Medical College, University of Niš, 18000 Niš, Serbia.
Mental Health Protection University Clinical Centre Niš, 18000 Niš, Serbia.
Medicina (Kaunas). 2024 May 11;60(5):796. doi: 10.3390/medicina60050796.
Although nonsuicidal self-injury (NSSI), by definition, excludes suicidal intent, numerous studies show associations between NSSI and suicidal phenomena in clinical and outpatient adolescent samples. Given the growing interest in the relationship between NSSI and suicidal phenomena, the present study aimed to investigate the relationship between NSSI and suicidal beliefs in adolescent psychiatric inpatients. The study sample included 50 adolescent inpatients at a specialized facility, with a mean age of 15.44 ± 1.39, who fulfilled DSM-5 criteria for NSSI. For study purposes, we use the Ottawa Self-Injury Inventory (OSI) and Brief Suicide Cognitions Scale (B-SCS). Statistical data processing was performed in the R software 4.3.0 (R Core Team, Vienna, Austria). : Of all NSSI functions, the Internal ER function score was the highest (18.72 ± 7.08), followed by External ER (8.10 ± 3.11), Social Influence (5.88 ± 5.37), and Sensation Seeking (3.44 ± 2.98). The mean Craving (C) score was 14.06 ± 7.51. The mean value of the B-SCS score was 19.54 ± 5.24. It was found that the B-SCS score is significantly related to Internal ER (r = 0.441, < 0.001) and Craving (r = 0.297, = 0.036). The multivariable model shows that internal ER function and participants' age are significantly related to the B-SCS score. : Despite the limitations of the study, it is emphasized that cognitions occurring across the fluid suicidal belief system alone do not fully capture the complexity of suicide, but assessing the suicidal belief system in NSSI inpatient adolescents could nevertheless provide helpful information for identifying individuals who may have an elevated vulnerability to experiencing suicidal ideas and behaviors over time.
尽管非自杀性自伤（NSSI）从定义上排除了自杀意图，但许多研究表明，NSSI 与临床和门诊青少年样本中的自杀现象之间存在关联。鉴于人们对 NSSI 和自杀现象之间关系的兴趣日益浓厚，本研究旨在调查青少年精神科住院患者 NSSI 与自杀观念之间的关系。研究样本包括一家专门机构的 50 名青少年住院患者，平均年龄为 15.44 ± 1.39 岁，符合 DSM-5 中 NSSI 的标准。出于研究目的，我们使用了渥太华自伤量表（OSI）和简要自杀认知量表（B-SCS）。统计数据处理在 R 软件 4.3.0（R 核心团队，维也纳，奥地利）中进行。：在所有 NSSI 功能中，内部 ER 功能得分最高（18.72 ± 7.08），其次是外部 ER（8.10 ± 3.11）、社会影响（5.88 ± 5.37）和感觉寻求（3.44 ± 2.98）。渴望（C）得分的平均值为 14.06 ± 7.51。B-SCS 得分的平均值为 19.54 ± 5.24。研究发现，B-SCS 得分与内部 ER（r = 0.441， < 0.001）和渴望（r = 0.297， = 0.036）显著相关。多变量模型表明，内部 ER 功能和参与者的年龄与 B-SCS 得分显著相关。：尽管研究存在局限性，但强调仅评估贯穿于整个流动自杀观念系统的认知并不能完全捕捉自杀的复杂性，但评估 NSSI 住院青少年的自杀观念系统仍然可以提供有用的信息，有助于识别那些随着时间的推移可能更容易产生自杀想法和行为的个体。
