The relationship between nonsuicidal self-injurious behavior and manners of death: a multicenter autopsy study

The relationship between nonsuicidal self-injurious behavior and manners of death: a multicenter autopsy study

Background/aim: This study aimed to determine the relationship between nonsuicidal self-injurious behavior (NSSIB) and manners of death. Materials and methods: This study retrospectively evaluated 6604 autopsy cases evaluated at forensic medicine institutes of six major cities of Turkey. The study group consisted of all cases with NSSIB findings. The control group was created from cases without signs of NSSIB. Results: We found that the numbers of possible suicide and homicide cases in the NSSIB (+) group were significantly higher than in the NSSIB (-) group. The possibility of death due to suicide was 3.213 times and homicide was 2.004 times higher than natural deaths in the NSSIB (+) group compared with the NSSIB (-) group. Conclusion: The presence of NSSIB might increase the risk of death due to suicide and homicide, especially in adolescence.

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  • 1. Saukko P, Knight B. Forensic Pathology. 4th ed. Boca Raton, FL, USA: CRC Press; 2016.
  • 2. Finkbeiner WE, Ursell PC, Davis RL. Autopsy Pathology: A Manuel and Atlas. 2nd ed. Philadelphia, PA, USA: Saunders Elsevier; 2009.
  • 3. Favazza AR, Rosenthal RJ. Diagnostic issues in self-mutilation. Hosp Community Psychiatry 1993; 44: 134-140.
  • 4. Gholamrezaei M,  De Stefano J,  Heath NL. Nonsuicidal selfinjury across cultures and ethnic and racial minorities: a review. Int J Psychol 2017; 52: 316-326.
  • 5. Ozsoy S, Kara K, Teke HY, Turker T, Congologlu MA, Sezigen S, Renklidag T, Karapirli M, Javan GT. Relationship between self-injurious behaviors and levels of aggression in children and adolescents who were subject to medicolegal examination. J Forensic Sci 2016; 61: 382-387.
  • 6. Kara K, Ozsoy S, Teke H, Congologlu MA, Turker T, Renklidag T, Karapirli M. Non-suicidal self-injurious behavior in forensic child and adolescent populations. Clinical features and relationship with depression. Neurosciences (Riyadh) 2015; 20: 31-36.
  • 7. Whitlock J, Knox KL. The relationship between self-injurious behavior and suicide in a young adult population. Arch Pediatr Adolesc Med 2007; 161: 634-640.
  • 8. Carli V, Mandelli L, Poštuvan V, Roy A, Bevilacqua L, Cesaro C,  Baralla F,  Marchetti M,  Serretti A,  Sarchiapone M. Selfharm in prisoners. CNS Spectr 2011; 16: 75-81.
  • 9. Yates TM. The developmental psychopathology of selfinjurious behavior: compensatory regulation in post-traumatic adaptation. Clin Psychol Rev 2004; 24: 35-74.
  • 10. Favazza AR, Conterio K. Female habitual self-mutilators. Acta Psychiatr Scand 1989; 79: 283-289.
  • 11. Herpertz S, Sass H, Favazza A. Impulsivity in self-mutilative behavior: psychometric and biological findings. J Psychiatr Res 1997; 31: 451-465.
  • 12. Klonsky ED, Oltmanns TF, Turkheimer E. Deliberate self-harm in a nonclinical population: prevalence and psychological correlates. Am J Psychiatry 2003; 160: 1501-1508.
  • 13. Calhoun PS,  Van Voorhees EE,  Elbogen EB,  Dedert EA, Clancy CP, Hair LP, Hertzberg M, Beckham JC, Kimbrel NA. Nonsuicidal self-injury and interpersonal violence in U.S. veterans seeking help for posttraumatic stress disorder. Psychiatry Res 2017; 247: 250-256.
  • 14. Brunner R, Parzer P, Haffner J, Steen R, Roos J, Klett M, Resch F. Prevalence and psychological correlates of occasional and repetitive deliberate self-harm in adolescents. Arch Pediatr Adolesc Med 2007; 161: 641-649.
  • 15. Cerutti R, Manca M, Presaghi F, Gratz KL. Prevalence and clinical correlates of deliberate self-harm among a community sample of Italian adolescents. J Adolesc 2011; 34: 337-347.
  • 16. Zoroglu SS, Tuzun U, Sar V, Tutkun H, Savaçs HA, Ozturk M, Alyanak B, Kora ME. Suicide attempt and self-mutilation among Turkish high school students in relation with abuse, neglect and dissociation. Psychiatry Clin Neurosci 2003; 57: 119-126.
  • 17. Whitlock J, Eckenrode J, Silverman D. Self-injurious behaviors in a college population. Pediatrics 2006; 117: 1939-1948.
  • 18. Jacobson CM, Gould M. The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: a critical review of the literature. Arch Suicide Res 2007; 11: 129- 147.
  • 19. Hamza CA, Stewart SL, Willoughby T. Examining the link between nonsuicidal self-injury and suicidal behavior: a review of the literature and an integrated model. Clin Psychol Rev 2012; 32: 482-495.
  • 20. Nock MK, Borges G, Bromet EJ, Cha CB, Kessler RC, Lee S. Suicide and suicidal behavior. Epidemiol Rev 2008; 30: 133- 154.
  • 21. Allen KJ, Hooley JM. Negative mood and interference control in nonsuicidal self-injury. Compr Psychiatry 2016; 73: 35-42.
  • 22. Ward-Ciesielski EF, Schumacher JA, Bagge CL. Relations between nonsuicidal self-injury and suicide attempt characteristics in a sample of recent suicide  attempters. Crisis 2016; 37: 310-313.
