title: The intersection of nonsuicidal self-injury and suicide-related behavior: Patterns of elevated risk and implications for college mental health.
abstract: To analyze the overlap of nonsuicidal self-injury (NSSI) and suicide-related behaviors (SRB) among college students with regard to demographics, mental health, and coping styles.
  
  
  
  Respondents were 572 undergraduate students at a southwestern public university.
  
  
  
  Data were collected in 2015. Respondents completed a demographic survey and assessments of NSSI, SRB, internalizing symptoms (ie, anxiety, stress, and depression), aggression, and negative coping strategies. The survey was administered via a Web-based procedure.
  
  
  
  Women reported more frequent cutting behaviors than men. Endorsement of NSSI was also associated with an increased likelihood of lifetime SRB. A subgroup of students endorsing both NSSI and SRB demonstrated poorer mental health, more negative coping, and self-reported female sex.
  
  
  
  College healthcare providers may benefit from competency-based training in techniques for the combination treatment of NSSI and SRB, as well as culturally based models of suicide.
authors.affiliation: a School of Community and Environmental Health , Old Dominion University , Norfolk , Virginia , USA.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Cramer
authors.affiliation: b School of Human Services , University of Cincinnati , Cincinnati , Ohio , USA.
authors.forename: Amanda C
authors.initials: AC
authors.lastname: La Guardia
authors.affiliation: c Clinical Psychology Program , Sam Houston State University , Huntsville , AL , USA.
authors.forename: Claire
authors.initials: C
authors.lastname: Bryson
authors.affiliation: d Clinical Mental Health Counseling Program , Sam Houston State University , Huntsville , AL , USA.
authors.forename: Kelley
authors.initials: K
authors.lastname: Morgan
mesh_terms: D000223:Adaptation, Psychological; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D016728:Self-Injurious Behavior / Q000523:psychology*; D012944:Social Support; D013334:Students / Q000523:psychology*; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult
keywords: College students; coping; mental health; nonsuicidal self-injury; suicide