English |
| last_indexed | 2024-04-10T21:08:55Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Affective Disorders Reports |
| spelling | doaj.art-84da69d0308b49ec8750928c76eb9a442023-01-21T04:21:52ZengElsevierJournal of Affective Disorders Reports2666-91532023-01-0111100474Non-suicidal self-injury and suicide risk among adult medical inpatientsNathan J. Lowry0Patrick C. Ryan1Annabelle M. Mournet2Deborah J. Snyder3Cynthia Claassen4David Jobes5Colin Harrington6Maryland Pao7Lisa M. Horowitz8Jeffrey A. Bridge9Office of the Clinical Director, National Institute of Mental Health, Bethesda, MD, United StatesOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD, United StatesOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD, United StatesOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD, United StatesJPS Behavioral Health Service, Fort Worth, TX, United StatesDepartment of Psychology, The Catholic University of America, Washington DC, United StatesRhode Island Hospital, Providence, RI, United StatesOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD, United StatesOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD, United States; Corresponding author at: NIH, 10 Center Drive 10-CRC Rm. 6-5340.Abigail Wexner Research Institute at Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, OH, United StatesBackground: Non-suicidal self-injury (NSSI) is a potent risk factor for suicide among youth. There is limited research, however, on the association between NSSI and suicide risk among adults, particularly among adult medical patients, who are a population at increased risk for suicide. To address this research gap, the current analysis aimed to describe the association between lifetime history of NSSI and suicide risk in an adult medical inpatient population. Method: Adult medical inpatients aged 18 or older from one of four United States hospitals were screened for suicide risk and a lifetime history of NSSI. Suicide risk was determined using the Ask Suicide-Screening Questions (ASQ). NSSI history, methods, frequency, and severity were assessed via a structured interview based on the Self-Injurious Thoughts and Behaviors Interview. Results: A total of 621 adult medical inpatients were included in this secondary analysis (55.2% male; 60.9% White; M[SD] age = 50.3[16.7]); 5.8% of patients (36/621) reported a lifetime history of NSSI and 16.1% (100/621) screened positive for suicide risk. Patients with a lifetime history of NSSI were significantly more likely to screen positive for suicide risk (OR = 9.4 [95% CI, 4.4–20.8]; p < 0.0001). Limitations: This analysis used cross sectional data and could not examine any causal relationships between NSSI and suicide risk. Conclusions: Adult medical inpatients with a lifetime history of NSSI were significantly more likely to screen positive for suicide risk. Research examining NSSI among adult medical patients is especially relevant for suicide risk detection and prevention efforts.http://www.sciencedirect.com/science/article/pii/S2666915323000136Non-suicidal self-injuryAdult medical inpatientsSuicide |
| spellingShingle | Nathan J. Lowry Patrick C. Ryan Annabelle M. Mournet Deborah J. Snyder Cynthia Claassen David Jobes Colin Harrington Maryland Pao Lisa M. Horowitz Jeffrey A. Bridge Non-suicidal self-injury and suicide risk among adult medical inpatients Journal of Affective Disorders Reports Non-suicidal self-injury Adult medical inpatients Suicide |
| title | Non-suicidal self-injury and suicide risk among adult medical inpatients |
| title_full | Non-suicidal self-injury and suicide risk among adult medical inpatients |
| title_fullStr | Non-suicidal self-injury and suicide risk among adult medical inpatients |
| title_full_unstemmed | Non-suicidal self-injury and suicide risk among adult medical inpatients |
| title_short | Non-suicidal self-injury and suicide risk among adult medical inpatients |
| title_sort | non suicidal self injury and suicide risk among adult medical inpatients |
| topic | Non-suicidal self-injury Adult medical inpatients Suicide |
| url | http://www.sciencedirect.com/science/article/pii/S2666915323000136 |
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