What bridges the gap between self-harm and suicidality: the role of forgiveness, resilience and attachment

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@article{347644b83d294dbbbf8ad8ed068d66e6,
title = "What bridges the gap between self-harm and suicidality: the role of forgiveness, resilience and attachment",
abstract = "BackgroundSelf-harm is the most robust risk for completed suicide. There is a lack of understanding of why some people who self-harm escalate to suicidal behaviour when others do not. Psychological factors such as attachment, self-forgivenessand self-appraisal may be important.AimsTo determine whether factors from the Interpersonal Theory and Schematic Appraisals models are useful to identify suicidal behaviour in populations that self-harm. Specifically we investigate whether resilience factors of secure attachment, self-forgiveness and positive self-appraisals significantly influence suicidality in people who self-harm.MethodA cross-sectional online study of 323 participants recruited from self-harm support forum. Validated self-report measures were used to assess appraisals, relationships, self-forgiveness, attachment style, suicidality and self-harm.ResultsEmotion coping and support seeking self-appraisals and self-forgiveness were negatively associated with suicidality in participants with a history of self-harm. Dismissing attachment was positively associated with suicidality.ConclusionThe perceived ability to cope with emotions, the perceived ability to gain support and self-forgive forgiveness may protect against suicide in people who self-harm. Conversely the presence of dismissing attachment may increase the riskof suicidality. Findings provide therapeutic targets to reduce risk of suicidality in this high risk group.",
keywords = "Psychological factors, self-harm, suicide, self injury",
author = "Gurmokh Nagra and Ashleigh Lin and Rachel Upthegrove",
year = "2016",
month = apr,
day = "30",
doi = "10.1016/j.psychres.2016.04.103",
language = "English",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - What bridges the gap between self-harm and suicidality: the role of forgiveness, resilience and attachment

AU - Nagra, Gurmokh

AU - Lin, Ashleigh

AU - Upthegrove, Rachel

PY - 2016/4/30

Y1 - 2016/4/30

N2 - BackgroundSelf-harm is the most robust risk for completed suicide. There is a lack of understanding of why some people who self-harm escalate to suicidal behaviour when others do not. Psychological factors such as attachment, self-forgivenessand self-appraisal may be important.AimsTo determine whether factors from the Interpersonal Theory and Schematic Appraisals models are useful to identify suicidal behaviour in populations that self-harm. Specifically we investigate whether resilience factors of secure attachment, self-forgiveness and positive self-appraisals significantly influence suicidality in people who self-harm.MethodA cross-sectional online study of 323 participants recruited from self-harm support forum. Validated self-report measures were used to assess appraisals, relationships, self-forgiveness, attachment style, suicidality and self-harm.ResultsEmotion coping and support seeking self-appraisals and self-forgiveness were negatively associated with suicidality in participants with a history of self-harm. Dismissing attachment was positively associated with suicidality.ConclusionThe perceived ability to cope with emotions, the perceived ability to gain support and self-forgive forgiveness may protect against suicide in people who self-harm. Conversely the presence of dismissing attachment may increase the riskof suicidality. Findings provide therapeutic targets to reduce risk of suicidality in this high risk group.

AB - BackgroundSelf-harm is the most robust risk for completed suicide. There is a lack of understanding of why some people who self-harm escalate to suicidal behaviour when others do not. Psychological factors such as attachment, self-forgivenessand self-appraisal may be important.AimsTo determine whether factors from the Interpersonal Theory and Schematic Appraisals models are useful to identify suicidal behaviour in populations that self-harm. Specifically we investigate whether resilience factors of secure attachment, self-forgiveness and positive self-appraisals significantly influence suicidality in people who self-harm.MethodA cross-sectional online study of 323 participants recruited from self-harm support forum. Validated self-report measures were used to assess appraisals, relationships, self-forgiveness, attachment style, suicidality and self-harm.ResultsEmotion coping and support seeking self-appraisals and self-forgiveness were negatively associated with suicidality in participants with a history of self-harm. Dismissing attachment was positively associated with suicidality.ConclusionThe perceived ability to cope with emotions, the perceived ability to gain support and self-forgive forgiveness may protect against suicide in people who self-harm. Conversely the presence of dismissing attachment may increase the riskof suicidality. Findings provide therapeutic targets to reduce risk of suicidality in this high risk group.

KW - Psychological factors

KW - self-harm

KW - suicide

KW - self injury

U2 - 10.1016/j.psychres.2016.04.103

DO - 10.1016/j.psychres.2016.04.103

M3 - Article

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

M1 - 10.1016/j.psychres.2016.04.103

ER -