@article{ref1,
title="Non-suicidal self-injury and suicide in depressed adolescents: impact of peer victimization and bullying",
journal="Journal of affective disorders",
year="2018",
author="Vergara, Genesis A. and Stewart, Jeremy G. and Cosby, Elizabeth A. and Lincoln, Sarah Hope and Auerbach, Randy P.",
volume="245",
number="",
pages="744-749",
abstract="BACKGROUND: While prior research has demonstrated that peer victimization and bully perpetration contribute to non-suicidal self-injury (NSSI) and suicidal thoughts and behaviors (STBs), it remains unclear whether these interpersonal processes differentiate self-injuring adolescent suicide ideators and attempters. <br><br>METHODS: The study included adolescents aged 13-18 years (n = 223; M = 15.31, SD = 1.34) recruited from an acute inpatient program. Participants were divided into two groups: (1) NSSI<sub>SI</sub> (n = 106): endorsed past year NSSI, current suicide ideation, and no lifetime suicide attempts and (2) NSSI<sub>SI+SA</sub> (n = 117): endorsed past year NSSI, current suicide ideation, and lifetime suicide attempts. Adolescents completed clinical interviews (i.e., mental disorders, NSSI, and STBs) and self-report measures assessing peer victimization, bully perpetration, and depression severity. <br><br>RESULTS: NSSI<sub>SI+SA</sub> youth reported higher levels of peer victimization and bully perpetration than NSSI<sub>SI</sub> youth (ps < 0.01, ds = 0.36-0.37). Among the NSSI<sub>SI+SA</sub> youth, bully perpetration was associated with a greater number of past month suicide attempts (p = 0.02, RR = 1.07). Only peer victimization was associated with greater NSSI behaviors in the past month (p = 0.04, RR = 1.01). LIMITATIONS: The study is cross-sectional, and reports of peer victimization and bully perpetration rely on self-report assessment. <br><br>CONCLUSIONS: Peer victimization and bully perpetration differentiated adolescent suicide ideators and attempters, highlighting the need to address bully perpetration in addition to peer victimization in suicide interventions and research.<br><br>Copyright © 2018 Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2018.11.084",
url="http://dx.doi.org/10.1016/j.jad.2018.11.084"
}