Predicting suicide attempts by time-varying frequency of nonsuicidal self-injury among Chinese community adolescents

Jianing You, Min Pei Lin

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective: This study predicted suicide attempts (SA) by time-varying frequency of nonsuicidal self-injury (NSSI) beyond the contributions of their shared risk factors and examined gender differences in this association. This study also tested for a moderating effect of NSSI in the relationship between suicide ideation (SI) and SA. Method: A large number of Chinese adolescents participated in this study (the exact number of participants varied from 3,623 to 6,911 in different analyses). They completed questionnaires assessing NSSI, SA, SI, borderline personality disorder features, depressive symptoms, and self-criticism 3 times at 6-month intervals. Generalized estimating equations were used to test the hypotheses. Results: In females, but not in males, NSSI was significantly associated with future SA after controlling for the effects of shared risk factors. With the same frequency of SI, the frequency of NSSI also enhanced the risk for future SA. Conclusions: This study established a longitudinal association between NSSI and SA, which could not be fully accounted for by their shared risk factors, in Chinese female community adolescents. Moreover, female adolescents who frequently engage in NSSI may gain the capability for attempting suicide.

Original languageEnglish
Pages (from-to)524-533
Number of pages10
JournalJournal of Consulting and Clinical Psychology
Volume83
Issue number3
DOIs
Publication statusPublished - 2015 Jun 1

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Suicide
Wounds and Injuries
Borderline Personality Disorder
Depression

Keywords

  • adolescents
  • longitudinal association
  • nonsuicidal self-injury
  • suicide attempt
  • suicide ideation

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

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title = "Predicting suicide attempts by time-varying frequency of nonsuicidal self-injury among Chinese community adolescents",
abstract = "Objective: This study predicted suicide attempts (SA) by time-varying frequency of nonsuicidal self-injury (NSSI) beyond the contributions of their shared risk factors and examined gender differences in this association. This study also tested for a moderating effect of NSSI in the relationship between suicide ideation (SI) and SA. Method: A large number of Chinese adolescents participated in this study (the exact number of participants varied from 3,623 to 6,911 in different analyses). They completed questionnaires assessing NSSI, SA, SI, borderline personality disorder features, depressive symptoms, and self-criticism 3 times at 6-month intervals. Generalized estimating equations were used to test the hypotheses. Results: In females, but not in males, NSSI was significantly associated with future SA after controlling for the effects of shared risk factors. With the same frequency of SI, the frequency of NSSI also enhanced the risk for future SA. Conclusions: This study established a longitudinal association between NSSI and SA, which could not be fully accounted for by their shared risk factors, in Chinese female community adolescents. Moreover, female adolescents who frequently engage in NSSI may gain the capability for attempting suicide.",
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AU - Lin, Min Pei

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N2 - Objective: This study predicted suicide attempts (SA) by time-varying frequency of nonsuicidal self-injury (NSSI) beyond the contributions of their shared risk factors and examined gender differences in this association. This study also tested for a moderating effect of NSSI in the relationship between suicide ideation (SI) and SA. Method: A large number of Chinese adolescents participated in this study (the exact number of participants varied from 3,623 to 6,911 in different analyses). They completed questionnaires assessing NSSI, SA, SI, borderline personality disorder features, depressive symptoms, and self-criticism 3 times at 6-month intervals. Generalized estimating equations were used to test the hypotheses. Results: In females, but not in males, NSSI was significantly associated with future SA after controlling for the effects of shared risk factors. With the same frequency of SI, the frequency of NSSI also enhanced the risk for future SA. Conclusions: This study established a longitudinal association between NSSI and SA, which could not be fully accounted for by their shared risk factors, in Chinese female community adolescents. Moreover, female adolescents who frequently engage in NSSI may gain the capability for attempting suicide.

AB - Objective: This study predicted suicide attempts (SA) by time-varying frequency of nonsuicidal self-injury (NSSI) beyond the contributions of their shared risk factors and examined gender differences in this association. This study also tested for a moderating effect of NSSI in the relationship between suicide ideation (SI) and SA. Method: A large number of Chinese adolescents participated in this study (the exact number of participants varied from 3,623 to 6,911 in different analyses). They completed questionnaires assessing NSSI, SA, SI, borderline personality disorder features, depressive symptoms, and self-criticism 3 times at 6-month intervals. Generalized estimating equations were used to test the hypotheses. Results: In females, but not in males, NSSI was significantly associated with future SA after controlling for the effects of shared risk factors. With the same frequency of SI, the frequency of NSSI also enhanced the risk for future SA. Conclusions: This study established a longitudinal association between NSSI and SA, which could not be fully accounted for by their shared risk factors, in Chinese female community adolescents. Moreover, female adolescents who frequently engage in NSSI may gain the capability for attempting suicide.

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KW - suicide ideation

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