Suicide and Life-Threatening Behavior最新文献_第2页

Demographic and Clinical Shifts Among Firearm Suicide Decedents After the 2020 Purchasing Surge. 2020年购买激增后枪支自杀者的人口统计学和临床变化。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70095

Allison E Bond, Taylor R Rodriguez, Michael D Anestis

引用次数: 0

Comparing Objective Measures of Sleep Disturbance and Sleep Related Impairments as Proximal Risk Indicators of Suicidal Intent and Non-Suicidal Self-Injury. 比较客观测量的睡眠障碍和睡眠相关障碍作为自杀意图和非自杀自残的近端风险指标。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70091

Nicolas Oakey-Frost, Emma H Moscardini, Megan L Rogers, Jennifer J Muehlenkamp

{"title":"Comparing Objective Measures of Sleep Disturbance and Sleep Related Impairments as Proximal Risk Indicators of Suicidal Intent and Non-Suicidal Self-Injury.","authors":"Nicolas Oakey-Frost, Emma H Moscardini, Megan L Rogers, Jennifer J Muehlenkamp","doi":"10.1111/sltb.70091","DOIUrl":"10.1111/sltb.70091","url":null,"abstract":"Background: Non-suicidal self-injury (NSSI) and suicidal ideation (SI) are prevalent public health concerns among college students. Poor sleep quality and its consequences are a risk factor for NSSI and SI in this population. Unfortunately, limited research measures the impact of sleep related impairment (SRI) on NSSI/SI, little research compares the relative criterion validity of objective versus SRI measurement for NSSI/SI, and there is limited research measuring NSSI behaviors as a primary outcome.Methods: This study examined the relationship between passively captured Consensus Sleep Diary indices (i.e., actigraphy), SRI, SI, and frequency of NSSI in a sample of N = 132 college-students reporting past-month NSSI/SI. Participants wore actigraphy wristbands during the 28-day daily ambulatory phase and completed self-report assessments each day (k = 3726 observations).Results: Multilevel mixed effects models failed to find significant relationships between actigraphy-derived sleep quality indices, same-day SI and NSSI frequency, and next-day SI and NSSI frequency. Significant relationships between SRI, same-day SI, and same-day NSSI frequency emerged.Discussion: Results suggest worsening SRI may be an important signal of worsening SI and NSSI frequency. Implications for assessment and monitoring of SRI for college students at risk for NSSI and suicide are discussed.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70091"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increasing Safety Plan Use and Reducing Suicidal Ideation Among Emerging Adults: A Pilot Randomized Trial of the STARS Intervention. 在新生成人中增加安全计划的使用和减少自杀意念：STARS干预的一项随机试验。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70101

Lily A Brown, Jennifer T Tran, Robert Gallop, Jessica L Webster, James R Wolfe, Marin M Kautz, Yiqin Zhu, Amanda Arcomano, Jennifer Ben Nathan, Lindiwe Mayinja, Alexander Azat O'Connor, Danielle Mowery, David S Mandell, Gregory K Brown, Maria A Oquendo, José A Bauermeister

{"title":"Increasing Safety Plan Use and Reducing Suicidal Ideation Among Emerging Adults: A Pilot Randomized Trial of the STARS Intervention.","authors":"Lily A Brown, Jennifer T Tran, Robert Gallop, Jessica L Webster, James R Wolfe, Marin M Kautz, Yiqin Zhu, Amanda Arcomano, Jennifer Ben Nathan, Lindiwe Mayinja, Alexander Azat O'Connor, Danielle Mowery, David S Mandell, Gregory K Brown, Maria A Oquendo, José A Bauermeister","doi":"10.1111/sltb.70101","DOIUrl":"10.1111/sltb.70101","url":null,"abstract":"Introduction: Emerging adult sexual and gender minorities (EA-SGM) experience disproportionately high rates of suicide. The Safety Planning Intervention can reduce suicide risk, but its effectiveness for this population may be limited without additional support. The Supporting Transitions to Adulthood to Reduce Suicide (STARS) program was developed to address this gap by integrating a mobile application and peer mentorship to promote consistent Safety Plan use.Methods: Participants (n = 64) were randomized to receive either SPI alone or SPI plus STARS. Participants were followed for 6 months.Results: STARS was highly acceptable and associated with significantly greater use of the Safety Plan at 2 months compared to SPI alone. While both groups demonstrated significant reductions in suicidal ideation over time, participants in STARS showed sustained nonsignificant improvements through 6 months, whereas SPI alone experienced a slight increase after 4 months. STARS participants used their Safety Plan significantly more frequently than SPI alone (39% vs. 15% for monthly use) at 2 months.Conclusions: STARS is a feasible and acceptable intervention that enhances Safety Plan engagement and longer-term reductions in suicidal ideation among EA-SGM. These promising findings provide preliminary support for a fully powered effectiveness trial to evaluate STARS' outcomes.Trial registration: ClinicalTrials.gov identifier: NCT05018143.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70101"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13090616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Randomized Controlled Pilot Trial of Health Coaching to Improve Functioning and Reduce Suicidal Ideation Among Veterans Reintegrating Into Civilian Life. 健康辅导改善退伍军人重返平民生活功能及减少自杀意念的随机对照试验

