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Articles

The Relationship of Psychological Trauma and Dissociative and Posttraumatic Stress Disorders to Nonsuicidal Self-Injury and Suicidality: A Review

, PhD & , MS
Pages 232-271 | Received 24 Jul 2014, Accepted 03 Nov 2014, Published online: 15 Apr 2015

REFERENCES

  • Andover, M. S., & Gibb, B. E. (2010). Non-suicidal self-injury, attempted suicide, and suicidal intent among psychiatric inpatients. Psychiatry Research, 178(1), 101–105. doi:10.1016/j.psychres.2010.03.019
  • Andover, M. S., Morris, B. W., Wren, A., & Bruzzese, M. E. (2012). The co-occurrence of non-suicidal self-injury and attempted suicide among adolescents: Distinguishing risk factors and psychosocial correlates. Child and Adolescent Psychiatry and Mental Health, 6, 11. doi:10.1186/1753-2000-6-11
  • Anestis, M. D., Gratz, K. L., Bagge, C. L., & Tull, M. T. (2012). The interactive role of distress tolerance and borderline personality disorder in suicide attempts among substance users in residential treatment. Comprehensive Psychiatry, 53, 1208–1216. doi:10.1016/j.comppsych.2012.04.004
  • Anestis, M. D., Pennings, S. M., Lavender, J. M., Tull, M. T., & Gratz, K. L. (2013). Low distress tolerance as an indirect risk factor for suicidal behavior: Considering the explanatory role of non-suicidal self-injury. Comprehensive Psychiatry, 54, 996–1002.doi:10.1016/j.comppsych.2013.04.005
  • Anglemyer, A., Horvath, T., & Rutherford, G. (2014). The accessibility of firearms and risk for suicide and homicide victimization among household members: A systematic review and meta-analysis. Annals of Internal Medicine, 160(2), 101–110.
  • Armey, M. F., & Crowther, J. H. (2008). A comparison of linear versus non-linear models of aversive self-awareness, dissociation, and non-suicidal self-injury among young adults. Journal of Consulting and Clinical Psychology, 76(1), 9–14. doi:10.1037/0022-006X.76.1.9
  • Arzy, S., Collette, S., Wissmeyer, M., Lazeyras, F., Kaplan, P. W., & Blanke, O. (2011). Psychogenic amnesia and self-identity: A multimodal functional investigation. European Journal of Neurology, 18, 1422–1425. doi:10.1111/j.1468-1331.2011.03423.x
  • Babcock, R. L., & DePrince, A. P. (2012). Childhood betrayal trauma and self-blame appraisals among survivors of intimate partner abuse. Journal of Trauma & Dissociation, 13, 526–538. doi:10.1080/15299732.2012.694842
  • Babcock, R. L., & DePrince, A. P. (2013). Factors contributing to ongoing intimate partner abuse: Childhood betrayal trauma and dependence on one’s perpetrator. Journal of Interpersonal Violence, 28, 1385–1402. doi:10.1177/0886260512468248
  • Bagge, C. L., Lee, H. J., Schumacher, J. A., Gratz, K. L., Krull, J. L., & Holloman, G., Jr. (2013). Alcohol as an acute risk factor for recent suicide attempts: A case-crossover analysis. Journal of Studies on Alcohol and Drugs, 74, 552–558.
  • Barbosa, L. P., Quevedo, L., da Silva, G. D., Jansen, K., Pinheiro, R. T., Branco, J., … da Silva, R. A. (2014). Childhood trauma and suicide risk in a sample of young individuals aged 14-35 years in southern Brazil. Child Abuse & Neglect, 38, 1191–1196. doi:10.1016/j.chiabu.2014.02.008
  • Barlow, A., Tingey, L., Cwik, M., Goklish, N., Larzelere-Hinton, F., Lee, A., … Walkup, J. T. (2012). Understanding the relationship between substance use and self-injury in American Indian youth. American Journal of Drug Alcohol Abuse, 38, 403–408. doi:10.3109/00952990.2012.696757
  • Bedi, R., Muller, R. D., & Classen, C. C. (2014). Cumulative risk for deliberate self-harm among treatment-seeking women with histories of child abuse. Psychological Trauma, 6, 600–609. doi:10.1037/a0033897
  • Berman, A. L., & Silverman, M. M. (2013). Suicide risk assessment and risk formulation part II: Suicide risk formulation and the determination of levels of risk. Suicide and Life-Threatening Behavior, 44, 432–443. doi:10.1111/sltb.12067
  • Bohus, M., Dyer, A. S., Priebe, K., Kruger, A., Kleindienst, N.,Schmahl, C., … Steil, R. (2013). Dialectical behaviour therapy for post-traumatic stress disorder after childhood sexual abuse in patients with and without borderline personality disorder: A randomised controlled trial. Psychotherapy and Psychosomatics,82(4), 221–233.doi:10.1159/000348451
  • Boldt, M. (1987). Defining suicide: Implications for suicide behavior and for suicide prevention. Crisis, 8(1), 3–13.
  • Bolen, R. M., Winter, V. R., & Hodges, L. (2013). Affect and state dysregulation as moderators of the relationship between childhood sexual abuse and nonsuicidal self-injury. Journal of Interpersonal Violence, 28(1), 201–228. doi:10.1177/0886260512448844
  • Borges, G., Benjet, C., Medina-Mora, M. E., Orozco, R., Molnar, B. E., & Nock, M. K. (2008). Traumatic events and suicide-related outcomes among Mexico City adolescents. Journal of Child Psychology and Psychiatry, 49, 654–666. doi:10.1111/j.1469-7610.2007.01868.x
  • Borges, G., Benjet, C., Medina-Mora, M. E., Orozco, R., & Nock, M. (2008). Suicide ideation, plan, and attempt in the Mexican Adolescent Mental Health Survey. Journal of the American Academy of Child and Adolescent Psychiatry, 47(1), 41–52. doi:10.1097/chi.0b013e31815896ad
  • Borges, G., Borges, R., Medina Mora, M. E., Benjet, C., & Nock, M. K. (2013). Parental psychopathology and offspring suicidality in Mexico. Archives of Suicide Research, 17(2), 123–135. doi:10.1080/13811118.2013.776449
  • Bornovalova, M. A., Tull, M. T., Gratz, K. L., Levy, K. N., & Lejuez, C. W. (2011). Extending models of deliberate self-harm and suicide attempts to substance users: Exploring the roles of childhood abuse, posttraumatic stress, and difficulties controlling impulsive behavior when distressed. Psychological Trauma, 3(4), 349–359.
  • Brand, B. L., & Stadnik, R. (2013). What contributes to predicting change in the treatment of dissociation: Initial levels of dissociation, PTSD, or overall distress? Journal of Trauma & Dissociation, 14, 328–341. doi:10.1080/15299732.2012.736929
  • Brand, M., Eggers, C., Reinhold, N., Fujiwara, E., Kessler, J., Heiss, W. D., & Markowitsch, H. J. (2009). Functional brain imaging in 14 patients with dissociative amnesia reveals right inferolateral prefrontal hypometabolism. Psychiatry Research: Neuroimaging, 174(1), 32–39.
  • Brausch, A. M., & Girresch, S. (2012). A review of empirical treatment studies for adolescent nonsuicidal self-injury. Journal of Cognitive Psychotherapy, 26, 3–18.
  • Brausch, A. M., & Gutierrez, P. M. (2010). Differences in non-suicidal self-injury and suicide attempts in adolescents. Journal of Youth and Adolescence, 39(3), 233–242. doi:10.1007/s10964-009-9482-0
  • Brent, D. A., McMakin, D. L., Kennard, B. D., Goldstein, T. R., Mayes, T. L., & Douaihy, A. B. (2013). Protecting adolescents from self-harm: A critical review of intervention studies. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 1260–1271. doi:10.1016/j.jaac.2013.09.009
  • Briere, J., Hodges, M., & Godbout, N. (2010). Traumatic stress, affect dysregulation, and dysfunctional avoidance: A structural equation model. Journal of Traumatic Stress, 23, 767–774. doi:10.1002/jts.20578
  • Brodsky, B. S., Cloitre, M., & Dulit, R. A. (1995). Relationship of dissociation to self-mutilation and childhood abuse in borderline personality disorder. American Journal of Psychiatry, 152, 1788–1792.
