Background: In the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, the distinction between nonsuicidal self-injury (NSSI) and suicide attempts (SA) is highlighted in the section of conditions for further study. Aims: The objective of this study was to examine the correlates of people who presented to emergency departments (ED) with NSSI compared with those who presented with SA and no self-harm or suicidal ideation (no SH or SI). Method: Data came from 4,772 presentations to ED of tertiary care hospitals in Manitoba, Canada, between January 2009 and June 2012. Chart reviews were conducted for presentations with NSSI (n = 158), and a sample of SA (n = 172) and no SH or SI (n = 173). Results: NSSI was associated with borderline personality traits/disorders, previous history of SH, and aggression/impulsivity compared with no SH or SI. SA was associated with a lower likelihood of adjustment disorder (OR = 0.58; 95 % CI [0.34, 0.99]) and previous history of NSSI (OR = 0.30; 95 % CI [0.17, 0.53]) compared with NSSI. Limitations: A limitation of this study is its cross-sectional design. Conclusion: Given the distress associated with NSSI, the findings highlight the need for treatment plans that address all those who present to ED with SH regardless of intent.

中文翻译：

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自我伤害演示与紧急服务的比较。

背景：在《精神疾病诊断和统计手册》第 5 版中，非自杀性自伤 (NSSI) 和自杀未遂 (SA) 之间的区别在进一步研究的条件部分突出显示。目的：本研究的目的是检查到急诊室 (ED) 出现 NSSI 的人与出现 SA 且没有自残或自杀意念（无 SH 或 SI）的人之间的相关性。方法：数据来自 2009 年 1 月至 2012 年 6 月加拿大曼尼托巴省三级医院急诊科的 4,772 次报告。对 NSSI（n = 158）和 SA 样本（n = 172）和没有 SH 或 SI (n = 173)。结果：NSSI 与边缘人格特质/障碍、SH 既往史、和攻击性/冲动性与没有 SH 或 SI 相比。与 NSSI 相比，SA 与较低的适应障碍可能性（OR = 0.58；95% CI [0.34, 0.99]）和 NSSI 既往史（OR = 0.30；95% CI [0.17, 0.53]）相关。局限性：本研究的局限性在于其横截面设计。结论：鉴于与 NSSI 相关的痛苦，研究结果强调需要制定治疗计划，以解决所有因 SH 出现在 ED 的患者，无论其意图如何。