@article{ref1,
title="Persistent non-suicidal self-injury and suicidality in referred adolescents: a longitudinal study exploring the role of cyclothymic temperament",
journal="Brain sciences",
year="2023",
author="Masi, Gabriele and Pisano, Simone and Sesso, Gianluca and Mazzullo, Cristina and Berloffa, Stefano and Fantozzi, Pamela and Narzisi, Antonio and Placini, Francesca and Valente, Elena and Viglione, Valentina and Milone, Annarita",
volume="13",
number="5",
pages="e755-e755",
abstract="Non-suicidal self-injury (NSSI) is deliberate harm to the body surface without suicidal intent, though it may be a predictor of suicide attempts. Our aim was to test the hypothesis that persisting and recovering NSSI may have a different longitudinal risk for suicidal ideation and behavior and that the intensity of Cyclothymic Hypersensitive Temperament (CHT) may increase this risk. Fifty-five patients (mean age 14.64 ± 1.77 years) referred for mood disorders according to the DSM-5 were consecutively recruited and followed-up for a mean of 19.79 ± 11.67 months and grouped according to the presence/absence of NSSI at baseline and follow-up into three groups: without NSSI (non-NSSI; n = 22), with NSSI recovered at follow-up (past-NSSI; n = 19), and with persistent NSSI at follow-up (pers-NSSI; n = 14). At follow-up, both NSSI groups were more severely impaired and failed to improve internalizing problems and dysregulation symptoms. Both NSSI groups reported higher scores in suicidal ideation compared to non-NSSI, but only pers-NSSI presented higher scores in suicidal behavior. CHT was higher in pers-NSSI, followed by past-NSSI and then by non-NSSI. Our data support a continuity between NSSI and suicidality, and they suggest the prognostic validity of persistent NSSI, associated with highest CHT scores.<p /> <p>Language: en</p>",
language="en",
issn="2076-3425",
doi="10.3390/brainsci13050755",
url="http://dx.doi.org/10.3390/brainsci13050755"
}