@article{ref1,
title="Predicting persistence of nonsuicidal self-injury in suicidal adolescents",
journal="Suicide and life-threatening behavior",
year="2015",
author="Yen, Shirley and Kuehn, Kevin and Melvin, Caitlin and Weinstock, Lauren M. and Andover, Margaret S. and Selby, Edward A. and Solomon, Joel B. and Spirito, Anthony",
volume="46",
number="1",
pages="13-22",
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.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12167",
url="http://dx.doi.org/10.1111/sltb.12167"
}