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70097

Lauren M Denneson, Jason E Goldstick, Kelly M Kemp, Bryce O'Shea, Jason I Chen, Paul N Pfeiffer, Kathleen F Carlson, Peter C Britton

{"title":"A Randomized Controlled Pilot Trial of Health Coaching to Improve Functioning and Reduce Suicidal Ideation Among Veterans Reintegrating Into Civilian Life.","authors":"Lauren M Denneson, Jason E Goldstick, Kelly M Kemp, Bryce O'Shea, Jason I Chen, Paul N Pfeiffer, Kathleen F Carlson, Peter C Britton","doi":"10.1111/sltb.70097","DOIUrl":"https://doi.org/10.1111/sltb.70097","url":null,"abstract":"Introduction: The year following military service separation is a high-risk period for suicide among reintegrating veterans, those transitioning from military service member to veteran. This randomized controlled pilot trial examined the feasibility and acceptability of health coaching, a non-clinical health behavior change modality, among reintegrating veterans and evaluated change in measures of identity coherence, reintegration functioning, and suicidal ideation.Methods: Reintegrating veterans (n = 95) were randomized to receive either enhanced current reintegration services (eCRS) only or health coaching plus eCRS. Participants completed assessments at baseline, month 2, month 4, and month 9. Health coaching participants completed up to 12 health coaching sessions within 4 months of randomization.Results: Feasibility was strong, indicated by a 23% enrollment rate, participant session completion (mean = 8), and intervention fidelity ratings ≥ 88%. Participants reported high acceptability; 95% indicated that health coaching met their approval. Significant treatment effects were observed for reintegrating functioning, with moderate-to-large effect sizes (d = 0.58 among the health coaching group and d = -0.11 among eCRS). Promising effects were observed for identity coherence measures and suicidal ideation prevalence.Conclusions: Additional research is warranted to test the efficacy of health coaching on these outcomes in a fully powered randomized controlled trial and to evaluate implementation procedures.Trial registration: ClinicalTrials.gov identifier: NCT05199467.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70097"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Longitudinal Temporal Mediation Within the Motivational Phase of the Integrated Motivational-Volitional (IMV) Model of Suicidal Behavior With Moderation of Loneliness and Resilience. 自杀行为动机-意志综合模型动机阶段的纵向时间中介作用：孤独和心理弹性的调节作用。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-02-01 DOI: 10.1111/sltb.70081

Jiarui Xiao, Karen Wetherall, Seonaid Cleare, Mareike Ernst, Kathryn A Robb, Rory C O'Connor

{"title":"Longitudinal Temporal Mediation Within the Motivational Phase of the Integrated Motivational-Volitional (IMV) Model of Suicidal Behavior With Moderation of Loneliness and Resilience.","authors":"Jiarui Xiao, Karen Wetherall, Seonaid Cleare, Mareike Ernst, Kathryn A Robb, Rory C O'Connor","doi":"10.1111/sltb.70081","DOIUrl":"10.1111/sltb.70081","url":null,"abstract":"Background: The Integrated Motivational-Volitional (IMV) Model of Suicidal Behavior places defeat and entrapment central to the development of suicidal ideation. Factors such as loneliness and resilience may moderate risk. This study examines the longitudinal relationship between these variables.Methods: Secondary data from the UK COVID-19 Mental Health and Wellbeing Study (COVID-MH) were analyzed (n = 2518). Defeat, entrapment, loneliness, resilience, and suicidal ideation were measured across 3 waves (March to May 2020). Six longitudinal mediation models were tested, each with wave 2 entrapment (or subscales) as mediator of wave 1 defeat and wave 3 suicidal ideation. Loneliness and resilience (from waves 1 and 2) were included as moderators of the associations between defeat and entrapment with suicidal ideation.Results: Wave 2 entrapment mediated the relationship between wave 1 defeat and wave 3 suicidal ideation, controlling for wave 1 entrapment and suicidal ideation. Wave 1 loneliness and resilience moderated the pathway from defeat to entrapment, but wave 2 resilience or loneliness did not moderate the pathway from entrapment to suicidal ideation.Conclusion: Findings provide robust longitudinal support for the motivational phase of the IMV model and highlight the importance of targeting entrapment and loneliness and enhancing resilience.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 1","pages":"e70081"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12926524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trapped by Comparison: How Social Rank Fuels Suicidal Thoughts Across Racial Backgrounds. 被比较所困：社会地位如何在不同种族背景下激发自杀念头。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-02-01 DOI: 10.1111/sltb.70080

