Adolescent self-mutilation diagnosis & treatment

Community Mental Health Department, University of South Alabama, Mobile, Alabama 36688-0002, USA.
Journal of Psychosocial Nursing and Mental Health Services (Impact Factor: 0.72). 01/2008; 45(12):19-23.
Source: PubMed


Self-mutilation is complicated and difficult to diagnose. Its incidence among adolescents has increased during the past 10 years. Most mental health professionals discover that the behavior has been part of patients' lives long before their initial visit and that patients have become very good at hiding their behavior. The literature on self-mutilation is increasing, but newer statistics, specifically about cutting and picking behaviors, need to be assessed. The disorder often co-exists with another disorder that requires psychotropic medications, the administration of which should be managed by psychiatric clinicians who specialize in children and adolescents. A multidisciplinary team is necessary to achieve the best outcomes.

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    • "Further studies using ISSIQ- A in clinical samples are a possible direction in exploring self-harm in youths with specific mental health problems and related phenomena. Considering that self-harm can be more covert behaviors (Williams and Bydalek, 2007 "
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    ABSTRACT: Non-suicidal self-injury (NSSI) is the deliberate, self-inflicted destruction of body tissue without suicidal intent and an important clinical phenomenon. Rates of NSSI appear to be disproportionately high in adolescents and young adults, and is a risk factor for suicidal ideation and behavior. The present study reports the psychometric properties of the Impulse, Self-harm and Suicide Ideation Questionnaire for Adolescents (ISSIQ-A), a measure designed to comprehensively assess the impulsivity, NSSI behaviors and suicide ideation. An additional module of this questionnaire assesses the functions of NSSI. Results of Confirmatory Factor Analysis (CFA) of the scale on 1722 youths showed items' suitability and confirmed a model of four different dimensions (Impulse, Self-harm, Risk-behavior and Suicide ideation) with good fit and validity. Further analysis showed that youth׳s engagement in self-harm may exert two different functions: to create or alleviate emotional states, and to influence social relationships. Our findings contribute to research and assessment on non-suicidal self-injury, suggesting that the ISSIQ-A is a valid and reliable measure to assess impulse, self-harm and suicidal thoughts, in adolescence. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
    04/2015; 227(2-3). DOI:10.1016/j.psychres.2015.01.031
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    • "Self-mutilation can be a way to avoid committing suicide (Favazza, 1996; Rissanen et al., 2008b; Solomon & Farrand, 1996; Sueymoto, 1998; Williams & Bydalek, 2007), but it also offers a possibility to carry it out (Machoian, 2001; Rissanen et al., 2008a, 2008b; Scoliers et al., 2009). However, selfmutilation and attempted suicide should not be considered as synonyms, because they mean different things (Cerdorian, 2005), and there are significant differences in attitudes towards life among adolescents who have attempted suicide and those who have self-injured. "
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    ABSTRACT: The aim of this review article is to present current knowledge of self-mutilation among adolescents as a phenomenon and to define what kind of knowledge is lacking based on existing literature. The literature searches were executed in the CINAHL and Medline databases in 2010. The analysed data consisted of 126 articles and inductive content analysis was carried out. Existing knowledge of self-mutilation was categorized into the following two classes: (1) self-mutilation as a phenomenon and (2) caring for persons who self-mutilate or self-harm.
    Issues in Mental Health Nursing 08/2011; 32(9):575-83. DOI:10.3109/01612840.2011.578785
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    ABSTRACT: The increasing prevalence of self-injurious behavior (SIB) among mainstream adolescents has led to a growing body of research. This maladaptive behavior is used as a means of regulating negative emotions. Best practices regarding therapy are unclear, with many types of intervention being tried. Analysis of 36 qualitative and quantitative studies, reviews, and theory articles addressing adolescent SIB was conducted looking at aspects such as history, demographics, motivators, risk factors, techniques, and treatment options. An explosion of research is surfacing to determine effective care through creative approaches. Dialectical Behavior Therapy (DBT) shows great promise. The school setting is a natural environment for the identification and intervention of SIB which requires knowledge of indicators and risk factors. Education of school staff will increase awareness and enhance communication among disciplines. A circle of care can then surround the student to provide support and guidance while the proper interventions for emotional regulation and individual health promotion are developed.
    The Journal of School Nursing 11/2010; 27(2):120-8. DOI:10.1177/1059840510388570 · 1.11 Impact Factor
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