Predicting Persistence of Nonsuicidal Self-Injury in Suicidal Adolescents

被引：17

作者：

Yen, Shirley ^{[1
]}

Kuehn, Kevin ^{[1
]}

Melvin, Caitlin ^{[1
]}

Weinstock, Lauren M. ^{[1
]}

Andover, Margaret S. ^{[2
]}

Selby, Edward A. ^{[3
]}

Solomon, Joel B. ^{[1
,4
]}

Spirito, Anthony ^{[1
]}

机构：

[1] Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, 700 Butler Dr, Providence, RI 02912 USA

[2] Fordham Univ, Dept Psychol, Bronx, NY 10458 USA

[3] Rutgers State Univ, Dept Psychol, New Brunswick, NJ 08903 USA

[4] Butler Hosp, Providence, RI 02906 USA

来源：

SUICIDE AND LIFE-THREATENING BEHAVIOR | 2016年 / 46卷 / 01期

关键词：

COMMUNITY SAMPLE; DISORDERS; MUTILATION; FEATURES; NSSI;

D O I：

10.1111/sltb.12167

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Prospective predictors of persistent nonsuicidal self-injury (NSSI) were examined in adolescents admitted to an inpatient psychiatric unit for suicidal behaviors and followed naturalistically for 6months. Seventy-one (77%) participants reported NSSI at baseline, and 40 (56%) persisted at the 6month follow-up. Those who endorsed automatic positive reinforcement (APR) as the predominant reason for NSSI were more likely to persist in NSSI. Depression over follow-up, but not at baseline, also predicted persistence. These results suggest that helping high-risk adolescents to identify alternative ways of generating emotion(s) to counter the effects of APR that may accompany NSSI should be a high priority treatment target.

引用

页码：13 / 22

页数：10

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