우울증 환자 집단에서 비자살적자해가 자살시도에 미치는 영향 = Influence of Non-Suicidal Self-Injury on Suicide Attempt among Depressed Patients

다국어 초록 (Multilingual Abstract)

Suicide is a pathological behavior that requires academic and clinical attention because it cannot be undone once accomplished.
Prevention of suicide is especially important in South Korea, as the suicide rate is alarmingly high. This study aimed to investigate the relationship between non-suicidal self-injury and suicide attempt considering the roles of the acquired capability for suicide and suicidal desire, which are the concepts proposed in the interpersonal psychological theory, the latest theory of suicide. A total 91 psychiatric patients with reported depressive symptoms provided data on non-suicidal self-injury, acquired capability for suicide, suicidal desire, and the number of lifetime suicide attempts using self-report inventories. Additionally we used a pressure algometer and structured interview. Results indicated that non-suicidal self-injury significantly predicted suicide attempt, mediated by pain tolerance, which is one of the subcomponents of acquired capability for suicide.
Furthermore, suicidal desire moderated the relationship between pain tolerance and suicide attempt. Lastly, pain tolerance mediated the relationship between non-suicidal self-injury and suicide attempt when suicidal desire was high but not when suicidal desire was low. Results were still significant after controlling for the effects of smoking and depressive symptoms. Implications and limitations of the study are discussed.

참고문헌 (Reference)

1 권영실, "대인관계 욕구의 좌절이 삶의 무의미성 및 목적성 지각과 고통감내력에 미치는 영향" 한국건강심리학회 21 (21): 877-893, 2016

2 Joiner, T., "Why people die by suicide" Harvard University Press 2007

3 Nock, M. K., "Why do people hurt themselves? New insights into the nature and functions of self-injury" 18 : 78-83, 2009

4 Whitlock, J., "Variation in nonsuicidal self-injury : Identification and features of latent classes in a college population of emerging adults" 37 : 725-735, 2008

5 Kessler, R. C., "Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003" 293 : 2487-2495, 2005

6 Van Orden, K. A., "Thwarted belongingness and perceived burdensomeness : Construct validity and psychometric properties of the Interpersonal Needs Questionnaire" 24 : 197-, 2012

7 Thomas, H. V., "Thinking life is not worth living" 37 : 351-356, 2002

8 Curran, P. J., "The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis" 1 : 16-29, 1996

9 Klonsky, E. D., "The relationship between nonsuicidal self-injury and attempted suicide : Converging evidence from four samples" 122 : 231-237, 2013

10 Rudd, M. D., "The prevalence of suicidal ideation among college students" 19 : 173-183, 1989

11 Solomon, R. L., "The opponent-process theory of acquired motivation : The costs of pleasure and the benefits of pain" 35 : 691-, 1980

12 Groschwitz, R. C., "The neurobiology of nonsuicidal self-injury(NSSI) : A review" 3 : 24-32, 2012

13 Willoughby, T., "The link between nonsuicidal self-injury and acquired capability for suicide : A longitudinal study" 124 : 1110-, 2015

14 Van Orden, K. A., "The interpersonal theory of suicide" 117 : 575-600, 2010

15 Park, Y. S., "The interaction effects between personality and interpersonal needs in predicting current suicide ideation" Sogang University 2017

16 Bryan, C. J., "The clinical utility of a brief measure of perceived burdensomeness and thwarted belongingness for the detection of suicidal military personnel" 67 : 981-992, 2011

17 Smith, P. N., "The acquired capability for suicide : A comparison of suicide attempters, suicide ideators, and non‐suicidal controls" 27 : 871-877, 2010

18 Hayes, A. F., "The PROCESS macro for SPSS and SAS"

19 Posner, K., "The Oxford handbook of suicide and self-injury" Oxford University Press 7-22, 2014

20 Joiner, T. E. Jr., "The Modified Scale for Suicidal Ideation : Factors of suicidality and their relation to clinical and diagnostic variables" 106 : 260-, 1997

21 Stanley, B., "Suicide and the self-harm continuum : Phenomenological and biochemical evidence" 4 : 149-155, 1992

22 Didham, R. C., "Suicide and self‐harm following prescription of SSRIs and other antidepressants : Confounding by indication" 60 : 519-525, 2005

23 Van Orden, K. A., "Suicidal ideation in college students varies across semesters : The mediating role of belongingness" 38 : 427-435, 2008

