Nonsuicidal Self-Injury Is Predictive of Suicide Attempts Among Individuals with Mood Disorders.

Nonsuicidal Self-Injury Is Predictive of Suicide Attempts Among Individuals with Mood Disorders.
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DOI:
10.1111/sltb.12331
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发表时间:
2017-10
影响因子:
3.2
通讯作者:
Stanley B
Stanley B
中科院分区:
医学2区
文献类型:
--
作者:
Chesin MS;Galfavy H;Sonmez CC;Wong A;Oquendo MA;Mann JJ;Stanley B

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18岁之前的非自杀性自伤(NSSI)被评估为成年期自杀企图(SA)的危险因素。使用多变量Cox比例风险分析对222名情绪障碍参与者的档案数据进行分析。患有青少年SA的参与者被排除在外。有青少年自伤史的成年被试发生SA的风险是无青少年自伤史的情绪障碍被试的两倍(风险比= 2.00,95%可信区间= 1.16 ~ 3.44,p = 0.01)。此外,青少年和成人自伤的参与者比成年后开始自伤的参与者更早尝试自杀。青少年自伤与成年期持续升高的SA风险相关。
Nonsuicidal self-injury (NSSI) prior to age 18 was evaluated as a risk factor for adulthood suicide attempt (SA). Archival data from 222 mood-disordered participants were analyzed using multivariate Cox proportional hazards analysis. Participants with a youth SA were excluded. The hazards of SA among adult participants with a history of youth NSSI were twice than those of mood-disordered participants without youth NSSI (hazard ratio = 2.00, 95% confidence interval = 1.16−3.44, p = .01). Moreover, participants who had both youth and adult NSSI attempted suicide significantly earlier than participants who began NSSI as an adult. Youth NSSI is associated with persistent, elevated SA risk in adulthood.
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