Akademik Veri Yönetim Sistemi
Cambridge Prisms: Global Mental Health, cilt.12, 2025 (SCI-Expanded, Scopus)
Background: A burgeoning body of evidence suggests a higher prevalence of nonsuicidal selfinjury (NSSI) behaviors among adolescents. This study aimed to examine the comorbid internalizing symptoms and suicidal behaviors, along with associations between dissociative experiences and suicide risk in adolescents attending a psychiatric outpatient unit in Ankara, Türkiye. Methods: The study included 81 adolescents aged 12 to 18 who engaged in NSSI and sought treatment at a psychiatric outpatient clinic. Psychiatric evaluations were conducted through semistructured clinical interviews. NSSI behaviors were assessed using the Inventory of Statements About Self-Injury (ISAS), and suicide risk was measured using the Suicide Probability Scale (SPS). Additionally, internalizing symptoms and dissociative experiences were evaluated using the Revised Children's Anxiety and Depression Scale-Child Version (RCADS-CV) and the Adolescent Dissociative Experiences Scale (A-DES), respectively. Results: Moderate to high correlations were found among suicide risk, dissociation, NSSIseverity, anxiety, and internalizing scores. Mediation analysis revealed that NSSIsignificantly mediated the relationship between dissociation and suicide risk. Conclusion: These findings indicate that assessing both dissociation and NSSI could provide valuable insights into comprehending and addressing adolescent suicide, thereby facilitating the development of targeted interventions to mitigate the effects of dissociative experiences.