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Journal Article

Citation

Yen S, Kuehn K, Melvin C, Weinstock LM, Andover MS, Selby EA, Solomon JB, Spirito A. Suicide Life Threat. Behav. 2015; 46(1): 13-22.

Affiliation

Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.

Copyright

(Copyright © 2015, American Association of Suicidology, Publisher John Wiley and Sons)

DOI

10.1111/sltb.12167

PMID

25907682

Abstract

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 6 months. Seventy-one (77%) participants reported NSSI at baseline, and 40 (56%) persisted at the 6 month 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.


Language: en

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