Evaluation of Superficial and Deep Self-Inflicted Wrist and Forearm Lacerations

Fujioka, Masaki; Murakami, Chikako; Masuda, Kana; Doi, Hanako

doi:10.1016/j.jhsa.2011.12.040

Cited by 21 publications

(10 citation statements)

References 13 publications

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“…Additionally, our study is the first on saPTSD to include a control group. Our study population seems to be representative of survivors of suicide attempts by DWI, as the predominance of male gender, mood disorders and substance use disorders, and unilateral injuries in self‐inflicted DWIs was also found in other studies (Blasco‐Fontecilla, Rodrigo‐Yanguas, Giner, Lobato‐Rodriguez, & De Leon, 2016; Buron et al, 2016; Fujioka, Murakami, Masuda, & Doi, 2012). However, our study has some important limitations.…”

Section: Discussionsupporting

confidence: 54%

Traumatizing Oneself—Deep Wrist Injuries Self‐Inflicted with Suicidal Intention are Associated with More Severe PTSD Symptomatology than Similar Injuries from Accidents

Westermair

Matzkeit

Waldmann

et al. 2020

Suicide & Life Threat Behav

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Objective As suicide attempts by definition entail at least some threat to physical integrity and life, they theoretically qualify as an A1 criterion for posttraumatic stress disorder (PTSD). This study uses the unique opportunity of deep wrist injuries to quantify the effect of intentionality on PTSD rates by comparing suicide attempt survivors with patients who sustained accidental injuries similar in mechanism, localization, and extent. Method Patients who had been admitted with an acute deep wrist injury from 2008 to 2016 filled out the revised Impact of Event Scale and reported other known PTSD risk factors. Mental morbidity and intentionality of the injury were determined by psychiatric consultation during the index hospitalization. Results Fifty‐one patients were followed up (72.5% male, 92.2% Caucasian, mean age at injury 42.3 ± 17.5 years, 72.5% accidental injuries), on average 4.2 ± 2.9 years after their injury. The intentionality of the injury alone predicted the severity of intrusions, avoidance, hyperarousal, and probable PTSD (aOR = 14.0). Conclusions Traumatization in the context of a suicide attempt may be a hitherto unknown PTSD risk factor. Patients after suicide attempts, especially medically serious attempts, should be monitored for PTSD symptoms.

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Section: Discussionsupporting

confidence: 54%

Traumatizing Oneself—Deep Wrist Injuries Self‐Inflicted with Suicidal Intention are Associated with More Severe PTSD Symptomatology than Similar Injuries from Accidents

Westermair

Matzkeit

Waldmann

et al. 2020

Suicide & Life Threat Behav

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“…Current studies on age-mixed populations suggest that self-cutting to arms and wrist implies a lower risk of later suicide than cutting in other areas of the body (Carroll et al, 2016). Also, patients with deep cutting wounds more often had prior psychiatric diagnoses (Fujioka, Murakami, Masuda, & Doi, 2012). Furthermore, patients who require more extensive treatment after cutting are more likely to present with high lethality at repetition (Larkin, Corcoran, Perry, & Arensman, 2014).…”

Section: Discussionmentioning

confidence: 99%

Method of self‐harm in adolescents and young adults and risk of subsequent suicide

Beckman

Mittendorfer‐Rutz

Wærn

et al. 2018

Child Psychology Psychiatry

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“…Thus, NSSI is often a warning sign that new skills are required for acknowledging and regulating negative emotion, and may be a consequence of untreated mental illness (Whitlock and Rodham, 2013). Despite the absence of suicidal intent, NSSI is a risk factor for suicide (Nock et al, 2006), and injuries commonly require medical attention (Fujioka et al, 2012).…”

mentioning

confidence: 99%

Stigma towards individuals who self harm: impact of gender and disclosure

Lloyd

Blazely

Phillips

2018

JPMH

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Purpose Non-suicidal self-injury (NSSI) is reasonably common, particularly among young people with prevalence rates of up to 25 per cent reported. Many factors contribute towards NSSI, including depression, anxiety and history of abuse and NSSI is a risk factor for suicide. Many people who engage in NSSI do not seek help, potentially due to concern about sigmatising attitudes. The purpose of this paper is to investigate the impact of gender and disclosure on stigmatising attitudes towards individuals who engage in NSSI. Design/methodology/approach Participants were 384 first-year university students (77.4 per cent female; mean age 19.50 years (SD=3.53)) who completed measures of stigmatising attitudes in response to vignettes featuring individuals who engaged in self-harming behaviour. Vignettes varied in the gender of the individual as well as whether the NSSI was disclosed or not. Findings The results support the attribution model of public discrimination in relation to NSSI stigma. Perceptions of higher personal responsibility for NSSI behaviour and higher levels of danger and manipulation were positively associated with stigmatizing attitudes and behaviours. Male research participants reported significantly higher levels of stigmatizing attitudes and behaviours than females. Social implications The level of stigmatising attitudes towards individuals who engage in NSSI is significant and may impact on help-seeking behaviour. Originality/value Between 10 and 25 per cent of adolescents engage in some form of NSSI, but only a minority seek help to address this behaviour. This study suggests that attitudes by peers may influence help-seeking. Further research is required outside of tertiary education settings.

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Evaluation of Superficial and Deep Self-Inflicted Wrist and Forearm Lacerations

Cited by 21 publications

References 13 publications

Traumatizing Oneself—Deep Wrist Injuries Self‐Inflicted with Suicidal Intention are Associated with More Severe PTSD Symptomatology than Similar Injuries from Accidents

Traumatizing Oneself—Deep Wrist Injuries Self‐Inflicted with Suicidal Intention are Associated with More Severe PTSD Symptomatology than Similar Injuries from Accidents

Method of self‐harm in adolescents and young adults and risk of subsequent suicide

Stigma towards individuals who self harm: impact of gender and disclosure

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