  • Brown, V. M., LaBar, K. S., Haswell, C. C., Gold, A. L., Mid-Atlantic MIRECC Workgroup, McCarthy, G., & Morey, R. A. (2014). Altered resting-state functional connectivity of basolateral and centromedial amygdala complexes in posttraumatic stress disorder. Neuropsychopharmacology, 39(2), 351–359. doi:10.1038/npp.2013.197
  • Brunner, R., Kaess, M., Parzer, P., Fischer, G., Carli, V., Hoven, C. W., … Wasserman, D. (2014). Life-time prevalence and psychosocial correlates of adolescent direct self-injurious behavior: A comparative study of findings in 11 European countries. Journal of Child Psychology and Psychiatry, 55(4), 337–348. doi:10.1111/jcpp.12166
  • Bryan, C. J., David Rudd, M., Wertenberger, E., Etienne, N., Ray-Sannerud, B. N., Morrow, C. E., … Young-McCaughon, S. (2014). Improving the detection and prediction of suicidal behavior among military personnel by measuring suicidal beliefs: An evaluation of the Suicide Cognitions Scale. Journal of Affective Disorders, 159, 15–22. doi:10.1016/j.jad.2014.02.021
  • Bryant-Davis, T., Chung, H., & Tillman, S. (2009). From the margins to the center: Ethnic minority women and the mental health effects of sexual assault. Trauma Violence and Abuse, 10(4), 330–357. doi:10.1177/1524838009339755
  • Buser, T. J., & Hackney, H. (2012). Explanatory style as a mediator between childhood emotional abuse and nonsuicidal self-injury. Journal of Mental Health Counseling, 34, 154–169.
  • Cavanagh, J. T., Carson, A. J., Sharpe, M., & Lawrie, S. M. (2003). Psychological autopsy studies of suicide: A systematic review. Psychological Medicine, 33, 395–405.
  • Chu, A., & DePrince, A. P. (2006). Development of dissociation: Examining the relationship between parenting, maternal trauma, and child dissociation. Journal of Trauma & Dissociation, 7(4), 75–89. doi:10.1300/J229v07n04_05
  • Chu, J., Floyd, R., Diep, H., Pardo, S., Goldblum, P., & Bongar, B. (2013). A tool for the culturally competent assessment of suicide: The Cultural Assessment of Risk for Suicide (CARS) measure. Psychological Assessment, 25, 424–434. doi:10.1037/a0031264
  • Claes, L., Klonsky, E. D., Muehlenkamp, J., Kuppens, P., & Vandereycken, W. (2010). The affect-regulation function of nonsuicidal self-injury in eating-disordered patients: Which affect states are regulated? Comprehensive Psychiatry, 51(4), 386–392. doi:10.1016/j.comppsych.2009.09.001
  • Claes, L., Norré, J., Van Assche, L., & Bijttebier, P. (2014). Non-suicidal self-injury (functions) in eating disorders: Associations with reactive and regulative temperament. Personality and Individual Differences, 57, 65–69.
  • Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70, 1067–1074.
  • Cloutier, P., Martin, J., Kennedy, A., Nixon, M. K., & Muehlenkamp, J. J. (2010). Characteristics and co-occurrence of adolescent non-suicidal self-injury and suicidal behaviours in pediatric emergency crisis services. Journal of Youth and Adolescence, 39(3), 259–269. doi:10.1007/s10964-009-9465-1
  • Connors, R. (1996). Self-injury in trauma survivors: 1. Functions and meanings. American Journal of Orthopsychiatry, 66(2), 197–206.
  • Courtois, C. A., & Ford, J. D. (2013). Treating complex trauma: A sequenced relationship-based approach. New York, NY: Guilford Press.
  • Csorba, J., Dinya, E., Plener, P., Nagy, E., & Pali, E. (2009). Clinical diagnoses, characteristics of risk behaviour, differences between suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising self-injury. European Child and Adolescent Psychiatry, 18(5), 309–320. doi:10.1007/s00787-008-0733-5
  • Cullen, K. R., Westlund, M. K., LaRiviere, L. L., & Klimes-Dougan, B. (2013). An adolescent with nonsuicidal self-injury: A case and discussion of neurobiological research on emotion regulation. American Journal of Psychiatry, 170, 828–831. doi:10.1176/appi.ajp.2013.12121598
  • Cwik, M. F., Barlow, A., Tingey, L., Larzelere-Hinton, F., Goklish, N., & Walkup, J. T. (2011). Nonsuicidal self-injury in an American Indian reservation community: Results from the White Mountain Apache surveillance system, 2007-2008. Journal of the American Academy of Child and Adolescent Psychiatry, 50(9), 860–869. doi:10.1016/j.jaac.2011.06.007
  • D’Andrea, W., Ford, J. D., Stolbach, B., Spinazzola, J., & van der Kolk, B. A. (2012). Understanding interpersonal trauma in children: Why we need a developmentally appropriate trauma diagnosis. American Journal of Orthopsychiatry, 82(2), 187–200. doi:10.1111/j.1939-0025.2012.01154.x
  • Dixon-Gordon, K., Harrison, N., & Roesch, R. (2012). Non-suicidal self-injury within offender populations: A systematic review. International Journal of Forensic Mental Health, 11(1), 33–50.
  • Dorrepaal, E., Thomaes, K., Smit, J. H., Veltman, D. J., Hoogendoorn, A. W., van Balkom, A. J., & Draijer, N. (2013). Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: A preliminary study. European Journal of Psychotraumatology, 4. doi:10.3402/ejpt.v4i0.21171
  • Dougherty, D. M., Mathias, C. W., Marsh-Richard, D. M., Prevette, K. N., Dawes, M. A., Hatzis, E. S., … Nouvion, S. O. (2009). Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide. Psychiatry Research, 169(1), 22–27. doi:10.1016/j.psychres.2008.06.011
  • Dreyfuss, M., Caudle, K., Drysdale, A. T., Johnston, N. E., Cohen, A. O., Somerville, L. H., … Casey, B. J. (2014). Teens impulsively react rather than retreat from threat. Developmental Neuroscience, 36, 220–227. doi:10.1159/000357755
  • Drysdale, A. T., Hartley, C. A., Pattwell, S. S., Ruberry, E. J., Somerville, L. H., Compton, S. N., & Lee, F. S. (2014). Fear and anxiety from principle to practice: Implications for when to treat youth with anxiety disorders. Biological Psychiatry, 75, e19–e20.
  • Dube, S. R., Anda, R. F., Felitti, V. J., Chapman, D., Williamson, D. F., & Giles, W. H. (2001). Childhood abuse, household dysfunction and the risk of attempted suicide throughout the life span: Findings from Adverse Childhood Experiences Study. Journal of the American Medical Association, 286, 3089–3096.