24 Van Orden, K. A., "Suicidal desire and the capability for suicide : tests of the interpersonal-psychological theory of suicidal behavior among adults" 76 : 72-83, 2008

25 Glenn, C. R., "Social context during nonsuicidal self-injury indicates suicide risk" 46 : 25-29, 2009

26 Hemmingsson, T., "Smoking at age 18-20 and suicide during 26 years of follow-up up— How can the association be explained?" 32 : 1000-1004, 2003

27 Fragoso, Y. D., "Severe depression, suicide attempts, and ideation during the use of interferon beta by patients with multiple sclerosis" 33 : 312-316, 2010

28 Briere, J., "Self‐mutilation in clinical and general population samples : Prevalence, correlates, and functions" 68 (68): 609-620, 1998

29 Klonsky, E. D., "Self‐injury : A research review for the practitioner" 63 : 1045-1056, 2007

30 Guertin, T., "Self-mutilative behavior in adolescents who attempt suicide by overdose" 40 : 1062-1069, 2001

31 Lloyd, E. E., "Self-mutilation in a community sample of adolescents: Descriptive characteristics and provisional prevalence rates" 1997

32 Nock, M. K., "Self-injury" 6 : 339-363, 2010

33 Favaro, A., "Self-injurious behavior and attempted suicide in purging bulimia nervosa : Associations with psychiatric comorbidity" 105 : 285-289, 2008

34 Preacher, K. J., "SPSS and SAS procedures for estimating indirect effects in simple mediation models" 36 : 717-731, 2004

35 Muehlenkamp, J. J., "Risk for suicide attempts among adolescents who engage in non-suicidal self-injury" 11 : 69-82, 2007

36 Phillips, M. R., "Rethinking the role of mental illness in suicide"

37 Brown, M. Z., "Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder" 111 : 198-202, 2002

38 Jacobson, C. M., "Psychiatric impairment among adolescents engaging in different types of deliberate self-harm" 37 : 363-375, 2008

39 World Health Organization, "Preventing Suicide: a global imperative" WHO Press 7-11, 2014

40 Nock, M. K., "Prevalence of and risk factors for suicide attempts versus suicide gestures : Analysis of the National Comorbidity Survey" 115 : 616-623, 2006

41 Linehan, M. M., "One population or two?" 487 : 16-33, 1986

42 Franklin, J. C., "Nonsuicidal self-injury and diminished pain perception : The role of emotion dysregulation" 53 : 691-700, 2012

43 Andover, M. S., "Non-suicidal self-injury, attempted suicide, and suicidal intent among psychiatric inpatients" 178 : 101-105, 2010

44 Klonsky, E. D., "Non-suicidal self-injury in United States adults : Prevalence, sociodemographics, topography and functions" 41 : 1981-1986, 2011

45 Law, K. C., "Non-suicidal self-injury and frequency of suicide attempts : The role of pain persistence" 209 : 254-261, 2017

46 Nock, M. K., "Non-suicidal self-injury among adolescents : Diagnostic correlates and relation to suicide attempts" 144 : 65-72, 2006

47 Aiken, L. S., "Multiple regression:Testing and interpreting interactions" Sage 1991

48 George, S. E., "Multifacet assessment of capability for suicide : Development and prospective validation of the Acquired Capability with Rehearsal for Suicide Scale" 28 : 1452-1464, 2016

49 Joiner, T. E. Jr., "Main predictions of the interpersonal-psychological theory of suicidal behavior : Empirical tests in two samples of young adults" 118 : 634-646, 2009

50 Wilcox, H. C., "Longitudinal predictors of past-year non-suicidal self-injury and motives among college students" 42 : 717-726, 2012

51 Hayes, A. F., "Introduction to mediation, moderation, and conditional process analysis: A regression-based approach" Guilford Publications 2017

52 Kim, J. H., "Influence of acquired capabilities for suicide on adolescents’ suicide attempt" Yeungnam University 2014

53 Matney, J., "Frequency and methods of nonsuicidal self-injury in relation to acquired capability for suicide among adolescents" 22 : 91-105, 2018

54 Ribeiro, J. D., "Fearlessness about death : The psychometric properties and construct validity of the revision to the Acquired Capability for Suicide Scale" 26 : 115-126, 2014

55 Witte, T. K., "Factors of suicide ideation and their relation to clinical and other indicators in older adults" 94 : 165-172, 2006

