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      The Moderating Role of Distress Tolerance in the Relationship Between Posttraumatic Stress Disorder Symptom Clusters and Suicidal Behavior Among Trauma Exposed Substance Users in Residential Treatment

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      Archives of Suicide Research
      Informa UK Limited

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          Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts.

          Non-suicidal self-injury (NSSI) is a prevalent behavioral problem, yet many fundamental aspects of NSSI remain unknown. This case series study reports on the diagnostic correlates of adolescents with a recent history of NSSI and examines the relation between NSSI and suicide attempts. Data are from clinical interviews with 89 adolescents admitted to an adolescent psychiatric inpatient unit who engaged in NSSI in the previous 12 months. Results revealed that 87.6% of adolescents engaging in NSSI met criteria for a DSM-IV Axis I diagnosis (M=3.0, S.D.=2.2, range=0 to 8 diagnoses), including externalizing (62.9%), internalizing (51.7%), and substance use (59.6%) disorders. Most adolescents assessed also met criteria for an Axis II personality disorder (67.3%). Overall, 70% of adolescents engaging in NSSI reported a lifetime suicide attempt and 55% reported multiple attempts. Characteristics of NSSI associated with making suicide attempts included a longer history of NSSI, use of a greater number of methods, and absence of physical pain during NSSI. These findings demonstrate the diagnostic heterogeneity of adolescents engaging in NSSI, highlight the significant overlap between NSSI and suicide attempts, and provide a point of departure for future research aimed at elucidating the relations between non-suicidal and suicidal self-injury.
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            Psychometric properties of nine scoring rules for the Clinician-Administered Posttraumatic Stress Disorder Scale.

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              Risk for suicide attempts among adolescents who engage in non-suicidal self-injury.

              The current study examined whether common indicators of suicide risk differ between adolescents engaging in non-suicidal self-injury (NSSI) who have and have not attempted suicide in an effort to enhance clinicians' ability to evaluate risk for suicide within this group. Data were collected from 540 high school students in the Midwest who completed the RADS, RFL-A, SIQ, and SHBQ as part of a larger adolescent risk project. Results suggest that adolescents engaging in NSSI who also attempt suicide can be differentiated from adolescents who only engage in NSSI on measures of suicidal ideation, reasons for living, and depression. Clinical implications of the findings are discussed.
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                Author and article information

                Journal
                Archives of Suicide Research
                Archives of Suicide Research
                Informa UK Limited
                1381-1118
                1543-6136
                July 2012
                July 2012
                : 16
                : 3
                : 198-211
                Article
                10.1080/13811118.2012.695269
                3dcc5459-4bdd-40b0-9d79-41a5fa04de0f
                © 2012
                History

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