The relationship between deliberate self-harm behavior, body dissatisfaction, and suicide in adolescents: current concepts
Identifieur interne : 000355 ( Pmc/Curation ); précédent : 000354; suivant : 000356The relationship between deliberate self-harm behavior, body dissatisfaction, and suicide in adolescents: current concepts
Auteurs : Donald E. Greydanus [États-Unis] ; Roger W. Apple [États-Unis]Source :
- Journal of Multidisciplinary Healthcare [ 1178-2390 ] ; 2011.
Abstract
Deliberate self-harm (DSH) is a common though often hidden condition in children and adolescents that may result in suicide. This discussion covers several aspects of DSH including its prevalence, etiology, and management. The relationships of DSH to body dissatisfaction and suicide are specifically considered. Even though most cases of DSH do not end in overt suicide, DSH reflects that potential underlying psychological pathophysiology, and likelihood of eventual death from self-murder, cannot always be predicted or prevented. It is important to take all acts of DSH as serious, and to offer comprehensive management to prevent future acts of DSH and potential suicide.
Url:
DOI: 10.2147/JMDH.S11569
PubMed: 21811385
PubMed Central: 3141836
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<front><div type="abstract" xml:lang="en"><p>Deliberate self-harm (DSH) is a common though often hidden condition in children and adolescents that may result in suicide. This discussion covers several aspects of DSH including its prevalence, etiology, and management. The relationships of DSH to body dissatisfaction and suicide are specifically considered. Even though most cases of DSH do not end in overt suicide, DSH reflects that potential underlying psychological pathophysiology, and likelihood of eventual death from self-murder, cannot always be predicted or prevented. It is important to take all acts of DSH as serious, and to offer comprehensive management to prevent future acts of DSH and potential suicide.</p>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Multidiscip Healthc</journal-id>
<journal-id journal-id-type="publisher-id">Journal of Multidisciplinary Healthcare</journal-id>
<journal-title-group><journal-title>Journal of Multidisciplinary Healthcare</journal-title>
</journal-title-group>
<issn pub-type="epub">1178-2390</issn>
<publisher><publisher-name>Dove Medical Press</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21811385</article-id>
<article-id pub-id-type="pmc">3141836</article-id>
<article-id pub-id-type="doi">10.2147/JMDH.S11569</article-id>
<article-id pub-id-type="publisher-id">jmdh-4-183</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>The relationship between deliberate self-harm behavior, body dissatisfaction, and suicide in adolescents: current concepts</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Greydanus</surname>
<given-names>Donald E</given-names>
</name>
<xref ref-type="aff" rid="af1-jmdh-4-183">1</xref>
<xref ref-type="aff" rid="af2-jmdh-4-183">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Apple</surname>
<given-names>Roger W</given-names>
</name>
<xref ref-type="aff" rid="af3-jmdh-4-183">3</xref>
<xref ref-type="corresp" rid="c1-jmdh-4-183"></xref>
</contrib>
</contrib-group>
<aff id="af1-jmdh-4-183"><label>1</label>
Pediatrics and Human Development; College of Human Medicine, Michigan State University, East Lansing, MI, USA</aff>
<aff id="af2-jmdh-4-183"><label>2</label>
Kalamazoo Center for Medical Studies, Michigan State University, Kalamazoo, MI, USA</aff>
<aff id="af3-jmdh-4-183"><label>3</label>
Psychological Evaluation and Consultation Services, Kalamazoo Regional Educational Service Agency, Portage, MI, USA</aff>
<author-notes><corresp id="c1-jmdh-4-183">Correspondence: Roger W Apple, Psychological Evaluation and Consultation Services, Kalamazoo Regional Educational Service Agency, 1819 Milham Road, Portage, MI 49002, USA, Tel +1 269 250 9327, Fax +1 269 250 9322, Email <email>rapple@kresa.org</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>30</day>
<month>5</month>
<year>2011</year>
</pub-date>
<volume>4</volume>
<fpage>183</fpage>
<lpage>189</lpage>
<permissions><copyright-statement>© 2011 Greydanus and Apple, publisher and licensee Dove Medical Press Ltd.</copyright-statement>
<copyright-year>2011</copyright-year>
<license><license-p>This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Deliberate self-harm (DSH) is a common though often hidden condition in children and adolescents that may result in suicide. This discussion covers several aspects of DSH including its prevalence, etiology, and management. The relationships of DSH to body dissatisfaction and suicide are specifically considered. Even though most cases of DSH do not end in overt suicide, DSH reflects that potential underlying psychological pathophysiology, and likelihood of eventual death from self-murder, cannot always be predicted or prevented. It is important to take all acts of DSH as serious, and to offer comprehensive management to prevent future acts of DSH and potential suicide.</p>
</abstract>