Grace Y Cho, Rebecca Ready

{"title":"Trapped by Comparison: How Social Rank Fuels Suicidal Thoughts Across Racial Backgrounds.","authors":"Grace Y Cho, Rebecca Ready","doi":"10.1111/sltb.70080","DOIUrl":"https://doi.org/10.1111/sltb.70080","url":null,"abstract":"Objectives: Social comparison is a socio-cognitive process that can increase risk for suicidal thoughts through feelings of defeat and entrapment. However, its role as a risk factor for racially minoritized individuals remains unclear. This study examined whether social comparison and subjective social rank (one's perceived position derived from social comparison) predict suicidal thoughts via defeat and entrapment particularly for racially minoritized young adults.Methods: College students from predominantly White institutions (N = 409) completed online surveys at baseline and one-month follow-up. Eligible participants reported moderate depressive symptoms and/or recent suicidal ideation.Results: Path analyses showed that perceived social rank is a risk factor for suicidal thoughts across racial groups, but may lead to defeat and entrapment only for White students.Conclusions: Thus, perceived social rank may be vital in understanding suicide risk among young adults, but the processes may differ for racially minoritized young adults. Learning how and why racially minoritized young adults develop perceptions of lower social rank may help to identify more equitable suicide prevention interventions.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 1","pages":"e70080"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ambulatory Assessment of Suicidal Desire, Wish to Live, and Wish to Die: A Comparison of Bisexual and Heterosexual College Students. 双性恋和异性恋大学生自杀欲望、生存愿望和死亡愿望的动态评估。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-01-01 DOI: 10.1111/sltb.70077

Jessica Gerner, Sarah Pardue-Bourgeois, Emma H Moscardini, Raymond P Tucker

{"title":"Ambulatory Assessment of Suicidal Desire, Wish to Live, and Wish to Die: A Comparison of Bisexual and Heterosexual College Students.","authors":"Jessica Gerner, Sarah Pardue-Bourgeois, Emma H Moscardini, Raymond P Tucker","doi":"10.1111/sltb.70077","DOIUrl":"https://doi.org/10.1111/sltb.70077","url":null,"abstract":"Introduction: Bisexual individuals face elevated suicide risk, yet relatively little is known about short-term fluctuations in suicidal ideation (SI) and related constructs within this population. This study compared the frequency and variability of SI facets among bisexual and heterosexual college students.Method: Sixty-two students (38 heterosexual; 24 bisexual) completed ambulatory assessments five times daily for 10 days, rating suicidal desire, wish to live (WTL), and wish to die (WTD). Analyses included generalized linear models and descriptive and variability statistics.Results: Bisexual participants reported lower WTL and higher suicide desire and WTD than heterosexual peers, with the most robust effects observed for WTD. Bisexual participants were also more likely to endorse non-zero suicidal desire and WTD and experienced more frequent large moment-to-moment changes in these constructs. Models revealed similar variability in suicidal desire and WTD across groups, whereas bisexual individuals exhibited modestly higher variability in WTL.Conclusion: Findings suggested that bisexual individuals not only reported higher levels of suicidal desire and WTD but also experienced these states more frequently, with more frequent acute shifts over time. These results highlighted the importance of monitoring short-term fluctuations in suicidal thoughts and behaviors when assessing suicide risk in bisexual populations.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 1","pages":"e70077"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding Self-Inflicted Firearm Injuries Through Prior Hospitalizations. 通过之前的住院治疗了解自己造成的火器伤害。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-01-01 DOI: 10.1111/sltb.70076

Derek C Lumbard, Chad J Richardson, Rachel M Nygaard

{"title":"Understanding Self-Inflicted Firearm Injuries Through Prior Hospitalizations.","authors":"Derek C Lumbard, Chad J Richardson, Rachel M Nygaard","doi":"10.1111/sltb.70076","DOIUrl":"10.1111/sltb.70076","url":null,"abstract":"Introduction: Self-inflicted firearm injuries are a significant public health concern and account for approximately two-thirds of firearm deaths in the United States. Previous research has shown increased self-inflicted firearm injuries in rural populations compared to urban areas. We hypothesize that hospitalization prior to self-inflicted firearm injury event is related to different characteristics in the urban and rural populations.Methods: The 2016-2020 Nationwide Readmission Database of the Healthcare Cost and Utilization Project was used to identify hospital admissions within the same year prior to a self-inflicted firearm injury in patients > 12.Results: We identified 6883 self-inflicted firearm injury admissions with 1532 (22.3%) patients having prior admission to the hospital. Of those that survived, there were similar proportions in age groups and urban/rural designation. Rates for prior hospitalizations for suicide were 25% and 30% for the urban and rural cohorts, respectively. Prior to the self-inflicted firearm injury, urban and rural hospitalizations included: infection (41.4% vs 44.7%), mental health (20.8% vs 25.1%), drug/alcohol (8.2% vs 4.5%), and injury (3.6% vs 1.7%), respectively. No prior hospitalizations included other types of firearm injury. The most common diagnosis related groups were infection, mental health, and medical-related problems.Conclusion: We found a 22.3% rate of previous hospitalization prior to self-inflicted firearm injury admission. Despite known differences in the urban and rural populations, hospital admission diagnoses prior to self-inflicted firearm injury are similar between these two groups.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 1","pages":"e70076"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cluster Randomized Trial of the Impact of the Breaking the Man Code Workshops on Adolescent Boys' Intentions to Seek Help. 打破男性密码工作坊对青春期男孩寻求帮助意向影响的聚类随机试验。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-01-01 DOI: 10.1111/sltb.70075

