title: Predicting Persistence of Nonsuicidal Self-Injury in Suicidal Adolescents.
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.
authors.affiliation: Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
authors.forename: Shirley
authors.initials: S
authors.lastname: Yen
authors.affiliation: Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: Kuehn
authors.affiliation: Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
authors.forename: Caitlin
authors.initials: C
authors.lastname: Melvin
authors.affiliation: Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
authors.forename: Lauren M
authors.initials: LM
authors.lastname: Weinstock
authors.affiliation: Department of Psychology, Fordham University, Bronx, NY, USA.
authors.forename: Margaret S
authors.initials: MS
authors.lastname: Andover
authors.affiliation: Department of Psychology, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA.
authors.forename: Edward A
authors.initials: EA
authors.lastname: Selby
authors.affiliation: Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, and Butler Hospital, Providence, RI, USA.
authors.forename: Joel B
authors.initials: JB
authors.lastname: Solomon
authors.affiliation: Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Spirito
mesh_terms: D000293:Adolescent; D003863:Depression / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011446:Prospective Studies; D018570:Risk Assessment; D016728:Self-Injurious Behavior / Q000453:epidemiology* / Q000523:psychology; D059020:Suicidal Ideation