Izlaganje sa skupa

https://doi.org/10.24869/psyd.2017.522

NONSUICIDAL SELF-INJURY IN A NATURALISTIC SAMPLE OF ADOLESCENTS UNDERGOING INPATIENT PSYCHIATRIC TREATMENT: PREVALENCE, GENDER DISTRIBUTION AND COMORBIDITIES

Kathrin Sevecke ; Department of Psychiatry, Psychotherapy and Psychosomatics in Childhood and Adolescence, Medical University of Innsbruck, Innsbruck, Austria
Astrid Bock ; Department of Psychiatry, Psychotherapy and Psychosomatics in Childhood and Adolescence, Medical University of Innsbruck, Innsbruck, Austria
Lucas Fenzel ; Department of Psychiatry, Psychotherapy and Psychosomatics in Childhood and Adolescence, Medical University of Innsbruck, Innsbruck, Austria
Manuela Gander ; Department of Psychiatry, Psychotherapy and Psychosomatics in Childhood and Adolescence, Medical University of Innsbruck, Innsbruck, Austria
Martin Fuchs orcid.org/0000-0003-4824-2511 ; Department of Psychiatry, Psychotherapy and Psychosomatics in Childhood and Adolescence, Medical University of Innsbruck, Innsbruck, Austria

Sažetak

Background: A growing body of research points toward nonsuicidal self-injury (NSSI) in adolescents as an important and frequent health-related risk factor. In 2013, NSSI was proposed in section 3 of the DSM-5 as a new diagnostic entity warranting further study. In line with that goal, the present study was conducted in order to evaluate prevalence, gender distribution and comorbidities of NSSI in a sample of
adolescent psychiatric inpatients.
Subjects and methods: The study included 130 adolescents (mean age 15.09 years, SD ± 1.47; 71.5% female) undergoing inpatient psychiatric treatment at a specialized facility. The factors assessed were sociodemographic data, the presence of NSSI according to the proposed DSM-5 criteria, clinical psychiatric diagnosis, the presence of suicidality and the presence of personality disorder.
Results: A large percentage, 38.5%, of the sample fulfilled DSM-5 criteria for NSSI, and more than half (50.8%) of the adolescents indicated having injured themselves at least once in the past. Patients with NSSI were predominantly young women and clustered in a spectrum of diagnostic entities including not only borderline personality disorders but also substance use disorders and affective disorders. A strong association was found between suicidality (suicidal ideation,
history of suicide attempt) and NSSI.
Conclusions: In line with previous findings, NSSI among adolescent psychiatric inpatients was found to be a frequent phenomenon associated with a broad spectrum of comorbidities. Moreover, while NSSI is conceptualized as an act without suicidal intent, it commonly occurs in patient groups with suicidal ideation or with a history of suicide attempts.

Ključne riječi

NSSI; self-harm; suicidality; comorbidity; adolescents

Hrčak ID:

190619

URI

https://hrcak.srce.hr/190619

Datum izdavanja:

4.12.2017.

Podaci na drugim jezicima: njemački

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