I Want You to Want Me: Interpersonal Stress and Affective Experiences as Within-Person Predictors of Nonsuicidal Self-Injury and Suicide Urges in Daily Life

Suicide & Life-threatening Behavior
Sarah E VictorTina R Goldstein

Abstract

To investigate near-term risk for self-injurious urges, we evaluated how within-person changes in internalizing and externalizing negative affect, as well as interpersonal rejection and criticism, impact subsequent nonsuicidal self-injury (NSSI) and suicide urges in daily life. Young adult women (N = 62) from an ongoing community cohort study with past-year self-injurious thoughts completed a 21-day ecological momentary assessment protocol. We used multilevel path analyses to model within-person effects of negative affect and interpersonal stress on subsequent suicide and NSSI urges within several hours. When modeled simultaneously, within-person changes in internalizing, but not externalizing, negative affect predicted later self-injurious urges. Rejection and criticism predicted later self-injurious urges, with rejection showing a unique relationship to NSSI urges specifically. Effects of rejection and criticism on later NSSI and suicide urges were mediated by internalizing negative affect; rejection also retained a significant direct effect on NSSI urges. Interpersonal stressors may be potent near-term risk factors for self-injurious urges by increasing internalizing negative affect among vulnerable individuals. The direct r...Continue Reading

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Citations

Dec 11, 2020·Psychological Medicine·Aleksandra KaurinAidan G C Wright
Apr 2, 2021·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Ana Rabasco, Kate Sheehan
Apr 26, 2021·Journal of Psychiatric Research·Thanh P LeAlex S Cohen
May 19, 2021·Current Psychiatry Reports·Alba Sedano-CapdevilaMaria Luisa Barrigon
Aug 28, 2021·Life·Marcelo J A A BrañasPedro M Pan

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