Evidence map›Paper›PMID 32712716›Full record

ReviewEuropean child & adolescent psychiatry2021

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.

Emily Hielscher, Jordan DeVylder, Penelope Hasking, Melissa Connell, Graham Martin, James G Scott

Abstract readReview
PubMed Publisher
In one paragraph

Review in European child & adolescent psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Emily HielscherQIMR Berghofer Medical Research Institute, Herston, QLD, Australia. e.hielscher@uq.edu.au.ORCID http://orcid.org/0000-0002-0559-5256
Jordan DeVylderGraduate School of Social Service, Fordham University, New York, NY, USA.
Penelope HaskingSchool of Psychology, Curtin University, Perth, Australia.
Melissa ConnellCentre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Graham MartinDepartment of Psychiatry, The University of Queensland, Brisbane, QLD, Australia.
James G ScottQIMR Berghofer Medical Research Institute, Herston, QLD, Australia.

Funding

Australian Research Council, Discovery Grant 0985470National Health and Medical Research Council Practitioner Fellowship 1105807
6 · The paper itself

Abstract

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.

Indexed as

Mental DisordersSelf-Injurious BehaviorAdolescentAustraliaChildCohort StudiesHumansProspective StudiesRisk FactorsSuicidal IdeationSuicide, AttemptedAdolescentsDelusionsHallucinationsMediatorsNon-suicidal self-injuryNSSISelf-harmSelf-injurious behaviorSuicide

Identifiers

PMID32712716

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.