  • Dutra, L., Callahan, K., Forman, E., Mendelsohn, M., & Herman, J. (2008). Core schemas and suicidality in a chronically traumatized population. Journal of Nervous and Mental Disease, 196(1), 71–74. doi:10.1097/NMD.0b013e31815fa4c1
  • Dyer, K. F., Dorahy, M. J., Hamilton, G., Corry, M., Shannon, M., MacSherry, A., … McElhill, B. (2009). Anger, aggression, and self-harm in PTSD and complex PTSD. Journal of Clinical Psychology, 65, 1099–1114. doi:10.1002/jclp.20619
  • Dyer, K. F., Dorahy, M. J., Shannon, M., & Corry, M. (2013). Trauma typology as a risk factor for aggression and self-harm in a complex PTSD population: The mediating role of alterations in self-perception. Journal of Trauma & Dissociation, 14, 56–68. doi:10.1080/15299732.2012.710184
  • Elias, B., Mignone, J., Hall, M., Hong, S. P., Hart, L., & Sareen, J. (2012). Trauma and suicide behaviour histories among a Canadian indigenous population: An empirical exploration of the potential role of Canada’s residential school system. Social Science and Medicine, 74, 1560–1569. doi:10.1016/j.socscimed.2012.01.026
  • Evren, C., & Evren, B. (2005). Self-mutilation in substance-dependent patients and relationship with childhood abuse and neglect, alexithymia and temperament and character dimensions of personality. Drug and Alcohol Dependence, 80(1), 15–22. doi:10.1016/j.drugalcdep.2005.03.017
  • Evren, C., Sar, V., Evren, B., & Dalbudak, E. (2008). Self-mutilation among male patients with alcohol dependency: The role of dissociation. Comprehensive Psychiatry, 49, 489–495. doi:10.1016/j.comppsych.2008.02.006
  • Fassberg, M. M., van Orden, K. A., Duberstein, P., Erlangsen, A., Lapierre, S., Bodner, E., … Waern, M. (2012). A systematic review of social factors and suicidal behavior in older adulthood. International Journal of Environmental Research and Public Health, 9, 722–745. doi:10.3390/ijerph9030722
  • Felmingham, K., Kemp, A. H., Williams, L., Falconer, E., Olivieri, G., Peduto, A., & Bryant, R. (2008). Dissociative responses to conscious and non-conscious fear impact underlying brain function in post-traumatic stress disorder. Psychological Medicine, 38, 1771–1780. doi:10.1017/S0033291708002742
  • Foote, B., Smolin, Y., Kaplan, M., Legatt, M. E., & Lipschitz, D. (2006). Prevalence of dissociative disorders in psychiatric outpatients. American Journal of Psychiatry, 163, 623–629. doi:10.1176/appi.ajp.163.4.623
  • Foote, B., Smolin, Y., Neft, D. I., & Lipschitz, D. (2008). Dissociative disorders and suicidality in psychiatric outpatients. Journal of Nervous and Mental Disorders, 196(1),29–36.doi:10.1097/NMD.0b013e31815fa4e7
  • Ford, J. D. (2009a). Dissociation in complex posttraumatic stress disorder or disorders of extreme stress not otherwise specified (DESNOS). In P. F. Dell & J. A. O’Neill (Eds.), Dissociation and the dissociative disorders: DSM–V and beyond (pp. 471–483). New York, NY: Routledge.
  • Ford, J. D. (2009b). Neurobiological and developmental research: Clinical implications. In C. A. Courtois & J. D. Ford (Eds.), Treating complex traumatic stress disorders: An evidence-based guide (pp. 31–58). New York, NY: Guilford Press.
  • Ford, J. D. (2012). Ethnoracial differences in victimization history, symptoms, and coping style among Black, Latina, and White mothers with posttraumatic stress disorder. Psychological Trauma, 4, 177–185.
  • Ford, J. D., Courtois, C. A., Steele, K., Hart, O., & Nijenhuis, E. R. (2005). Treatment of complex posttraumatic self-dysregulation. Journal of Traumatic Stress, 18, 437–447. doi:10.1002/jts.20051
  • Franklin, J. C., Hessel, E. T., Aaron, R. V., Arthur, M. S., Heilbron, N., & Prinstein, M. J. (2010). The functions of nonsuicidal self-injury: Support for cognitive-affective regulation and opponent processes from a novel psychophysiological paradigm. Journal of Abnormal Psychology, 119(4), 850–862. doi:10.1037/a0020896
  • Freeman, T. W., Keesee, N., Thornton, C., Gillette, G., & Young, K. (1995). Dissociative symptoms in posttraumatic stress disorder subjects with a history of suicide attempts. Journal of Nervous and Mental Disease, 183, 664–666.
  • Frewen, P. A., Dozois, D. J., Neufeld, R. W., Densmore, M., Stevens, T. K., & Lanius, R. A. (2010). Neuroimaging social emotional processing in women: fMRI study of script-driven imagery. Social Cognitive and Affective Neuroscience, 6(3), 375–392. doi:10.1093/scan/nsq047
  • Freyd, J. J. (2013). Preventing betrayal. Journal of Trauma & Dissociation, 14, 495–500. doi:10.1080/15299732.2013.824945
  • Frueh, B. C., Elhai, J. D., Grubaugh, A., & Ford, J. D. (2012). Assessment and treatment planning for PTSD. Hoboken, NJ: Wiley.
  • Geddes, K., Dziurawiec, S., & Lee, C. W. (2013). Dialectical behaviour therapy for the treatment of emotion dysregulation and trauma symptoms in self-injurious and suicidal adolescent females: A pilot programme within a community-based child and adolescent mental health service. Psychiatry Journal, 2013, Article ID 145219. doi:10.1155/2013/145219
  • Gershuny, B. S., Keuthen, N. J., Gentes, E. L., Russo, A. R., Emmott, E. C., Jameson, M., … Jenike, M. A. (2006). Current posttraumatic stress disorder and history of trauma in trichotillomania. Journal of Clinical Psychology, 62, 1521–1529. doi:10.1002/jclp.20303
  • Gilbert, P., McEwan, K., Irons, C., Bhundia, R., Christie, R., Broomhead, C., & Rockliff, H. (2010). Self-harm in a mixed clinical population: The roles of self-criticism, shame, and social rank. British Journal of Clinical Psychology, 49, 563–576. doi:10.1348/014466509X479771
  • Glassman, L. H., Weierich, M. R., Hooley, J. M., Deliberto, T. L., & Nock, M. K. (2007). Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism. Behaviour Research and Therapy, 45, 2483–2490. doi:10.1016/j.brat.2007.04.002
  • Glenn, C. R., & Klonsky, E. D. (2011). Prospective prediction of nonsuicidal self-injury: A 1-year longitudinal study in young adults. Behavior Therapy, 42, 751–762. doi:10.1016/j.beth.2011.04.005
  • Glenn, C. R., & Klonsky, E. D. (2013a). Nonsuicidal self-injury disorder: An empirical investigation in adolescent psychiatric patients. Journal of Clinical Child and Adolescent Psychology, 42, 496–507. doi:10.1080/15374416.2013.794699
  • Glenn, C. R., & Klonsky, E. D. (2013b). Reliability and validity of borderline personality disorder in hospitalized adolescents. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 22(3), 206–211.
  • Gómez, J. M., Smith, C. P., & Freyd, J. J. (2014). Zwischenmenschlicher und institutioneller verrat [Interpersonal and institutional betrayal]. In R. Vogt (Ed.), Verleumdung und Verrat: Dissoziative Störungen bei schwer traumatisierten Menschen als Folge von Vertrauensbrüchen. Roland, Germany: Asanger Verlag.
  • Guan, K., Fox, K. R., & Prinstein, M. J. (2012). Nonsuicidal self-injury as a time-invariant predictor of adolescent suicide ideation and attempts in a diverse community sample. Journal of Consulting and Clinical Psychology, 80, 842–849. doi:10.1037/a0029429
  • Gulec, M. Y., Ynanc, L., Yanartathorn, O., Uzer, A., & Gulec, H. (2014). Predictors of suicide in patients with conversion disorder. Comprehensive Psychiatry, 55, 457–462. doi:10.1016/j.comppsych.2013.10.009
  • Gunter, T. D., Chibnall, J. T., Antoniak, S. K., Philibert, R. A., & Black, D. W. (2013). Childhood trauma, traumatic brain injury, and mental health disorders associated with suicidal ideation and suicide-related behavior in a community corrections sample. Journal of the American Academy of Psychiatry and the Law, 41(2), 245–255.
  • Gureje, O., Oladeji, B., Hwang, I., Chiu, W. T., Kessler, R. C., Sampson, N. A., … Nock, M. K. (2011). Parental psychopathology and the risk of suicidal behavior in their offspring: Results from the World Mental Health surveys. Molecular Psychiatry, 16, 1221–1233. doi:10.1038/mp.2010.111
  • Hadland, S. E., Marshall, B. D., Kerr, T., Qi, J., Montaner, J. S., & Wood, E. (2012). Suicide and history of childhood trauma among street youth. Journal of Affective Disorders, 136(3), 377–380. doi:10.1016/j.jad.2011.11.019
  • Haque, S., & Hasking, P. A. (2010). Life scripts for emotionally charged autobiographical memories: A cultural explanation of the reminiscence bump. Memory, 18, 712–729. doi:10.1080/09658211.2010.506442
  • Harned, M. S., Jackson, S. C., Comtois, K. A., & Linehan, M. M. (2010). Dialectical behavior therapy as a precursor to PTSD treatment for suicidal and/or self-injuring women with borderline personality disorder. Journal of Traumatic Stress, 23, 421–429. doi:10.1002/jts.20553
  • Harned, M. S., Korslund, K. E., & Linehan, M. (2014). A pilot randomized controlled trial of dialectical behavior therapy with and without the dialectical behavior therapy prolonged exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD. Behaviour Research and Therapy, 55, 7–17.