<kwd-group><kwd>deliberate self-harm</kwd>
<kwd>body dissatisfaction</kwd>
<kwd>suicide risk</kwd>
<kwd>children</kwd>
<kwd>adolescents</kwd>
<kwd>etiology</kwd>
<kwd>management</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><table-wrap id="t1-jmdh-4-183" position="float"><label>Table 1</label>
<caption><p>Self-harm methods<xref ref-type="bibr" rid="b1-jmdh-4-183">1</xref>
</p>
</caption>
<table frame="hsides" rules="groups"><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1"><list list-type="order"><list-item><p>Battery (self-hitting)</p>
</list-item>
<list-item><p>Biting</p>
</list-item>
<list-item><p>Drug overdose</p>
</list-item>
<list-item><p>Hanging</p>
</list-item>
<list-item><p>Jumping from high places (ie, buildings, bridges, others)</p>
</list-item>
<list-item><p>Pinching</p>
</list-item>
<list-item><p>Scratching</p>
</list-item>
<list-item><p>Self-burning</p>
</list-item>
<list-item><p>Self-cutting</p>
</list-item>
<list-item><p>Self-poisoning</p>
</list-item>
<list-item><p>Self-shooting</p>
</list-item>
<list-item><p>Well jumping</p>
</list-item>
<list-item><p>Others</p>
</list-item>
</list>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t2-jmdh-4-183" position="float"><label>Table 2</label>
<caption><p>Prevalence studies in deliberate self-harm behavior</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th align="left" valign="bottom" rowspan="1" colspan="1">Author</th>
<th align="left" valign="bottom" rowspan="1" colspan="1">Population</th>
<th align="left" valign="bottom" rowspan="1" colspan="1">Country</th>
<th align="left" valign="bottom" rowspan="1" colspan="1">Prevalence</th>
</tr>
</thead>
<tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">De Leo<xref ref-type="bibr" rid="b5-jmdh-4-183">5</xref>
</td>
<td align="left" valign="top" rowspan="1" colspan="1">3,754 adolescents</td>
<td align="left" valign="top" rowspan="1" colspan="1">Australia</td>
<td align="left" valign="top" rowspan="1" colspan="1">6.2%</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Nixon<xref ref-type="bibr" rid="b10-jmdh-4-183">10</xref>
</td>
<td align="left" valign="top" rowspan="1" colspan="1">14–21 years old</td>
<td align="left" valign="top" rowspan="1" colspan="1">Canada</td>
<td align="left" valign="top" rowspan="1" colspan="1">17% DSH; 83%: self-hitting cutting, scratching</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Morey<xref ref-type="bibr" rid="b8-jmdh-4-183">8</xref>
</td>
<td align="left" valign="top" rowspan="1" colspan="1">3,881 adolescents</td>
<td align="left" valign="top" rowspan="1" colspan="1">Ireland</td>
<td align="left" valign="top" rowspan="1" colspan="1">9.1%; 66%: self-cutting</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Ystgaard<xref ref-type="bibr" rid="b9-jmdh-4-183">9</xref>
</td>
<td align="left" valign="top" rowspan="1" colspan="1">4,060 adolescents</td>
<td align="left" valign="top" rowspan="1" colspan="1">Norway</td>
<td align="left" valign="top" rowspan="1" colspan="1">6.6% DSH; 74%: self-cutting</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Matsumoto<xref ref-type="bibr" rid="b6-jmdh-4-183">6</xref>
</td>
<td align="left" valign="top" rowspan="1" colspan="1">Teens</td>
<td align="left" valign="top" rowspan="1" colspan="1">Japan</td>
<td align="left" valign="top" rowspan="1" colspan="1">9.8%: self-cutting</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Li<xref ref-type="bibr" rid="b4-jmdh-4-183">4</xref>
</td>
<td align="left" valign="top" rowspan="1" colspan="1">Adolescents and adults</td>
<td align="left" valign="top" rowspan="1" colspan="1">Taiwan</td>
<td align="left" valign="top" rowspan="1" colspan="1">1% of all injuries; 80% self-cutting</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Yates<xref ref-type="bibr" rid="b7-jmdh-4-183">7</xref>
</td>
<td align="left" valign="top" rowspan="1" colspan="1">13–18 years old</td>
<td align="left" valign="top" rowspan="1" colspan="1">USA</td>
<td align="left" valign="top" rowspan="1" colspan="1">26%–37%: self-cutting</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t3-jmdh-4-183" position="float"><label>Table 3</label>
<caption><p>Deliberate self-harm etiologic factors</p>
</caption>
<table frame="hsides" rules="groups"><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1"><list list-type="order"><list-item><p>Abuse</p>
</list-item>
<list-item><p>Adverse life events</p>
</list-item>
<list-item><p>Antidepressant medication</p>
</list-item>
<list-item><p>Bullying and cyberbullying<xref ref-type="bibr" rid="b17-jmdh-4-183">17</xref>
</p>
</list-item>
<list-item><p>Depression</p>
</list-item>
<list-item><p>Drug and alcohol use</p>
</list-item>
<list-item><p>Family and peer conflict and dysfunctionality</p>
</list-item>
<list-item><p>Impulsivity</p>
</list-item>
<list-item><p>Low(ered) self-esteem and persistent sense of hopelessness</p>
</list-item>
<list-item><p>Poverty</p>
</list-item>
<list-item><p>Suicidality (ie, suicidal ideation, suicidal plans, suicidal attempt)</p>
</list-item>
</list>
</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
</record>
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