@article{ref1,
title="Prospective risk for suicidal thoughts and behaviour in adolescents with onset, maintenance or cessation of direct self-injurious behaviour",
journal="European child and adolescent psychiatry",
year="2016",
author="Koenig, Julian and Brunner, Romuald and Fischer-Waldschmidt, Gloria and Parzer, Peter and Plener, Paul L. and Park, JiYeon and Wasserman, Camilla and Carli, Vladimir and Hoven, Christina W. and Sarchiapone, Marco and Wasserman, Danuta and Resch, Franz and Kaess, Michael",
volume="26",
number="3",
pages="345-354",
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.<p /> <p>Language: en</p>",
language="en",
issn="1018-8827",
doi="10.1007/s00787-016-0896-4",
url="http://dx.doi.org/10.1007/s00787-016-0896-4"
}