Evidence map›Paper›PMID 33799048›Full record

ArticleJournal of affective disorders2021

Nonsuicidal Self-Injury Disorder, Borderline Personality Disorder, and Lifetime History of Suicide Attempts among Male and Female Veterans with Mental Health Disorders.

Katherine C Cunningham, Frances M Aunon, Tapan A Patel, Adam J Mann, Bryann B DeBeer, Eric C Meyer, Sandra B Morissette, Paul J Silvia, Kim L Gratz, Patrick S Calhoun and 2 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The association of military sexual assault and nonsuicidal self-injury in U.S. Gulf War-I era veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024
    Article
  4. Article
  5. Factors associated with self-harm behaviors during military service in the Israel Defense Forces, rates of such behaviors and their outcomes.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association
    Article
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

12 authors at 8 institutions in 1 country.

Katherine C CunninghamSalem Veterans Affairs Medical Center, Salem, VA, USA.
Frances M AunonDurham Veterans Affairs Health Care System, Durham, NC, USA.
Tapan A PatelDurham Veterans Affairs Health Care System, Durham, NC, USA.
Adam J MannDurham Veterans Affairs Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Bryann B DeBeerVA Rocky Mountain Mental Illness, Research, Education, and Clinical Center, Aurora, CO; Department of Physical Medicine and Rehabilitation, Anschutz Medical Campus, University of Colorado.
Eric C MeyerDepartment of Rehabilitation Science and Technology, University of Pittsburgh.
Sandra B MorissetteVISN 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System, Waco, TX, USA; Department of Psychology, The University of Texas at San Antonio, San Antonio, TX, USA.
Paul J SilviaDepartment of Psychology, University of North Carolina at Greensboro, NC, USA.
Kim L GratzDepartment of Psychology, University of Toledo, Toledo, OH, USA.
Patrick S CalhounDurham Veterans Affairs Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA; VA Health Services Research and Development Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, NC, USA.
Jean C BeckhamDurham Veterans Affairs Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA.
Nathan A KimbrelDurham Veterans Affairs Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA; VA Health Services Research and Development Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, NC, USA. Electronic address: Nathan.Kimbrel@va.gov.
Duke University · USDurham VA Health Care System · USCentral Texas Veterans Health Care System · USMental Illness Research, Education and Clinical Centers · USSalem VA Medical Center · USUniversity of North Carolina at Greensboro · USUniversity of Pittsburgh · USUniversity of Toledo · US

Funding

BLRD VA IK6 BX003777CSRD VA I01 CX001486RRD VA I01 RX002354
6 · The paper itself

Abstract

backgroundExpanding on research that has identified nonsuicidal self-injury (NSSI) as a strong predictor of suicide risk, the present study examined NSSI disorder (NSSID) and borderline personality disorder (BPD) as unique contributors to lifetime suicide attempts. To our knowledge, the present study represents the first exploration of these associations among veterans.

methodsParticipants included 124 male (74%) and female (26%) veterans diagnosed with at least one mental health disorder. Posttraumatic stress disorder (93%) and major depression (86%) were the most common mental health diagnoses. Large proportions of the sample met criteria for NSSID (48%) and BPD (40%). Suicide attempts were reported by 28% of the sample. Chi-square tests determined the bivariate associations among NSSID, BPD, history of suicide attempts, and other variables. Significant diagnostic (i.e., MDD, BPD, and NSSID) and demographic (i.e., age) characteristics were included as covariates in a logistic regression model examining the associations of BPD and NSSID with suicide attempts.

resultsBPD, Χ LIMITATIONS: Causality cannot be determined from cross-sectional analyses.

conclusionThese findings highlight NSSID as a powerful and unique correlate of suicide attempts among veterans, beyond the associations of established diagnostic risk factors. Improving our understanding of the relationship between NSSID and suicide risk has the potential to inform suicide prevention efforts and improve clinical outcomes among veterans.

Indexed as

Borderline Personality DisorderSelf-Injurious BehaviorVeteransCross-Sectional StudiesFemaleHumansMaleMental HealthSuicide, AttemptedBorderline personality disorderMilitary veteransNonsuicidal self-injurySuicide

Identifiers

PMID33799048
PMCPMC9004586
OpenAlexW3139336900

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.