ArticleJournal of Korean medical science2025
Comparison of Clinical Indicators for Non-Suicidal Self-Injury and Suicide Attempts in the Emergency Department.
Article in Journal of Korean medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundWhile differentiating non-suicidal self-injury (NSSI) from minor intent suicide attempts (MSAs) and serious intent suicide attempts (SSAs) is crucial for providing effective crisis interventions in emergency departments (EDs), existing research on this distinction remains limited. Therefore, this study aims to identify clinical indicators differentiating NSSI, MSA, and SSA among ED patients.
methodsData were collected from 587 patients who presented with self-injurious behaviors at Chung-Ang University Hospital ED in Seoul from June 2018 to December 2023. The study assessed patients' suicide attempt intentionality, demographic and historical factors, characteristics of self-injury, status at self-injury, as well as suicidal ideation and suicide planning upon presentation to the ED. Patients were classified into NSSI, MSA, or SSA groups based on the intentionality of their self-injury. Hierarchical logistic regression analyses were performed to identify clinical indicators distinguishing these groups.
resultsAmong all self-injury patients, sex (odds ratio [OR], 0.45;
conclusionBeing male, higher injury lethality, and sustained suicidal ideation are significant clinical indicators predicting suicidal attempt rather than NSSI. Among patients attempting suicide, methods other than cutting, high-lethality attempts, self-injury under the influence of alcohol, or not seeking help may indicate serious suicidal intentions, necessitating thorough evaluation and possible emergency hospitalization.
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