  • Harriss, L., Hawton, K., & Zahl, D. (2005). Value of measuring suicidal intent in the assessment of people attending hospital following self-poisoning or self-injury. British Journal of Psychiatry, 186, 60–66. doi:10.1192/bjp.186.1.60
  • Hauser, M., Galling, B., & Correll, C. U. (2013). Suicidal ideation and suicide attempts in children and adolescents with bipolar disorder: A systematic review of prevalence and incidence rates, correlates, and targeted interventions. Bipolar Disorders, 15, 507–523. doi:10.1111/bdi.12094
  • Hawton, K., Casanas, I. C. C., Haw, C., & Saunders, K. (2013). Risk factors for suicide in individuals with depression: A systematic review. Journal of Affective Disorders, 147(1–3), 17–28. doi:10.1016/j.jad.2013.01.004
  • Herman, J. L. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5, 377–391.
  • Herman, J. L. (1997). Trauma and recovery. New York, NY: Basic Books.
  • Hopper, J. W., Frewen, P. A., van der Kolk, B. A., & Lanius, R. A. (2007). Neural correlates of reexperiencing, avoidance, and dissociation in PTSD: Symptom dimensions and emotion dysregulation in responses to script-driven trauma imagery. Journal of Traumatic Stress, 20, 713–725. doi:10.1002/jts.20284
  • Hughes, C. W. (2011). Objective assessment of suicide risk: Significant improvements in assessment, classification, and prediction. American Journal of Psychiatry, 168, 1233–1234. doi:10.1176/appi.ajp.2011.11091362
  • In-Albon, T., Bürli, M., Ruf, C., & Schmid, M. (2013). Non-suicidal self-injury and emotion regulation: A review on facial emotion recognition and facial mimicry. Child and Adolescent Psychiatry and Mental Health, 7(5). doi:10.1186/1753-2000-7-5
  • International Society for the Study of Trauma and Dissociation. (2011). Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation, 12, 115–187.
  • Isohookana, R., Riala, K., Hakko, H., & Rasanen, P. (2013). Adverse childhood experiences and suicidal behavior of adolescent psychiatric inpatients. European Child and Adolescent Psychiatry, 22(1), 13–22. doi:10.1007/s00787-012-0311-8
  • Jacobson, C. M., & Gould, M. (2007). The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: A critical review of the literature. Archives of Suicide Research, 11(2), 129–147. doi:10.1080/13811110701247602
  • Jacobson, C. M., Muehlenkamp, J. J., Miller, A. L., & Turner, J. B. (2008). Psychiatric impairment among adolescents engaging in different types of deliberate self-harm. Journal of Clinical Child Adolescent Psychology, 37(2), 363–375. doi:10.1080/15374410801955771
  • Kaplow, J. B., Layne, C. M., Saltzman, W. R., Cozza, S. J., & Pynoos, R. S. (2013). Using multidimensional grief theory to explore the effects of deployment, reintegration, and death on military youth and families. Clinical Child and Family Psychology Review, 16(3), 322–340. doi:10.1007/s10567-013-0143-1
  • Katz, C., Yaseen, Z. S., Mojtabai, R., Cohen, L. J., & Galynker, I. I. (2011). Panic as an independent risk factor for suicide attempt in depressive illness: Findings from the National Epidemiological Survey on Alcohol and Related Conditions (NESARC). Journal of Clinical Psychiatry, 72, 1628–1635. doi:10.4088/JCP.10m06186blu
  • Kerig, P. K., Ward, R. M., Vanderzee, K. L., & Arnzen Moeddel, M. (2009). Posttraumatic stress as a mediator of the relationship between trauma and mental health problems among juvenile delinquents. Journal of Youth and Adolescence, 38, 1214–1225. doi:10.1007/s10964-008-9332-5
  • Kisiel, C. L., & Lyons, J. S. (2001). Dissociation as a mediator of psychopathology among sexually abused children and adolescents. American Journal of Psychiatry, 158, 1034–1039.
  • Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27(2), 226–239. doi:10.1016/j.cpr.2006.08.002
  • Klonsky, E. D. (2009). The functions of self-injury in young adults who cut themselves: Clarifying the evidence for affect-regulation. Psychiatry Research, 166(2–3), 260–268. doi:10.1016/j.psychres.2008.02.008
  • Klonsky, E. D. (2011). Non-suicidal self-injury in United States adults: Prevalence, sociodemographics, topography and functions. Psychological Medicine, 41, 1981–1986. doi:10.1017/S0033291710002497
  • Klonsky, E. D., & May, A. (2010). Rethinking impulsivity in suicide. Suicide and Life-Threatening Behavior, 40, 612–619. doi:10.1521/suli.2010.40.6.612
  • Klonsky, E. D., & May, A. M. (2014). Differentiating suicide attempters from suicide ideators: A critical frontier for suicidology research. Suicide and Life-Threatening Behavior, 44(1), 1–5. doi:10.1111/sltb.12068
  • Klonsky, E. D., May, A. M., & Glenn, C. R. (2013). The relationship between nonsuicidal self-injury and attempted suicide: Converging evidence from four samples. Journal of Abnormal Psychology, 122(1), 231–237. doi:10.1037/a0030278
  • Klonsky, E. D., & Moyer, A. (2008). Childhood sexual abuse and non-suicidal self-injury: Meta-analysis. British Journal of Psychiatry, 192(3), 166–170. doi:10.1192/bjp.bp.106.030650
  • Klonsky, E. D., Oltmanns, T. F., & Turkheimer, E. (2003). Deliberate self-harm in a nonclinical population: Prevalence and psychological correlates. American Journal of Psychiatry, 160, 1501–1508.
  • Kraus, A., Esposito, F., Seifritz, E., Di Salle, F., Ruf, M., Valerius, G., … Schmahl, C. (2009). Amygdala deactivation as a neural correlate of pain processing in patients with borderline personality disorder and co-occurrent posttraumatic stress disorder. Biological Psychiatry, 65, 819–822. doi:10.1016/j.biopsych.2008.10.028
  • Kraus, A., Valerius, G., Seifritz, E., Ruf, M., Bremner, J. D., Bohus, M., & Schmahl, C. (2010). Script-driven imagery of self-injurious behavior in patients with borderline personality disorder: A pilot FMRI study. Acta Psychiatrica Scandinavica, 121(1), 41–51. doi:10.1111/j.1600-0447.2009.01417.x
  • Krysinska, K., & Lester, D. (2010). Post-traumatic stress disorder and suicide risk: A systematic review. Archives of Suicide Research, 14(1), 1–23. doi:10.1080/13811110903478997
  • Lang, C. M., & Sharma-Patel, K. (2011). The relation between childhood maltreatment and self-injury: A review of the literature on conceptualization and intervention. Trauma, Violence & Abuse, 12, 23–27.
  • Lanius, R. A., Brand, B., Vermetten, E., Frewen, P. A., & Spiegel, D. (2012). The dissociative subtype of posttraumatic stress disorder: Rationale, clinical and neurobiological evidence, and implications. Depression and Anxiety, 29, 701–708. doi:10.1002/da.21889
  • Lanius, R. A., Frewen, P. A., Vermetten, E., & Yehuda, R. (2010). Fear conditioning and early life vulnerabilities: Two distinct pathways of emotional dysregulation and brain dysfunction in PTSD. European Journal of Psychotraumatology, 1. doi:10.3402/ejpt.v1i0.5467
  • Lanius, R. A., Vermetten, E., Loewenstein, R. J., Brand, B., Schmahl, C., Bremner, J. D., & Spiegel, D. (2010). Emotion modulation in PTSD: Clinical and neurobiological evidence for a dissociative subtype. American Journal of Psychiatry, 167, 640–647. doi:10.1176/appi.ajp.2009.09081168
  • Levin, R., & Spei, E. (2004). Relationship of purported measures of pathological and nonpathological dissociation to self-reported psychological distress and fantasy immersion. Assessment, 11(2), 160–168.
  • Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., … Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63, 757–766. doi:10.1001/archpsyc.63.7.757
  • Liu, R. T., & Miller, I. (2014). Life events and suicidal ideation and behavior: A systematic review. Clinical Psychology Review, 34(3), 181–192. doi:10.1016/j.cpr.2014.01.006
  • Low, G., Jones, D., MacLeod, A., Power, M., & Duggan, C. (2000). Childhood trauma, dissociation and self-harming behaviour: A pilot study. British Journal of Medical Psychology, 73(Pt. 2), 269–278.
  • Lynam, D. R., Miller, J. D., Miller, D. J., Bornovalova, M. A., & Lejuez, C. W. (2011). Testing the relations between impulsivity-related traits, suicidality, and nonsuicidal self-injury: A test of the incremental validity of the UPPS model. Personality Disorders, 2(2), 151–160. doi:10.1037/a0019978
  • Lyons-Ruth, K., Melnick, S., Patrick, M., & Hobson, R. P. (2007). A controlled study of hostile-helpless states of mind among borderline and dysthymic women. Attachment and Human Development, 9(1), 1–16. doi:10.1080/14616730601151417
  • Maaranen, P., Tanskanen, A., Hintikka, J., Honkalampi, K., Haatainen, K., Koivumaa-Honkanen, H., & Viinamaki, H. (2008). The course of dissociation in the general population: A 3-year follow-up study. Comprehensive Psychiatry, 49(3), 269–274. doi:10.1016/j.comppsych.2007.04.010
  • Madsen, T., Agerbo, E., Mortensen, P. B., & Nordentoft, M. (2012). Predictors of psychiatric inpatient suicide: A national prospective register-based study. Journal of Clinical Psychiatry, 73(2), 144–151. doi:10.4088/JCP.10m06473
  • Maloney, E., Degenhardt, L., Darke, S., & Nelson, E. C. (2010). Investigating the co-occurrence of self-mutilation and suicide attempts among opioid-dependent individuals. Suicide and Life-Threatening Behavior, 40(1), 50–62. doi:10.1521/suli.2010.40.1.50
  • Maniglio, R. (2011). The role of child sexual abuse in the etiology of suicide and non-suicidal self-injury. Acta Psychiatrica Scandinavica, 124(1), 30–41. doi:10.1111/j.1600-0447.2010.01612.x
  • Martin, C. G., Cromer, L. D., DePrince, A. P., & Freyd, J. J. (2013). The role of cumulative trauma, betrayal, and appraisals in understanding trauma symptomatology. Psychological Trauma, 52(2), 110–118. doi:10.1037/a0025686
  • May, A. M., Klonsky, E. D., & Klein, D. N. (2012). Predicting future suicide attempts among depressed suicide ideators: A 10-year longitudinal study. Journal of Psychiatric Research, 46, 946–952. doi:10.1016/j.jpsychires.2012.04.009
  • McLaughlin, J., O’Carroll, R. E., & O’Connor, R. C. (2012). Intimate partner abuse and suicidality: A systematic review. Clinical Psychology Review, 32, 677–689. doi:10.1016/j.cpr.2012.08.002
  • Moser, D. A., Aue, T., Wang, Z., Rusconi Serpa, S., Favez, N., Peterson, B. S., & Schechter, D. S. (2013). Limbic brain responses in mothers with post-traumatic stress disorder and comorbid dissociation to video clips of their children. Stress, 16, 493–502. doi:10.3109/10253890.2013.816280
  • Muehlenkamp, J. J., Bagge, C. L., Tull, M. T., & Gratz, K. L. (2013). Body regard as a moderator of the relation between emotion dysregulation and nonsuicidal self-injury. Suicide and Life-Threatening Behavior, 43, 479–493. doi:10.1111/sltb.12032
  • Muehlenkamp, J. J., Brausch, A., Quigley, K., & Whitlock, J. (2013). Interpersonal features and functions of nonsuicidal self-injury. Suicide and Life-Threatening Behavior, 43(1), 67–80. doi:10.1111/j.1943-278X.2012.00128.x
  • Muehlenkamp, J. J., Claes, L., Havertape, L., & Plener, P. L. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 6, 10.doi:10.1186/1753-2000-6-10
  • Muehlenkamp, J. J., Ertelt, T. W., Miller, A. L., & Claes, L. (2011). Borderline personality symptoms differentiate non-suicidal and suicidal self-injury in ethnically diverse adolescent outpatients. Journal of Child Psychology and Psychiatry, 52(2), 148–155. doi:10.1111/j.1469-7610.2010.02305.x
  • Mulder, R. (2011). Problems with suicide risk assessment. Australian and New Zealand Journal of Psychiatry, 45, 605–607. doi:10.3109/00048674.2011.594786
  • Mullany, B., Barlow, A., Goklish, N., Larzelere-Hinton, F., Cwik, M., Craig, M., & Walkup, J. T. (2009). Toward understanding suicide among youths: Results from the White Mountain Apache tribally mandated suicide surveillance system, 2001-2006. American Journal of Public Health, 99, 1840–1848. doi:10.2105/AJPH.2008.154880
  • Najavits, L. M., & Walsh, M. (2012). Dissociation, PTSD, and substance abuse: An empirical study. Journal of Trauma & Dissociation, 13, 115–126. doi:10.1080/15299732.2011.608781
  • Najmi, S., Wegner, D. M., & Nock, M. K. (2007). Thought suppression and self-injurious thoughts and behaviors. Behaviour Research and Therapy, 45(8), 1957–1965. doi:10.1016/j.brat.2006.09.014
  • Neacsiu, A. D., Rizvi, S. L., & Linehan, M. M. (2010). Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder. Behaviour Research and Therapy, 48, 832–839. doi:10.1016/j.brat.2010.05.017
  • Niedtfeld, I., Kirsch, P., Schulze, L., Herpertz, S. C., Bohus, M., & Schmahl, C. (2012). Functional connectivity of pain-mediated affect regulation in borderline personality disorder. PLoS One, 7(3), e33293. doi:10.1371/journal.pone.0033293
  • Niedtfeld, I., Schulze, L., Kirsch, P., Herpertz, S. C., Bohus, M., & Schmahl, C. (2010). Affect regulation and pain in borderline personality disorder: A possible link to the understanding of self-injury. Biological Psychiatry, 68(4), 383–391. doi:10.1016/j.biopsych.2010.04.015
  • Nijenhuis, E. R., & van der Hart, O. (2011). Dissociation in trauma: A new definition and comparison with previous formulations. Journal of Trauma & Dissociation, 12, 416–445. doi:10.1080/15299732.2011.570592
  • Nock, M. K. (2010). Self-injury. Annual Review of Clinical Psychology, 6, 339–363. doi:10.1146/annurev.clinpsy.121208.131258
  • Nock, M. K. (2012). Future directions for the study of suicide and self-injury. Journal of Clinical Child and Adolescent Psychology, 41(2), 255–259. doi:10.1080/15374416.2012.652001
  • Nock, M. K., Borges, G., Bromet, E. J., Alonso, J., Angermeyer, M., Beautrais, A., … Williams, D. (2008). Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. British Journal of Psychiatry, 192(2), 98–105. doi:10.1192/bjp.bp.107.040113
  • Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: Results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry, 70(3), 300–310. doi:10.1001/2013.jamapsychiatry.55
  • Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007). Self-injurious thoughts and behaviors interview: Development, reliability, and validity in an adolescent sample. Psychological Assessment, 19(3), 309–317. doi:10.1037/1040-3590.19.3.309
  • Nock, M. K., & Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72(5), 885–890. doi:10.1037/0022-006X.72.5.885
  • Nock, M. K., Prinstein, M. J., & Sterba, S. K. (2009). Revealing the form and function of self-injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults. Journal of Abnormal Psychology, 118(4), 816–827. doi:10.1037/a0016948
  • Nock, M. K., Stein, M. B., Heeringa, S. G., Ursano, R. J., Colpe, L. J., Fullerton, C. S., … for the Army STARRS Collaborators. (2014). Prevalence and correlates of suicidal behavior among soldiers: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). JAMA Psychiatry,71, 514–522. doi:10.1001/jamapsychiatry.2014.30
  • Nordentoft, M., Mortensen, P. B., & Pedersen, C. B. (2011). Absolute risk of suicide after first hospital contact in mental disorder. Archives of General Psychiatry, 68, 1058–1064. doi:10.1001/archgenpsychiatry.2011.113
  • Nyer, M., Holt, D. J., Pedrelli, P., Fava, M., Ameral, V., Cassiello, C. F., … Farabaugh, A. (2013). Factors that distinguish college students with depressive symptoms with and without suicidal thoughts. Annals of Clinical Psychiatry, 25(1), 41–49.
