Citation

Ren Y, You J, Zhang X, Huang J, Conner BT, Sun R, Xu S, Lin MP. Arch. Suicide Res. 2019; 23(1): 64-81.

Affiliation

Department of Psychology , Colorado State University , Fort Collins , CO , USA.

Copyright

(Copyright © 2019, International Academy of Suicide Research, Publisher Informa - Taylor and Francis Group)

DOI

10.1080/13811118.2018.1426507

PMID

29393828

Abstract

OBJECTIVES: This study examined whether different components of capability for suicide (i.e., fearlessness about death, pain tolerance, pain insensitivity, preparation for suicide, suicide plan, and courage), as well as painful and provocative events, nonsuicidal self-injury, depressive symptoms, and hopelessness, could distinguish between suicide attempters, suicide ideators, and non-suicidal controls.

METHOD: A total of 930 Chinese adolescents completed questionnaires, and a multinomial logistic regression was conducted to identify factors that could distinguish between the three groups.

RESULTS: We found that higher levels of pain tolerance, more detailed suicide plans, more positive attitudes towards suicide, as well as more painful and provocative experiences and more severe depressive symptoms were positively associated with increased likelihood of the engagement in both suicide ideation and suicide attempts. Only nonsuicidal self-injury increased the likelihood of falling in the suicide attempt group as compared to the suicide ideation group.

CONCLUSION: Findings of this study emphasize the role of nonsuicidal self-injury in intervening suicidality.

Language: en

Keywords

adolescents; capability for suicide; suicide attempt; suicide ideation; the interpersonal-psychological theory of suicide