  • 23. Roley-Roberts ME, Zielinski MJ, Hurtado G, Hovey JD, Elhai JD. Functions of nonsuicidal selfinjury are differentially associated with suicide  ideation  and  past attempts  among  childhood  trauma  survivors. Suicide  Life Threat Behav 2017; 47: 450-460.
  • 24. Lovell S, Clifford M. Nonsuicidal  self-injury  of  adolescents. Clin Pediatr (Phila) 2016; 55: 1012-1019.
  • 25. Muehlenkamp JJ, Gutierrez PM. Risk for suicide attempts among adolescents who engage in non-suicidal self-injury. Arch Suicide Res 2007; 11: 69-82.
  • 26. Bongar B. Consultation and the suicidal patient. Suicide Life Threat Behav 1993; 23: 299-306.
  • 27. Cooper J, Kapur N, Webb R, Lawlor M, Guthrie E, MackwayJones K, Appleby L. Suicide after deliberate self-harm: a 4-year cohort study. Am J Psychiatry 2005; 162: 297-303.
  • 28. Hawton K, Bergen H, Cooper J, Turnbull P, Waters K, Ness J, Kapur N. Suicide following self-harm: findings from the Multicentre Study of self-harm in England, 2000-2012. J Affect Disord 2015; 175: 147-151.
  • 29. Kimbrel NA, DeBeer BB, Meyer EC, Gulliver SB, Morissette SB. Nonsuicidal self-injury and suicide attempts in Iraq/ Afghanistan war veterans. Psychiatry Res 2016; 243: 232-237.
  • 30. Kimbrel NA, Johnson ME, Clancy C, Hertzberg M, Collie C, Van Voorhees EE, Dennis MF, Calhoun PS, Beckham JC. Deliberate self-harm and suicidal ideation among male Iraq/ Afghanistan-era veterans seeking treatment for PTSD. J Trauma Stress 2014; 27: 474-477.
  • 31. Kimbrel NA, Gratz KL, Tull MT, Morissette SB, Meyer EC, DeBeer BB, Silvia PJ, Calhoun PC, Beckham JC. Non-suicidal self-injury as a predictor of active and passive suicidal ideation among Iraq/Afghanistan war veterans. Psychiatry Res 2015; 227: 360-362. 
  • 32. Herpertz S. Self-injurious behavior. Psychopathological and nosological characteristics in subtypes of self-injurers. Acta Psychiatrica Scand 1995; 91: 57-68.
  • 33. Hillbrand M, Young JL, Krystal JH. Recurrent self-injurious behavior in forensic patients. Psychiatr Q 1996; 67: 33-45.
  • 34. Klonsky ED. The functions of deliberate self-injury: a review of the evidence. Clin Psychol Rev 2007; 27: 226-239.
  • 35. Osuch AE, Noll JG, Putnam FW. The motivations for selfinjury in psychiatric inpatients. Psychiatry 1999; 62: 334-346.
  • 36. Klonsky ED. Non-suicidal self-injury in United States adults: prevalence, sociodemographics, topography and functions. Psychol Med 2011; 41: 1981-1986.
  • 37. Zlotnick C, Mattia JI, Zimmerman M. Clinical correlates of self-mutilation in a sample of general psychiatric patients. J Nerv Ment Dis 1999; 187: 296-301.
  • 38. Briere J, Gil E. Self-mutilation in clinical and general population samples: prevalence, correlates and functions. Am J Orthopsychiatry 1998; 68: 609-620.
  • 39. Aksoy A, Ögel K. Drug abuse and self-injuring behavior (SIB) among the adolescents who live on the streets. Anadolu Psikiyatri Derg 2005; 6: 163-169.
  • 40. Andover MS, Pepper CM, Ryabchenko KA, Orrico EG, Gibb BE. Self-mutilation and symptoms of depression, anxiety, and borderline personality disorder. Suicide Life Threat Behav 2005; 35: 581-591.
  • 41. Asarnow JR, Porta G, Spirito A, Emslie G, Clarke G, Wagner KD, Vitiello B, Keller M, Birmaher B, McCracken J et al. Suicide attempts and nonsuicidal self-injury in the treatment of resistant depression in adolescents: findings from the TORDIA trial. J Am Acad Child Adolesc Psychiatry 2011; 50: 772-781.
  • 42. Muehlenkamp JJ, Gutierrez PM. An investigation of differences between self-injurious behavior and suicide attempts in a sample of adolescents. Life Threat Behav 2004; 34: 12-23.
  • 43. Lohner J, Konrad N. Deliberate self-harm and suicide attempt in custody: distinguishing features in male inmates’ selfinjurious behavior. Int J Law Psychiatry 2006; 29: 370-385.
  • 44. Byard RW, Klitte A, Gilbert JD, James RA. Clinicopathologic features of fatal self-inflicted incised and stab wounds. A 20- year study. Am J Forensic Med Pathol 2002; 23: 15-18.
  • 45. Banerjee A, Zhou HY, Kelly KB, Downs BD, Como JJ, Claridge JA. Anterior abdominal stab injury: a comparison of selfinflicted and intentional third-party stabbings. Am J Surg 2013; 205: 274-279.
  • 46. Kuroda N, Saito K, Takada A, Watanabe H, Tomita A, Murai T, Yanagida J. Suicide by self-stabbing in the city of Tokyo--a review of accumulated data from 1976 to 1995. Nihon Hoigaku Zasshi 1997; 51: 301-306.
  • 47. Madge N, Hewitt A, Hawton K, Jan de Wilde E, Corcoran P, Fekete S, van Heeringen K, De Leo D, Ystgaard M. Deliberate self-harm within an international community sample of young people: comparative findings from the Child & Adolescent Self-harm in Europe (CASE) Study. J Child Psychol Psychiatry 2008; 49: 667-677.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
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