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Quality of life of patients with nonsuicidal self-injury: The role of suicidal ideation

Published online by Cambridge University Press:  13 August 2021

M. Zinchuk ,
G. Kustov ,
N. Voinova ,
E. Pashnin ,
R. Akzhigitov  and
A. Guekht
M. Zinchuk*
Affiliation:
Suicide Research And Prevention, Moscow Research and Clinical Center for Neuropsychiatry, Moscow, Russian Federation
G. Kustov
Affiliation:
Suicide Research And Prevention, Moscow Research and Clinical Center for Neuropsychiatry, Moscow, Russian Federation
N. Voinova
Affiliation:
Suicide Research And Prevention, Moscow Research and Clinical Center for Neuropsychiatry, Moscow, Russian Federation
E. Pashnin
Affiliation:
Suicide Research And Prevention, Moscow Research and Clinical Center for Neuropsychiatry, Moscow, Russian Federation
R. Akzhigitov
Affiliation:
Suicide Research And Prevention, Moscow Research and Clinical Center for Neuropsychiatry, Moscow, Russian Federation
A. Guekht
Affiliation:
Mental And Neurological Disorders Department, Moscow Research and Clinical Center for Neuropsychiatry, Moscow, Russian Federation Department Of Neurology, Neurosurgery And Medical Genetics, Pirogov Russian National Research Medical University, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Lower quality of life (QoL) scores are associated with suicidal behavior, both in the general population and in psychiatric patients. Nonsuicidal self-injury (NSSI) behavior is a public health concern because of its increasing prevalence and high risk of lifetime suicide attempt. Despite its significance QoL in patients with NSSI is underinvestigated. There is a gap in knowledge on the influence of suicidal ideation (SI) on certain domains and facets of QoL in patients with NSSI.

Objectives

The study aimed to assess the impact of SI on QoL of patients with NSSI.

Methods

We conducted a case-control study (1:3): 13 consecutive patients (11 female) with non-psychotic mental disorders and NSSI without lifetime SI were compared to 39 age and gender matched patients with NSSI and SI. All patients were evaluated by a psychiatrist, underwent Self-Injurious Thoughts and Behaviors Interview (Nock MK et al., 2007) and filled out the World Health Organization Quality of Life Assessment 100 (WHOQOL-100). Mann-Whitney and Fishers exact test were used as statistical methods.

Results

The overall QoL (p=0.001) and the perception of life (p=0.005) were significantly higher in patients without SI. Patients with SI had a lower scores in psychological (p=0.002), social (p=0.036) and spiritual (p=0.005) domains as well as lower rates in energy (p<0.02); positive emotions (p<0.001); thinking, learning, memory and concentration (p=0.007); self-esteem (p=0.013); negative emotions (p=0.035); activities of daily living and participation (p=0.014) and opportunities for recreation/leisure facets (p=0.007).

Conclusions

SI in patients with NSSI was found to be associated with worse QoL

Keywords

SuicideSelf-injurious thoughts and behaviors interviewNSSIquality of life
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S590 - S591
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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