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01-03-2017 | Original Contribution

Prospective risk for suicidal thoughts and behaviour in adolescents with onset, maintenance or cessation of direct self-injurious behaviour

Authors: Julian Koenig, Romuald Brunner, Gloria Fischer-Waldschmidt, Peter Parzer, Paul L. Plener, JiYeon Park, Camilla Wasserman, Vladimir Carli, Christina W. Hoven, Marco Sarchiapone, Danuta Wasserman, Franz Resch, Michael Kaess

Published in: European Child & Adolescent Psychiatry | Issue 3/2017

Abstract

Direct self-injurious behaviour (D-SIB) is associated with suicidal behaviour and suicide risk. It is not known if D-SIB cessation reduces these risks. The aim of this study was to explore trajectories of D-SIB and their prospective influence on suicidal thoughts and behaviour during adolescence. Data (n = 506; 62.06 % females, 14.53 years) from the Saving and Empowering Young Lives in Europe study were analysed. D-SIB and suicidal thoughts and behaviour were assessed at baseline (T0), 1- (T1) and 2-year follow-up (T2). Onset and maintenance of D-SIB between T0 and T1 were associated with a two to threefold increased odds ratio for suicidal thoughts and behaviour at T2. Suicidal thoughts and behaviour in those terminating D-SIB before T1 were similar compared to those with no life-time history of D-SIB. Late onset and maintenance of D-SIB prospectively indicate risk for suicidal thoughts and behaviour. This is the first study showing that D-SIB cessation reduces later risk for suicidal thoughts and behaviour in adolescence. Suicide prevention efforts should set one focus on reducing adolescent D-SIB.

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Title: Prospective risk for suicidal thoughts and behaviour in adolescents with onset, maintenance or cessation of direct self-injurious behaviour
Authors: Julian Koenig
Romuald Brunner
Gloria Fischer-Waldschmidt
Peter Parzer
Paul L. Plener
JiYeon Park
Camilla Wasserman
Vladimir Carli
Christina W. Hoven
Marco Sarchiapone
Danuta Wasserman
Franz Resch
Michael Kaess
Publication date: 01-03-2017
Publisher: Springer Berlin Heidelberg
Published in: European Child & Adolescent Psychiatry / Issue 3/2017
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-016-0896-4

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Prospective risk for suicidal thoughts and behaviour in adolescents with onset, maintenance or cessation of direct self-injurious behaviour

Abstract

Keynote webinar | Spotlight on medication adherence

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