Psychiatric impairment among adolescents engaging in different types of deliberate self-harm
Psychiatric impairment among adolescents engaging in different types of deliberate self-harm
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DOI：
10.1080/15374410801955771
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发表时间：
2008-04-01
影响因子：
4.2
通讯作者：
Turner, J. Blake
中科院分区：
文献类型：
--
作者：
Jacobson, Colleen M.;Muchlenkamp, Jennifer J.;Turner, J. Blake
这项回顾性图表审查研究的227名参与者检查了门诊青少年的精神状况，年龄12至19岁（M = 15.08岁，SD = 1.72岁）从事不同类型的故意自我伤害（DSH）行为。参与者被分为四组：无故意自我伤害（NoDSH; n = 119），仅非自杀性自我伤害（NSSI; n = 30），仅自杀企图（n = 38）和自杀企图+NSSI（n = 40）。那些试图自杀的人比那些只从事NSSI的人更有可能患有重度抑郁症和/或创伤后应激障碍。那些从事任何类型的DSH的人比那些没有从事DSH的人更容易有边缘性人格障碍的特征。NSSI组的自杀意念水平与NoDSH组相似。研究结果为区分自杀和非自杀性自伤行为的重要性提供了实证支持。
This retrospective chart review study of 227 participants examined the psychiatric profiles of outpatient adolescents ages 12 to 19 years (M = 15.08 years, SD = 1.72 years) engaging in different types of deliberate self-harm (DSH) behaviors. Participants were divided into four groups: no deliberate self-harm (NoDSH; n = 119), nonsuicidal selfinjury only (NSSI only; n = 30), suicide attempt only (n = 38), and suicide attempt plus NSSI (n = 40). Those who attempted suicide were more likely to have major depressive disorder and/or posttraurmatic stress disorder than those who engaged in NSSI only. Those who engaged in any type of DSH were more likely to have features of borderline personality disorder than those who did not engage in DSH. The suicidal ideation levels of those in the NSSI group were similar to those in the NoDSH group. Findings offer empirical support for the importance of distinguishing between suicidal and nonsuicidal self-harm behaviors.