title: Prospective risk for suicidal thoughts and behaviour in adolescents with onset, maintenance or cessation of direct self-injurious behaviour.
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.
authors: Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Blumenstrasse 8, 69115, Heidelberg, Germany.
authors: Julian
authors: J
authors: Koenig
authors: Section for Disorders of Personality Development, Department of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany.|Clinic for Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
authors: Romuald
authors: R
authors: Brunner
authors: Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Blumenstrasse 8, 69115, Heidelberg, Germany.|Clinic for Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
authors: Gloria
authors: G
authors: Fischer-Waldschmidt
authors: Clinic for Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
authors: Peter
authors: P
authors: Parzer
authors: Department of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Ulm, Germany.
authors: Paul L
authors: PL
authors: Plener
authors: Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Blumenstrasse 8, 69115, Heidelberg, Germany.
authors: JiYeon
authors: J
authors: Park
authors: Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy.|Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University, New York, USA.
authors: Camilla
authors: C
authors: Wasserman
authors: National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden.
authors: Vladimir
authors: V
authors: Carli
authors: National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden.|Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA.
authors: Christina W
authors: CW
authors: Hoven
authors: Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy.
authors: Marco
authors: M
authors: Sarchiapone
authors: National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institute, Stockholm, Sweden.
authors: Danuta
authors: D
authors: Wasserman
authors: Clinic for Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
authors: Franz
authors: F
authors: Resch
authors: Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Blumenstrasse 8, 69115, Heidelberg, Germany. Michael.Kaess@med.uni-heidelberg.de.|Clinic for Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany. Michael.Kaess@med.uni-heidelberg.de.
authors: Michael
authors: M
authors: Kaess
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D003863:Depression / Q000523:psychology*; D005060:Europe; D005260:Female; D006801:Humans; D008297:Male; D016017:Odds Ratio; D011446:Prospective Studies; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000523:psychology*; D059020:Suicidal Ideation; D013405:Suicide; D013406:Suicide, Attempted / Q000523:psychology*
keywords: Adolescents; Depression; Longitudinal; Self-injury; Suicidal behaviour; Suicidal thoughts