Kylie King, Anna Clark, Judy Trevena, Sarah Liddle, Dana Meads, Long Khanh-Dao Le, Marisa Schlichthorst, Simon Rice, Cathrine Mihalopoulos, Jane Pirkis, Nithin Tharakan, Patty Chondros

{"title":"Cluster Randomized Trial of the Impact of the Breaking the Man Code Workshops on Adolescent Boys' Intentions to Seek Help.","authors":"Kylie King, Anna Clark, Judy Trevena, Sarah Liddle, Dana Meads, Long Khanh-Dao Le, Marisa Schlichthorst, Simon Rice, Cathrine Mihalopoulos, Jane Pirkis, Nithin Tharakan, Patty Chondros","doi":"10.1111/sltb.70075","DOIUrl":"https://doi.org/10.1111/sltb.70075","url":null,"abstract":"Background: Suicide is a leading cause of death among young males in Australia. Tomorrow Man's \"Breaking the Man Code\" workshops aim to challenge potentially harmful masculine norms and promote positive attitudes towards help-seeking among adolescent boys in schools.Methods: Our stratified cluster randomized trial was undertaken with 1225 boys (mean (SD) age = 15.04 (0.74) years) across 24 Australian secondary schools: 13 randomized to intervention, 11 to waitlist control. Primary outcome was mean change in intentions to seek help for personal or emotional problems 4 to 8 weeks from baseline. Secondary outcomes included conformity to masculine norms, depression risk, perceived social support, and quality of life. Purpose-designed closed-ended questions captured other behavioral and attitudinal changes. The trial was prospectively registered with ANZCTR.Results: Estimated mean change in scores from baseline between the two groups on the primary outcome was -0.07 (95% confidence interval: -1.75, 1.62; p = 0.937). Purpose-designed questions revealed increased help-offering, connection with friends, and some potential barriers to change.Conclusions: Further research is needed to understand the impacts of school-based interventions for boys.Trial registration: Prospectively registered with ANZCTR: ACTRN12620001134910.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 1","pages":"e70075"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Five-Year Follow-Up Study of Adolescents With Nonsuicidal Self-Injury. 青少年非自杀性自伤的5年随访研究。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-01-01 DOI: 10.1111/sltb.70074

Nazlı Merve Korkmaz, Füsun Çetin Çuhadaroğlu

{"title":"Five-Year Follow-Up Study of Adolescents With Nonsuicidal Self-Injury.","authors":"Nazlı Merve Korkmaz, Füsun Çetin Çuhadaroğlu","doi":"10.1111/sltb.70074","DOIUrl":"https://doi.org/10.1111/sltb.70074","url":null,"abstract":"Objectives: This study aims to examine the five-year evolution of NSSI and identify the predictive factors associated with its persistence.Method: Adolescents aged 12-18 years who attended a CAP outpatient clinic between 2014 and 2016 were retrospectively reviewed. Those with a history of NSSI formed the study group, while those without NSSI comprised the control group. Of 126 adolescents with NSSI, 51 were successfully re-evaluated five years later.Results: The participants' mean age at T1 was M = 15.5 years, and at T2 it was M = 22.0 years. Adolescents who continued to engage in NSSI showed significantly greater difficulties in impulse control, body effectiveness, and identity diffusion compared to those who discontinued the behavior. In logistic regression analysis, identity diffusion and body effectiveness were significant predictors of persistence. Higher identity diffusion had nearly 18 times higher odds of maintaining NSSI (OR 17.99 95% CI [2.195, 147.418]), and those with higher body effectiveness had 1.4 times higher odds of persistence (OR 1.40 95% CI [1.115, 1.774]).Conclusion: Identity diffusion showed the strongest association with persistent NSSI, whereas higher body effectiveness was modestly related to its continuation. These findings point to potential links between identity- and body-related processes and the long-term continuation of NSSI.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 1","pages":"e70074"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0