Prevalence of and risk factors for suicide attempt versus suicide gestures: Analysis of the National Comorbidity Survey

Department of Psychology, Harvard University, Cambridge, MA 02138, USA.
Journal of Abnormal Psychology (Impact Factor: 4.86). 09/2006; 115(3):616-23. DOI: 10.1037/0021-843X.115.3.616
Source: PubMed

ABSTRACT Definitions and classification schemes for suicide attempts vary widely among studies, introducing conceptual, methodological, and clinical problems. We tested the importance of the intent to die criterion by comparing self-injurers with intent to die, suicide attempters, and those who self-injured not to die but to communicate with others, suicide gesturers, using data from the National Comorbidity Survey (n = 5,877). Suicide attempters (prevalence = 2.7%) differed from suicide gesturers (prevalence = 1.9%) and were characterized by male gender, fewer years of education, residence in the southern and western United States; psychiatric diagnoses including depressive, impulsive, and aggressive symptoms; comorbidity; and history of multiple physical and sexual assaults. It is possible and useful to distinguish between self-injurers on the basis of intent to die.

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Available from: Matthew K Nock, May 20, 2014
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    • "Further detail about this limitation is provided in the Discussion section. Suicide attempts (46.5%) occurred at a rate higher than estimated for the general U.S. population, which has a selfreported lifetime suicide rate of approximately 4.6% (Nock & Kessler, 2006). Table 2 explores the predictor variables of interest by lifetime suicide attempt. "
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    ABSTRACT: Transgender and gender non-conforming people frequently experience discrimination, harassment, and marginalization across college and university campuses (Bilodeau, 2007; Finger, 2010; Rankin, et al., 2010; Seelman et al., 2012). The minority stress model (Meyer, 2007) posits that experiences of discrimination often negatively impact the psychological well-being of minority groups. However, few scholars have examined whether college institutional climate factors—such as being denied access to bathrooms or gender-appropriate campus housing—are significantly associated with detrimental psychological outcomes for transgender people. Using the National Transgender Discrimination Survey, this study analyzes whether being denied access to these spaces is associated with lifetime suicide attempts, after controlling for interpersonal victimization by students or teachers. Findings from sequential logistic regression (N = 2,316) indicate that denial of access to either space had a significant relationship to suicidality, even after controlling for interpersonal victimization. This paper discusses implications for higher education professionals and researchers.
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    • "Future studies should consider multiple reporters for sources of data (e.g., teachers, parents, mental health care providers, and physicians), multiple methods (e.g., official records and selfreport ), and the extent to which the individual who engaged in suicide-related behavior had an intention of killing him/herself. Some researchers have suggested that in adult samples, it is useful to differentiate between individuals with an intent to die (e.g., suicide attempt) and those without an intent to die (e.g., suicide gestures; see Miller & Glinski, 2000; Nock & Kessler, 2006). "
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    ABSTRACT: Examine longitudinally select factors that may contribute to suicide ideations and attempts in adolescents. Using a multiple cohort research design, surveys were administered to a longitudinal sample of Black American adolescents aged 11-18 years. Two logistic growth models were tested with the probability of a suicide ideation (n = 977) and identified suicide attempt (n = 457) as the outcome variables and the recency and frequency of alcohol use and gender as the predictor variables. The recency and frequency of alcohol use was significantly related to suicide ideations and identified attempts in both females and males. These findings were differentiated based on the age effects for recency and frequency of alcohol use. More recent and frequent alcohol use among younger adolescents exacerbated probabilities of suicide ideations and identified suicide attempts compared to older adolescents. Results indicate that early systematic assessment of suicidal behavior and alcohol use in Black American adolescents can inform developmentally and culturally responsive prevention and intervention efforts. © 2015 Wiley Periodicals, Inc.
    Journal of Clinical Psychology 04/2015; 71(6). DOI:10.1002/jclp.22169 · 2.12 Impact Factor
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    • "A second important question about the specificity of the effects of SA concerns the outcomes with which SA is associated. In particular, although trauma generally is associated with nonsuicidal self-injury (NSSI), research to date has suggested that SA may be differentially predictive of NSSI (Nock & Kessler, 2006; Noll, Horowitz, Bonanno, Trickett, & Putnam, 2003; Wherry, Baldwin, Junco, & Floyd, 2013), which is found at high rates among traumatized JJ-involved youth (Casiano, Katz, Globerman, & Sareen, 2013; Dixon-Gordon, Harrison, & Roesch, 2012; McReynolds & Wasserman, 2011). "
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