The Journal of Nervous and Mental Disease
Non-suicidal self-injury, Deliberate self-harm, Suicide, Psychopathology
This study examined whether atypical/severe nonsuicidal self-injury (NSSI; e.g., foreign body ingestion, cutting necessitating sutures) serves as a marker of severe psychopathology among 467 adult community mental health clients (n = 33 with an atypical/severe NSSI history). Information regarding psychiatric risk indicators was extracted from participants’ psychiatric records. Generalized linear models with negative binomial distribution and log link function, as well as chi-square tests, were used to address study aims. Clients with a lifetime atypical/severe NSSI history met criteria for a significantly greater number of psychiatric risk indicators than clients with a lifetime history of common NSSI only; however, these clients were not significantly more likely to report recent suicidal actions. Individuals with an atypical/severe NSSI history may demonstrate more severe psychopathology than those with a history of common NSSI only. Thus, it may be clinically useful to consider individuals with an atypical/severe NSSI history as a high-risk subgroup.
This research was supported in part by a grant from the Military Suicide Research Consortium, an effort supported by the Office of the Assistant Secretary of Defense for Health Affairs under Award No. (W81XWH-10-2-0181; W81XWH-16- 2-0003). Opinions, interpretations, conclusions, and recommendations are those of the authors and are not necessarily endorsed by the Military Suicide Research Consortium or the Department of Defense (Washington, DC, United States).
© Wolters Kluwer Health, Inc.
Hom, M. A.; Rogers, M. L. ; Schneider, M. E. ; Chiurliza, B.; Doerfler, L. A. ; Walsh, B. W. ; and Joiner, T. E. (2018). Atypical and Severe Nonsuicidal Self-Injury as an Indicator of Severe Psychopathology: Findings From a Sample of High-Risk Community Mental Health Clients. The Journal of Nervous and Mental Disease 206(8): 582-588. https://doi.org/10.1097/NMD.0000000000000865