Mediators of the association between psychotic experiences and future non-suicidal self-injury and suicide attempts: results from a three-wave, prospective adolescent cohort study.


Journal

European child & adolescent psychiatry
ISSN: 1435-165X
Titre abrégé: Eur Child Adolesc Psychiatry
Pays: Germany
ID NLM: 9212296

Informations de publication

Date de publication:
Sep 2021
Historique:
received: 14 04 2020
accepted: 28 06 2020
pubmed: 28 7 2020
medline: 26 11 2021
entrez: 27 7 2020
Statut: ppublish

Résumé

Psychotic experiences (PEs) are robustly associated with subsequent non-suicidal self-injury (NSSI) and suicide attempts, but questions remain as to the temporal relation and underlying cause of this association. Most investigations have incorporated only two waves of data, and no study has comprehensively investigated mediating pathways. This study aimed to investigate both the PE-NSSI and PE-suicide attempt association, and their relevant mediators, across three waves of prospective data. Participants were from an Australian prospective longitudinal cohort of 1100 adolescents (12-17 years); data were collected at three time points over 2 years. NSSI and suicide attempts were measured using the Self-Harm Behaviour Questionnaire. Items from the Diagnostic Interview Schedule for Children were used to assess four PE subtypes (auditory hallucinatory experiences [HEs] and three delusional experiences). Potential mediators of interest included: psychological distress, self-reported mental disorders, self-esteem, recent traumatic life events (e.g. bullying, sexual assault), emotion regulation, and impulsivity/other personality traits. Analyses were adjusted for sociodemographics and substance use. Auditory HEs were indirectly associated with future NSSI and suicide attempts via recent traumatic life events, high psychological distress, and low self-esteem, across three waves of data. Other PE subtypes were generally not associated with incident NSSI/suicide attempts at 1- and 2-year follow-up, either directly or indirectly. These findings highlight the importance of screening for auditory HEs when assessing a young person's self-harm/suicide risk. Clinical assessment would be further enhanced by a comprehensive review of recent interpersonal traumatic events, as well as levels of self-esteem and distress.

Identifiants

pubmed: 32712716
doi: 10.1007/s00787-020-01593-6
pii: 10.1007/s00787-020-01593-6
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1351-1365

Subventions

Organisme : Australian Research Council, Discovery Grant
ID : 0985470
Organisme : National Health and Medical Research Council Practitioner Fellowship
ID : 1105807

Informations de copyright

© 2020. Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Emily Hielscher (E)

QIMR Berghofer Medical Research Institute, Herston, QLD, Australia. e.hielscher@uq.edu.au.
Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia. e.hielscher@uq.edu.au.
School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia. e.hielscher@uq.edu.au.

Jordan DeVylder (J)

Graduate School of Social Service, Fordham University, New York, NY, USA.

Penelope Hasking (P)

School of Psychology, Curtin University, Perth, Australia.

Melissa Connell (M)

Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Metro North Mental Health, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.

Graham Martin (G)

Department of Psychiatry, The University of Queensland, Brisbane, QLD, Australia.

James G Scott (JG)

QIMR Berghofer Medical Research Institute, Herston, QLD, Australia.
Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Metro North Mental Health, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
Queensland Centre for Mental Health Research (QCMHR), The Park Centre for Mental Health, Wacol, QLD, Australia.

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