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      Quality of life in patients with nonsuicidal self-injury: the role of suicidal ideation

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          Lower quality of life (QoL) scores are associated with suicidal behavior, both in the general population and in psychiatric patients. Nonsuicidal self-injury (NSSI) behavior is a public health concern because of its increasing prevalence and high risk of lifetime suicide attempt. Despite its significance QoL in patients with NSSI is underinvestigated. There is a gap in knowledge on the influence of suicidal ideation (SI) on certain domains and facets of QoL in patients with NSSI .


          The study aimed to assess the impact of SI on QoL of patients with NSSI.


          We conducted a case-control study (1:3): 13 consecutive patients (11 female) with non-psychotic mental disorders and NSSI without lifetime SI were compared to 39 age and gender matched patients with NSSI and SI. All patients were evaluated by a psychiatrist, underwent Self-Injurious Thoughts and Behaviors Interview (Nock MK et al.,2007) and filled out the World Health Organization Quality of Life Assessment100(WHOQOL-100). Mann-Whitney and Fishers exact test were used as statistical methods.


          The overall QoL (p=0.001) and the perception of life (p=0.005) were significantly higher in patients without SI. Patients with SI had a lower scores in psychological (p=0.002), social (p=0.036) and spiritual (p=0.005) domains as well as lower rates in energy (p<0.02); positive emotions (p<0.001); thinking, learning, memory and concentration (p=0.007); self-esteem (p=0.013); negative emotions (p=0.035); activities of daily living and participation (p=0.014) and opportunities for recreation/leisure facets (p=0.007).


          SI in people with NPMD and NSSI is associated with severe QoL impairment.

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          ScienceOpen Posters
          18 March 2021
          [1 ] Moscow Research and Clinical Center for Neuropsychiatry, Russia, Moscow, Donskaya st., 43
          [2 ] Federal Medical Research Centre for Psychiatry and Narcology, 119034, Moscow, Russia, Kropotkinsky st, 23

          This work has been published open access under Creative Commons Attribution License CC BY 4.0 , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Conditions, terms of use and publishing policy can be found at www.scienceopen.com .

          The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

          Medicine, Clinical Psychology & Psychiatry

          nonsuicidal self-injury, suicidal ideation, quality of life


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