  • O’Connor, E., Gaynes, B. N., Burda, B. U., Soh, C., & Whitlock, E. P. (2013). Screening for and treatment of suicide risk relevant to primary care: A systematic review for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 158, 741–754. doi:10.7326/0003-4819-158-10-201305210-00642
  • O’Hare, T., Shen, C., & Sherrer, M. (2014). Lifetime trauma and suicide attempts in people with severe mental illness. Community Mental Health Journal, 50, 673–680. doi:10.1007/s10597-013-9658-7
  • Osman, A., Gutierrez, P. M., Muehlenkamp, J. J., Dix-Richardson, F., Barrios, F. X., & Kopper, B. A. (2004). Suicide Resilience Inventory-25: Development and preliminary psychometric properties. Psychological Reports, 94, 1349–1360.
  • Ougrin, D., & Latif, S. (2011). Specific psychological treatment versus treatment as usual in adolescents with self-harm: Systematic review and meta-analysis. Crisis, 32(2), 74–80. doi:10.1027/0227-5910/a000060
  • Oyefeso, A., Brown, S., Chiang, Y., & Clancy, C. (2008). Self-injurious behaviour, traumatic life events and alexithymia among treatment-seeking opiate addicts: Prevalence, pattern and correlates. Drug and Alcohol Dependence, 98(3), 227–234. doi:10.1016/j.drugalcdep.2008.06.004
  • Ozturk, E., & Sar, V. (2008). Somatization as a predictor of suicidal ideation in dissociative disorders. Psychiatry and Clinical Neurosciences, 62, 662–668. doi:10.1111/j.1440-1819.2008.01865.x
  • Paivio, S. C., & McCulloch, C. R. (2004). Alexithymia as a mediator between childhood trauma and self-injurious behaviors. Child Abuse & Neglect, 28, 339–354. doi:10.1016/j.chiabu.2003.11.018
  • Perroud, N., Courtet, P., Vincze, I., Jaussent, I., Jollant, F., Bellivier, F., … Malafosse, A. (2008). Interaction between BDNF Val66Met and childhood trauma on adult’s violent suicide attempt. Genes, Brain, and Behavior, 7(3), 314–322. doi:10.1111/j.1601-183X.2007.00354.x
  • Peterson, J., Freedenthal, S., Sheldon, C., & Andersen, R. (2008). Nonsuicidal self injury in adolescents. Psychiatry, 5(11), 20–26.
  • Pisani, A. R., Wyman, P. A., Petrova, M., Schmeelk-Cone, K., Goldston, D. B., Xia, Y., & Gould, M. S. (2013). Emotion regulation difficulties, youth-adult relationships, and suicide attempts among high school students in underserved communities. Journal of Youth and Adolescence, 42, 807–820. doi:10.1007/s10964-012-9884-2
  • Plener, P. L., Bubalo, N., Fladung, A. K., Ludolph, A. G., & Lule, D. (2012). Prone to excitement: Adolescent females with non-suicidal self-injury (NSSI) show altered cortical pattern to emotional and NSS-related material. Psychiatry Research, 203(2–3), 146–152. doi:10.1016/j.pscychresns.2011.12.012
  • Plener, P. L., Libal, G., Keller, F., Fegert, J. M., & Muehlenkamp, J. J. (2009). An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. Psychological Medicine, 39, 1549–1558. doi:10.1017/S0033291708005114
  • Pope, H. G., Jr., Poliakoff, M. B., Parker, M. P., Boynes, M., & Hudson, J. I. (2007). Is dissociative amnesia a culture-bound syndrome? Findings from a survey of historical literature. Psychological Medicine, 37(2), 225–233. doi:10.1017/S0033291706009500
  • Prinstein, M. J., Nock, M. K., Simon, V., Aikins, J. W., Cheah, C. S., & Spirito, A. (2008). Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. Journal of Consulting and Clinical Psychology, 76(1), 92–103. doi:10.1037/0022-006X.76.1.92
  • Putnam, F. W., Guroff, J. J., Barban, L., & Post, R. M. (1986). The clinical phenomenology of multiple personality disorder: A review of 100 recent cases. Journal of Clinical Psychiatry, 47, 285–293.
  • Rabinak, C. A., Angstadt, M., Welsh, R. C., Kenndy, A. E., Lyubkin, M., Martis, B., & Phan, K. L. (2011). Altered amygdala resting-state functional connectivity in post-traumatic stress disorder. Frontiers in Psychiatry, 2, 62. doi:10.3389/fpsyt.2011.00062
  • Rallis, B. A., Deming, C. A., Glenn, J. J., & Nock, M. K. (2012). What is the role of dissociation and emptiness in the occurrence of nonsuicidal self-injury? Journal of Cognitive Psychotherapy, 26(4), 287–298.
  • Rodriguez-Srednicki, O. (2001). Childhood sexual abuse, dissociation, and adult self-destructive behavior. Journal of Child Sexual Abuse, 10(3), 75–90.
  • Roos, L., Sareen, J., & Bolton, J. M. (2013). Suicide risk assessment tools, predictive validity findings and utility today: Time for a revamp? Neuropsychiatry, 3(5), 483–495.
  • Ross, C. A. (1991). Epidemiology of multiple personality disorder and dissociation. Psychiatric Clinics of North America, 14, 503–517.
  • Rossouw, T. I., & Fonagy, P. (2012). Mentalization-based treatment for self-harm in adolescents: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 1304–1313. doi:10.1016/j.jaac.2012.09.018
  • Roy, A. (2005). Reported childhood trauma and suicide attempts in schizophrenic patients. Suicide and Life-Threatening Behavior, 35, 690–693.
  • Roy, A. (2011). Combination of family history of suicidal behavior and childhood trauma may represent correlate of increased suicide risk. Journal of Affective Disorders, 130(1–2), 205–208. doi:10.1016/j.jad.2010.09.022
  • Roy, A., Gorodetsky, E., Yuan, Q., Goldman, D., & Enoch, M. A. (2010). Interaction of FKBP5, a stress-related gene, with childhood trauma increases the risk for attempting suicide. Neuropsychopharmacology, 35, 1674–1683. doi:10.1038/npp.2009.236
  • Roy, A., Hu, X. Z., Janal, M. N., & Goldman, D. (2007). Interaction between childhood trauma and serotonin transporter gene variation in suicide. Neuropsychopharmacology, 32, 2046–2052. doi:10.1038/sj.npp.1301331
  • Roy, A., & Janal, M. (2005). Family history of suicide, female sex, and childhood trauma: Separate or interacting risk factors for attempts at suicide? Acta Psychiatrica Scandinavica, 112(5), 367–371. doi:10.1111/j.1600-0447.2005.00647.x
  • Russ, M. J., Shearin, E. N., Clarkin, J. F., Harrison, K., & Hull, J. W. (1993). Subtypes of self-injurious patients with borderline personality disorder. American Journal of Psychiatry, 150, 1869–1871.
