PMID- 32371364
OWN - NLM
STAT- MEDLINE
DCOM- 20210621
LR  - 20210621
IS  - 1876-2026 (Electronic)
IS  - 1876-2018 (Linking)
VI  - 52
DP  - 2020 Aug
TI  - Predicting factors for non-suicidal self-injury in patients with schizophrenia 
      spectrum disorders and the role of substance use.
PG  - 102068
LID - S1876-2018(20)30179-9 [pii]
LID - 10.1016/j.ajp.2020.102068 [doi]
AB  - Non-suicidal self-injury (NSSI) has been shown as a characteristic feature in 
      many clinical populations in recent years and schizophrenia is one of the most 
      common psychiatric disorders which is associated with NSSI. In this study, we 
      aimed to investigate predictors of NSSI in patients with schizophrenia spectrum 
      disorders (SSD) and the role of lifetime substance use disorder (SUD). A sample 
      of 165 patients with a diagnosis of SSD who were in remission participated in the 
      study. Lifetime NSSI was assessed using the Inventory of Statements About 
      Self-injury (ISAS). Lifetime SUD were evaluated. Logistic regression analysis was 
      conducted to predict NSSI. SUD was found to be related to NSSI in patients with 
      SSD, and it was associated with an approximately fourfold increase in the risk of 
      NSSI. The rates of lifetime SUD in our sample and in the NSSI (+) group were 38.2 
      % and 55.6 %, respectively. The most commonly abused substances among patients 
      with NSSI were cannabis and synthetic cannabinoids. The prevalence of NSSI was 
      43.6 % in our sample. 'Self-cutting' was the most common type and 'affect 
      regulation' was the most common function of NSSI. One of the most significant 
      risk factors for NSSI was a previous history of suicide attempts. SUD appears to 
      be a significant predictor of NSSI in patients with SSD. Further investigation of 
      treatable risk factors such as SUD which are related to NSSI is needed. It is 
      also essential to screen SSD patients for NSSI due to the probable relation to 
      high risk of suicide.
CI  - Copyright (c) 2020 Elsevier B.V. All rights reserved.
FAU - Guney, Erengul
AU  - Guney E
AD  - Bakirkoy Prof. Mazhar Osman Training and Research Hospital for Psychiatry and 
      Neurology, Bakirkoy, Istanbul, 34280, Turkey. Electronic address: 
      erenguney@outlook.com.
FAU - Alniak, Izgi
AU  - Alniak I
AD  - Bakirkoy Prof. Mazhar Osman Training and Research Hospital for Psychiatry and 
      Neurology, Bakirkoy, Istanbul, 34280, Turkey.
FAU - Erkiran, Murat
AU  - Erkiran M
AD  - Bakirkoy Prof. Mazhar Osman Training and Research Hospital for Psychiatry and 
      Neurology, Bakirkoy, Istanbul, 34280, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20200421
PL  - Netherlands
TA  - Asian J Psychiatr
JT  - Asian journal of psychiatry
JID - 101517820
SB  - IM
MH  - Humans
MH  - Risk Factors
MH  - *Schizophrenia/epidemiology
MH  - *Self-Injurious Behavior/epidemiology
MH  - *Substance-Related Disorders/epidemiology
MH  - Suicidal Ideation
MH  - Suicide, Attempted
OTO - NOTNLM
OT  - Non-suicidal self-injury
OT  - Schizophrenia spectrum disorders
OT  - Substance use disorder
EDAT- 2020/05/07 06:00
MHDA- 2021/06/22 06:00
CRDT- 2020/05/07 06:00
PHST- 2019/12/09 00:00 [received]
PHST- 2020/03/31 00:00 [revised]
PHST- 2020/04/01 00:00 [accepted]
PHST- 2020/05/07 06:00 [pubmed]
PHST- 2021/06/22 06:00 [medline]
PHST- 2020/05/07 06:00 [entrez]
AID - S1876-2018(20)30179-9 [pii]
AID - 10.1016/j.ajp.2020.102068 [doi]
PST - ppublish
SO  - Asian J Psychiatr. 2020 Aug;52:102068. doi: 10.1016/j.ajp.2020.102068. Epub 2020 
      Apr 21.