Adolescent Psychiatric Inpatients’ Self-Reported Reasons for Cutting Themselves

Kumar, Geetha; Pepe, Deanna; Steer, Robert A.

doi:10.1097/01.nmd.0000146737.18053.d2

Cited by 92 publications

(80 citation statements)

References 16 publications

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“…3 1 The self-cutting behavior, though confusing to others, often serves as a way of releasing intense and unbearable pain from suppressed negative feelings driven by underlying depression and anxiety from conflicts with family and/or peers. 12,19,[66][67][68] On the other hand, social support was found to be an important protective factor against suicidal ideation.…”

Section: Etiology Of Deliberate Self-harmmentioning

confidence: 99%

Deliberate Self-harm and Suicide in Adolescents

Greydanus

Shek

2009

Keio j. med

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Deliberate self-harm (DSH) is a widespread yet often hidden problem in adolescents and young adults. Though most DSH can be classified as "non-suicidal self-cutting", some do go on to commit suicide. In this paper, deliberate self-harm is examined, including its prevalence, etiology, management, and future research directions using self-cutting and self-burning as examples. This article reviews recent literature to help understand what is known about self-cutting behavior and its potential relationship to suicide as well as provide direction for research. Research shows that different ecological factors at the individual, family, peer, and societal levels are related to deliberate self-harm. Although there is an association between some self-injurers and drug abuse (including alcohol abuse) as well as eating disorders, there are various subgroups of self-cutters and most are not at high risk for suicide. However, all acts of self-injury should be taken seriously by health care professionals and comprehensive therapy offered to any adolescent with a history of DSH. Future research directions on deliberate self-harm are also discussed. (Keio J Med 58 (3) : 144 -151, September 2009)

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Section: Etiology Of Deliberate Self-harmmentioning

confidence: 99%

Deliberate Self-harm and Suicide in Adolescents

Greydanus

Shek

2009

Keio j. med

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“…The most common mood disorder associated with suicide is depression, with 87% of those who died by suicide presenting with symptoms of depression [8]. Another serious risk factor is bipolar disorder.…”

Section: The Scope Of the Phenomenon Of Suicidementioning

confidence: 99%

Differences between suicide and non-suicidal self-harm behaviours: a literary review.

Halicka¹,

Kiejna²

2015

Arch Psych Psych

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SummaryThe World Health Organization (WHO) states that suicide is one of the 20 most common causes of death -almost 1 million people across the globe die by suicide every year (data from 21 July 2014) [1]. Suicide is one of the most common causes of death among teenagers [2,3]. Another significant but much less known phenomenon is non-suicidal self-injury (self-harm). Despite the fact that we know much less about self-harm than about suicide, research during the past 10 years has indicated that self-harm occurs more frequently in the population of adolescents -whereas suicides affect 10% of teenagers, 7-14% of young people report to have performed a self-harming act at least once in their lives [4]. The most recent international research shows that the frequency of self-destructive behaviours in adolescents is at the level of 24% of the whole population, which might indicate an intensification of this phenomenon [5]. In some cases self-injury takes place with a clear intention of committing an act of suicide, or it can be a self-destructive act which often precedes a suicidal attempt, sometimes long before the final decision to carry it out. Nevertheless, in the majority of cases self-injuary is not performed with the intention of death. Therefore, the following question might be posed: do self-harm acts constitute a separate category of behaviours, or do they inevitably lead to suicidal death? When answering, we ought to take a closer look at both phenomena to have a better understanding of their aetiology, risk factors and frequency, and to understand when they co-occur and when they belong to different categories of self-aggressive behaviours. suicide / non-suicidal self-injury / auto-aggression

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“…In adults, the wish to put an end to intolerable tension in the context of overwhelming affect emerges as a commonly reported reason for cutting (Suyemoto 1998;Yip 2002). Several studies have noted that young people report a 'sense of relief' when they cut themselves (Kumar 2004;Laye-Gindhu 2005). This affect regulation perspective involves reducing undesired emotional states (Nock 2010) or controlling emotions such as anger, anxiety, guilt or sadness in the face of stress and mounting tension (Machoian 2001;).…”

Section: Emotion Regulation and Copingmentioning

confidence: 99%

“…Adolescents psychiatric in-patients who had cut themselves reported that self-injury helped them 'cope with feelings of depression', and depressive symptomatology was associated with the number and intensity of motivations for cutting behaviours (Kumar 2004). Menninger (1938) described self-harm as an effort to avert completed suicide, with a 'sense of relief' that suicide has been avoided (Pattison 1983).…”

Section: Depressive Illnessmentioning

confidence: 99%

Young people who cut themselves: can understanding the reasons guide the treatment?

Wright¹,

Hooke²,

Neupert³

et al. 2013

Adv. psychiatr. treat

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SummaryYoung people who cut themselves may do so for reasons that go beyond diagnosis. Relevant processes include responses to trauma, coping, emotion regulation and cultural identification. Some clinicians regard those who self-harm negatively or consider one therapeutic approach to be suitable for all. This article explores the possible mechanisms involved when young people cut themselves and discusses therapeutic approaches in the light of these. Clinicians and researchers are encouraged to refine, develop and research interventions for young people who self-harm by cutting. DeClaraTioN of iNTereSTNone.

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Adolescent Psychiatric Inpatients’ Self-Reported Reasons for Cutting Themselves

Cited by 92 publications

References 16 publications

Deliberate Self-harm and Suicide in Adolescents

Deliberate Self-harm and Suicide in Adolescents

Differences between suicide and non-suicidal self-harm behaviours: a literary review.

Young people who cut themselves: can understanding the reasons guide the treatment?

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