Clinical Characteristics of NSSI and Predictors of Suicide Attempts in Clinically Depressed Korean Adolescents
10.22722/KJPM.2019.27.1.69
- Author:
Gyung Mee KIM
1
Author Information
1. Department of Psychiatry, Inje University Haeundae Paik Hospital, Busan, Korea. gmkim2017@gmail.com
- Publication Type:Original Article
- Keywords:
Non-suicidal self-injury;
Anxiety;
Suicide attempts;
Adolescents;
Korea
- MeSH:
Adolescent;
Anxiety;
Depression;
Diagnosis;
Female;
Friends;
Humans;
Korea;
Logistic Models;
Prevalence;
Suicide;
Weights and Measures
- From:Korean Journal of Psychosomatic Medicine
2019;27(1):69-76
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: The purpose of this study was to examine the prevalence and clinical characteristics of nonsuicidal self-injury (NSSI), and its association with suicide attempts among clinically depressed adolescents in Korea. METHODS: In total, 113 depressed adolescents aged 12– 18 years in South Korea were enrolled in this study. We assessed sociodemographic and clinical characteristics including suicidality and non-suicidal self-injury (NSSI) using various self-reported scales and semi-structured interview for diagnosis of psychiatric disorders. Demographic and clinical characteristics of the subjects were compared between NSSI and non-NSSI groups. We examined significant predictors of suicide attempts using logistic regression analysis. RESULTS: Among 113 depressed participants, 48 (42.1%) adolescents were classified into the NSSI group. In the NSSI group, there were significantly more females, showed higher depression, higher state-anxiety, and more suicide ideation. The most predictive factors of suicide attempts were history of NSSI, observed suicide/NSSI behaviors of their family or friends, and total state anxiety score. CONCLUSIONS: NSSI is more common problem among clinically depressed adolescents and history of NSSI is a significant predictor of present suicide attempts. To include the assessment of NSSI for clinically depressed adolescent may be crucial for intervention programs for high risk adolescents of suicide in Korea.