  • Russell, G., Moss, D., & Miller, J. (2010). Appalling and appealing: A qualitative study of the character of men’s self-harm. Psychology and Psychotherapy, 83(Pt. 1), 91–109. doi:10.1348/147608309X466826
  • Salzinger, S., Rosario, M., Feldman, R. S., & Ng-Mak, D. S. (2007). Adolescent suicidal behavior: Associations with preadolescent physical abuse and selected risk and protective factors. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 859–866. doi:10.1097/chi.0b013e318054e702
  • Sar, V., Akyuz, G., & Dogan, O. (2007). Prevalence of dissociative disorders among women in the general population. Psychiatry Research, 149(1–3), 169–176. doi:10.1016/j.psychres.2006.01.005
  • Sarchiapone, M., Carli, V., Cuomo, C., & Roy, A. (2007). Childhood trauma and suicide attempts in patients with unipolar depression. Depression and Anxiety, 24(4), 268–272. doi:10.1002/da.20243
  • Savoy, R. L., Frederick, B. B., Keuroghlian, A. S., & Wolk, P. C. (2012). Voluntary switching between identities in dissociative identity disorder: A functional MRI case study. Cognitive Neuroscience, 3(2), 112–119. doi:10.1080/17588928.2012.669750
  • Saxe, G. N., Chawla, N., & Van der Kolk, B. (2002). Self-destructive behavior in patients with dissociative disorders. Suicide and Life-Threatening Behavior, 32(3), 313–320.
  • Saxe, G. N., van der Kolk, B. A., Berkowitz, R., Chinman, G., Hall, K., Lieberg, G., & Schwartz, J. (1993). Dissociative disorders in psychiatric inpatients. American Journal of Psychiatry, 150, 1037–1042.
  • Schechter, M., & Lineberry, T. W. (2011). Self-harming behavior and suicidality: Suicide risk assessment. Suicide and Life-Threatening Behavior, 41(2), 227–234. doi:10.1111/j.1943-278X.2011.00004.x
  • Seedat, S., Stein, M. B., & Forde, D. R. (2005). Association between physical partner violence, posttraumatic stress, childhood trauma, and suicide attempts in a community sample of women. Violence and Victims, 20(1), 87–98.
  • Seligman, R., & Kirmayer, L. J. (2008). Dissociative experience and cultural neuroscience: Narrative, metaphor and mechanism. Culture, Medicine, and Psychiatry, 32(1), 31–64. doi:10.1007/s11013-007-9077-8
  • Serafini, G., Pompili, M., Lindqvist, D., Dwivedi, Y., & Girardi, P. (2013). The role of neuropeptides in suicidal behavior: A systematic review. Biomed Research International, 2013, Article ID 687575. doi:10.1155/2013/687575
  • Shaw, M. E., Moores, K. A., Clark, R. C., McFarlane, A. C., Strother, S. C., Bryant, R. A., … Taylor, J. D. (2009). Functional connectivity reveals inefficient working memory systems in post-traumatic stress disorder. Psychiatry Research, 172(3), 235–241. doi:10.1016/j.pscychresns.2008.07.014
  • Shenk, C. E., Noll, J. G., & Cassarly, J. A. (2010). A multiple mediational test of the relationship between childhood maltreatment and non-suicidal self-injury. Journal of Youth and Adolescence, 39(4), 335–342. doi:10.1007/s10964-009-9456-2
  • Silberg, J. (2012). The dissociative child: Healing developmental trauma and dissociation. New York, NY: Routledge.
  • Skegg, K. (2005). Self-harm. [Review]. Lancet, 366(9495), 1471–1483. doi:10.1016/S0140-6736(05)67600-3
  • Smith, N. B., Kouros, C. D., & Meuret, A. E. (2014). The role of trauma symptoms in nonsuicidal self-injury. Trauma Violence & Abuse, 15(1), 41–56. doi:10.1177/1524838013496332
  • Sripada, R. K., King, A. P., Garfinkel, S. N., Wang, X., Sripada, C. S., Welsh, R. C., & Liberzon, I. (2012). Altered resting-state amygdala functional connectivity in men with posttraumatic stress disorder. Journal of Psychiatry and Neuroscience, 37(4), 241–249. doi:10.1503/jpn.110069
  • Sripada, R. K., King, A. P., Welsh, R. C., Garfinkel, S. N., Wang, X., Sripada, C. S., & Liberzon, I. (2012). Neural dysregulation in posttraumatic stress disorder: Evidence for disrupted equilibrium between salience and default mode brain networks. Psychosomatic Medicine, 74, 904–911. doi:10.1097/PSY.0b013e318273bf33
  • St. Germain, S. A., & Hooley, J. M. (2012). Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction. Psychiatry Research, 197(1–2), 78–84. doi:10.1016/j.psychres.2011.12.050
  • Stanley, B., Brown, G., Brent, D. A., Wells, K., Poling, K., Curry, J., … Hughes, J. (2009). Cognitive-behavioral therapy for suicide prevention (CBT-SP): Treatment model, feasibility, and acceptability. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 1005–1013. doi:10.1097/CHI.0b013e3181b5dbfe
  • Stanley, B., Sher, L., Wilson, S., Ekman, R., Huang, Y. Y., & Mann, J. J. (2010). Non-suicidal self-injurious behavior, endogenous opioids and monoamine neurotransmitters. Journal of Affective Disorders, 124(1–2), 134–140. doi:10.1016/j.jad.2009.10.028
  • Stein, D. J., Chiu, W. T., Hwang, I., Kessler, R. C., Sampson, N., Alonso, J., … Nock, M. K. (2010). Cross-national analysis of the associations between traumatic events and suicidal behavior: Findings from the WHO World Mental Health Surveys. PLoS One, 5(5), e10574. doi:10.1371/journal.pone.0010574
  • Stein, D. J., Koenen, K. C., Friedman, M. J., Hill, E., McLaughlin, K. A., Petukhova, M., … Kessler, R. C. (2013). Dissociation in posttraumatic stress disorder: Evidence from the World Mental Health Surveys. Biological Psychiatry, 73(4), 302–312. doi:10.1016/j.biopsych.2012.08.022
  • Swannell, S., Martin, G., Page, A., Hasking, P., Hazell, P., Taylor, A., & Protani, M. (2012). Child maltreatment, subsequent non-suicidal self-injury and the mediating roles of dissociation, alexithymia and self-blame. Child Abuse & Neglect, 36, 572–584. doi:10.1016/j.chiabu.2012.05.005
  • Swenson, L. P., Spirito, A., Dyl, J., Kittler, J., & Hunt, J. I. (2008). Psychiatric correlates of nonsuicidal cutting behaviors in an adolescent inpatient sample. Child Psychiatry and Human Development, 39, 427–438. doi:10.1007/s10578-008-0100-2
  • Taliaferro, L. A., & Muehlenkamp, J. J. (2014). Risk and protective factors that distinguish adolescents who attempt suicide from those who only consider suicide in the past year. Suicide and Life-Threatening Behavior, 44(1), 6–22. doi:10.1111/sltb.12046
  • Taliaferro, L. A., Muehlenkamp, J. J., Borowsky, I. W., McMorris, B. J., & Kugler, K. C. (2012). Factors distinguishing youth who report self-injurious behavior: A population-based sample. Academic Pediatrics, 12(3), 205–213. doi:10.1016/j.acap.2012.01.008
  • Tamar-Gurol, D., Sar, V., Karadag, F., Evren, C., & Karagoz, M. (2008). Childhood emotional abuse, dissociation, and suicidality among patients with drug dependency in Turkey. Psychiatry and Clinical Neurosciences, 62, 540–547. doi:10.1111/j.1440-1819.2008.01847.x
  • Tamas, Z., Kovacs, M., Gentzler, A. L., Tepper, P., Gadoros, J., Kiss, E., … Vetro, A. (2007). The relations of temperament and emotion self-regulation with suicidal behaviors in a clinical sample of depressed children in Hungary. Journal of Abnormal Child Psychology, 35, 640–652. doi:10.1007/s10802-007-9119-2
  • Tan, A. C., Rehfuss, M. C., Suarez, E. C., & Parks-Savage, A. (2014). Nonsuicidal self-injury in an adolescent population in Singapore. Clinical Child Psychology and Psychiatry, 19(1), 58–76.