56 Kwon, H. J., "Exploration of emotional and cognitive factors influencing non-suicidal self-injury" Seoul University 2014

57 Anestis, M. D., "Examining the role of emotion in suicidality : Negative urgency as an amplifier of the relationship between components of the interpersonal–psychological theory of suicidal behavior and lifetime number of suicide attempts" 129 : 261-269, 2011

58 Hamza, C. A., "Examining the link between nonsuicidal self-injury and suicidal behavior : A review of the literature and an integrated model" 32 : 482-495, 2012

59 Fishbain, D., "Evidence-based data on pain relief with antidepressants" 3 : 305-316, 2000

60 Jo, M. H., "Evaluation of Interpersonal psychological model of suicide in Korean army" Korea University 2010

61 Van Ree, J. M., "Endogenous opioids and reward" 405 : 89-101, 2000

62 Muehlenkamp, J. J., "Emotional and behavioral effects of participating in an online study of nonsuicidal self-injury : An experimental analysis" 3 : 26-37, 2015

63 Brausch, A. M., "Differences in non-suicidal self-injury and suicide attempts in adolescents" 39 : 233-242, 2010

64 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" American Psychiatric Association 2013

65 Klonsky, E. D., "Deliberate self-harm in a nonclinical population : Prevalence and psychological correlates" 160 (160): 1501-1508, 2003

66 Bryan, C. J., "Combat experience and the acquired capability for suicide" 66 : 1044-1056, 2010

67 Posner, K., "Columbia Classification Algorithm of Suicide Assessment(C-CASA) : Classification of suicidal events in the FDA’s pediatric suicidal risk analysis of antidepressants" 164 : 1035-1043, 2007

68 Wilkinson, P., "Clinical and psychosocial predictors of suicide attempts and nonsuicidal self-injury in the Adolescent Depression Antidepressants and Psychotherapy Trial(ADAPT)" 168 : 495-501, 2011

69 Anestis, M. D., "Clarifying the role of emotion dysregulation in the interpersonalpsychological theory of suicidal behavior in an undergraduate sample" 45 : 603-611, 2011

70 Joiner, T. E. Jr., "Childhood physical and sexual abuse and lifetime number of suicide attempts : A persistent and theoretically important relationship" 45 : 539-547, 2007

71 Lloyd-Richardson, E. E., "Characteristics and functions of non-suicidal self-injury in a community sample of adolescents" 37 : 1183-1192, 2007

72 Favazza, A. R., "Bodies under siege: Self-mutilation and body modification in culture and psychiatry" Johans Hopkins University Press 1996

73 Preacher, K. J., "Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models" 40 : 879-891, 2008

74 Tang, J., "Association between non-suicidal self-injuries and suicide attempts in Chinese adolescents and college students: A cross-section study" 6 : e17977-, 2011

75 Wong, Y. J., "Asian American college students' suicide ideation : A mixedmethods study" 58 : 197-, 2011

76 Fournier, J. C., "Antidepressant drug effects and depression severity : A patient-level meta-analysis" 303 : 47-53, 2010

77 Anestis, M. D., "An investigation of persistence through pain and distress as an amplifier of the relationship between suicidal ideation and suicidal behavior" 196 : 78-82, 2016

78 Muehlenkamp, J. J., "An investigation of differences between self-injurious behavior and suicide attempts in a sample of adolescents" 34 : 12-23, 2004

79 Plener, P. L., "An international comparison of adolescent non-suicidal self-injury(NSSI)and suicide attempts : Germany and the USA" 39 : 1549-1558, 2009

80 Smith, P. N., "An exploratory factor analysis of the Acquired Capability for Suicide Scale in male prison inmates" 10 : 97-105, 2013

81 Hawkins, K. A., "An examination of the relationship between anger and suicide risk through the lens of the interpersonal theory of suicide" 50 : 59-65, 2014

82 Christensen, H., "A test of the interpersonal theory of suicide in a large community-based cohort" 144 : 225-234, 2013

83 Lee, C. S., "A study of the reliability and validity of the Colombia-Suicide Severity Rating Scale in Korea" Inje University 2011

84 Bryan, C. J., "A preliminary test of the interpersonal-psychological theory of suicidal behavior in a military sample" 48 : 347-350, 2010

85 Nock, M. K., "A functional approach to the assessment of self-mutilative behavior" 72 : 885-, 2004