TY - JOUR PY - 2016// TI - Prospective risk for suicidal thoughts and behaviour in adolescents with onset, maintenance or cessation of direct self-injurious behaviour JO - European child and adolescent psychiatry A1 - Koenig, Julian A1 - Brunner, Romuald A1 - Fischer-Waldschmidt, Gloria A1 - Parzer, Peter A1 - Plener, Paul L. A1 - Park, JiYeon A1 - Wasserman, Camilla A1 - Carli, Vladimir A1 - Hoven, Christina W. A1 - Sarchiapone, Marco A1 - Wasserman, Danuta A1 - Resch, Franz A1 - Kaess, Michael SP - 345 EP - 354 VL - 26 IS - 3 N2 - 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.
Language: en
LA - en SN - 1018-8827 UR - http://dx.doi.org/10.1007/s00787-016-0896-4 ID - ref1 ER -