  • Tang, J., Yu, Y., Wu, Y., Du, Y., Ma, Y., Zhu, H., … Liu, Z. (2011). Association between non-suicidal self-injuries and suicide attempts in Chinese adolescents and college students: A cross-section study. PLoS One, 6(4), e17977. doi:10.1371/journal.pone.0017977
  • Tormoen, A. J., Groholt, B., Haga, E., Brager-Larsen, A., Miller, A., Walby, F., … Mehlum, L. (2014). Feasibility of dialectical behavior therapy with suicidal and self-harming adolescents with multi-problems: Training, adherence and retention. Archives of Suicide Research, 18, 432–444. doi:10.1080/13811118.2013.826156
  • Turner, B. J., Chapman, A. L., & Layden, B. K. (2012). Intrapersonal and interpersonal functions of non suicidal self-injury: Associations with emotional and social functioning. Suicide and Life-Threatening Behavior, 42(1), 36–55. doi:10.1111/j.1943-278X.2011.00069.x
  • van der Kolk, B. A., Pelcovitz, D., Roth, S., Mandel, F. S., McFarlane, A., & Herman, J. L. (1996). Dissociation, somatization, and affect dysregulation: The complexity of adaptation to trauma. American Journal of Psychiatry, 153, 83–93.
  • van Dijke, A., van der Hart, O., Ford, J. D., van Son, M., van der Heijden, P., & Buhring, M. (2010). Affect dysregulation and dissociation in borderline personality disorder and somatoform disorder: Differentiating inhibitory and excitatory experiencing states. Journal of Trauma & Dissociation, 11, 424–443. doi:10.1080/15299732.2010.496140
  • van Ijzendoorn, M. H., & Schuengel, C. (1996). The measurement of dissociation in normal and clinical populations: Meta-analytic validation of the Dissociative Experiences Scale (DES). Clinical Psychology Review, 16, 365–382.
  • Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E., Jr. (2010). The interpersonal theory of suicide. Psychological Review, 117, 575–600. doi:10.1037/a0018697
  • Victor, S. E., Glenn, C. R., & Klonsky, E. D. (2012). Is non-suicidal self-injury an “addiction”? A comparison of craving in substance use and non-suicidal self-injury. Psychiatry Research, 197(1–2), 73–77. doi:10.1016/j.psychres.2011.12.011
  • Victor, S. E., & Klonsky, E. D. (2014a). Correlates of suicide attempts among self-injurers: A meta-analysis. Clinical Psychology Review, 34(4), 282–297.
  • Victor, S. E., & Klonsky, E. D. (2014b). Daily emotion in non-suicidal self-injury. Journal of Clinical Psychology, 70(4), 364–375. doi:10.1002/jclp.22037
  • Weaver, T. L., Chard, K. M., Mechanic, M. B., & Etzel, J. C. (2004). Self-injurious behaviors, PTSD arousal, and general health complaints within a treatment-seeking sample of sexually abused women. Journal of Interpersonal Violence, 19, 558–575. doi:10.1177/0886260504262965
  • Wedig, M. M., Frankenburg, F. R., Bradford Reich, D., Fitzmaurice, G., & Zanarini, M. C. (2013). Predictors of suicide threats in patients with borderline personality disorder over 16 years of prospective follow-up. Psychiatry Research, 208(3), 252–256. doi:10.1016/j.psychres.2013.05.009
  • Weierich, M. R., & Nock, M. K. (2008). Posttraumatic stress symptoms mediate the relation between childhood sexual abuse and nonsuicidal self-injury. Journal of Consulting and Clinical Psychology, 76(1), 39–44. doi:10.1037/0022-006X.76.1.39
  • Weismoore, J. T., & Esposito-Smythers, C. (2010). The role of cognitive distortion in the relationship between abuse, assault, and non-suicidal self-injury. Journal of Youth and Adolescence, 39(3), 281–290. doi:10.1007/s10964-009-9452-6
  • Whitlock, J., Muehlenkamp, J., & Eckenrode, J. (2008). Variation in nonsuicidal self-injury: Identification and features of latent classes in a college population of emerging adults. Journal of Clinical Child and Adolescent Psychology, 37, 725–735. doi:10.1080/15374410802359734
  • Whitlock, J., Muehlenkamp, J., Eckenrode, J., Purington, A., Baral Abrams, G., Barreira, P., & Kress, V. (2013). Nonsuicidal self-injury as a gateway to suicide in young adults. Journal of Adolescent Health, 52, 486–492. doi:10.1016/j.jadohealth.2012.09.010
  • Wichstrom, L. (2009). Predictors of non-suicidal self-injury versus attempted suicide: Similar or different? Archives of Suicide Research, 13(2), 105–122. doi:10.1080/13811110902834992
  • Wiederman, M. W., Sansone, R. A., & Sansone, L. A. (1998). History of trauma and attempted suicide among women in a primary care setting. Violence and Victims, 13(1), 3–9.
  • Wilcox, H. C., Arria, A. M., Caldeira, K. M., Vincent, K. B., Pinchevsky, G. M., & O’Grady, K. E. (2012). Longitudinal predictors of past-year non-suicidal self-injury and motives among college students. Psychological Medicine, 42, 717–726. doi:10.1017/S0033291711001814
  • Wilkinson, P., & Goodyer, I. (2011). Non-suicidal self-injury. European Child & Adolescent Psychiatry, 20(2), 103–108. doi:10.1007/s00787-010-0156-y
  • Wilkinson, P., Kelvin, R., Roberts, C., Dubicka, B., & Goodyer, I. (2011). Clinical and psychosocial predictors of suicide attempts and nonsuicidal self-injury in the Adolescent Depression Antidepressants and Psychotherapy Trial (ADAPT). American Journal of Psychiatry, 168, 495–501. doi:10.1176/appi.ajp.2010.10050718
  • Yates, T. M., Carlson, E. A., & Egeland, B. (2008). A prospective study of child maltreatment and self-injurious behavior in a community sample. Development and Psychopathology, 20, 651–671. doi:10.1017/S0954579408000321
  • You, J., Lin, M. P., & Leung, F. (2013). Functions of nonsuicidal self-injury among Chinese community adolescents. Journal of adolescence, 36(4), 737–745.
  • You, J., & Leung, F. (2012). The role of depressive symptoms, family invalidation and behavioral impulsivity in the occurrence and repetition of non-suicidal self-injury in Chinese adolescents: A 2-year follow-up study. Journal of Adolescence, 35(2), 389–395. doi:10.1016/j.adolescence.2011.07.020
  • Yu, L., Jiang, G., & Wu, C. (2011). Psychological assessment and treatment of self-injury. Chinese Mental Health Journal, 25(12), 937–941.
  • Zetterqvist, M., Lundh, L. G., Dahlström, O., & Svedin, C. G. (2013). Prevalence and function of non-suicidal self-injury (NSSI) in a community sample of adolescents, using suggested DSM–5 criteria for a potential NSSI disorder. Journal of Abnormal Child Psychology, 41, 759–773. doi:10.1007/s10802-013-9712-5
  • Zetterqvist, M., Lundh, L. G., & Svedin, C. G. (2013). A comparison of adolescents engaging in self-injurious behaviors with and without suicidal intent: Self-reported experiences of adverse life events and trauma symptoms. Journal of Youth and Adolescence, 42, 1257–1272. doi:10.1007/s10964-012-9872-6
  • Zlotnick, C., Shea, M. T., Pearlstein, T., Simpson, E., Costello, E., & Begin, A. (1996). The relationship between dissociative symptoms, alexithymia, impulsivity, sexual abuse, and self-mutilation. Comprehensive Psychiatry, 37(1), 12–16.
  • Zlotnick, C., Shea, M. T., Recupero, P., Bidadi, K., Pearlstein, T., & Brown, P. (1997). Trauma, dissociation, impulsivity, and self-mutilation among substance abuse patients. American Journal of Orthopsychiatry, 67, 650–654.
  • Zoroglu, S. S., Tuzun, U., Sar, V., Tutkun, H., Savacs, H. A., Ozturk, M., … Kora, M. E. (2003). Suicide attempt and self-mutilation among Turkish high school students in relation with abuse, neglect and dissociation. Psychiatry and Clinical Neuroscience, 57(1), 119–126. doi:10.1046/j.1440-1819.2003.01088.x
  • Zweig-Frank, H., Paris, J., & Guzder, J. (1994a). Psychological risk factors and self-mutilation in male patients with BPD. Canadian Journal of Psychiatry, 39(5), 266–268.
  • Zweig-Frank, H., Paris, J., & Guzder, J. (1994b). Psychological risk factors for dissociation and self-mutilation in female patients with borderline personality disorder. Canadian Journal of Psychiatry, 39(5), 259–264.

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