The reasons dissociative disorder patients self-injure

Abstract

Background Most individuals with dissociative disorders (DDs) report engaging in self-injury. Objective The present study aimed to understand the reasons for self-injury among a clinical sample of 156 DD patients enrolled in the TOP DD Network study. Method Participants answered questions about self-injury, including a prompt asking how often they are aware of the reasons they have urges to self-injure, as well as a prompt asking them to list three reasons they self-injure. Results Six themes of reasons for self-injury, each with subthemes, were identified in the qualitative data: (1) Trauma-related Cues, (2) Emotion Dysregulation, (3) Stressors, (4) Psychiatric and Physical Health Symptoms, (5) Dissociative Experiences, and (6) Ineffective Coping Attempts. Participants reported that they were able to identify their reasons for self-injuring sometimes (60.26%) or almost always (28.85%), with only 3.20% unable to identify any reasons for their self-injury. Conclusion Results suggest that the vast majority of DD patients (92.31%) reported being at least partially unaware of what leads them to have self-injury urges, and many individuals with DDs experience some reasons for self-injury that are different from those with other disorders. The treatment implications of these findings are discussed.

Perceptions of Knowledge, Attitudes, and Skills about Non-Suicidal Self-Injury: A Survey of Emergency and Mental Health Nurses

“…Asiri A. [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] pilot study in order to assess the reliability of the study questionnaire. A pilot sample of 30 mental health and emergency department nurses, who were excluded from the original study sample, were recruited in this pilot study.…”

“…In addition, it was found that The New ArmeNiAN medicAl JourNAl, Vol. 16 (2022), 3, p. Asiri A.. [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] 74.9% (n=146) were nurses holding bachelor degree, 20.5% (n=40) had a diploma degree and 4.6% (n=9) had either masters or PhD degree.…”

“…¾ There were significant statistical difference in knowledge about NSSIs between nurses in Eradahh hospital (26.32±9.7), King Fahad Hospital The New ArmeNiAN medicAl JourNAl, Vol. 16 (2022), 3, p. Asiri A.. [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] pendent samples t-test and ANOVA to identify any significant differences in mental health and emergency department nurses' attitudes towards NSSIs referred to their socio-demographic characteristics. The results revealed that: There was significant statistical difference in the attitudes towards NSSI between mental health nurses (33.8±7.5) and emergency department nurses (36.7±6.7), (t=-2.827, p=0.000).…”

“…16 (2022), 3, p. Asiri A. [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] the mental health and emergency department nurses' attitudes towards NSSIs between nurses who received formal training related to NSSI (36.5±6.9) and those who received no training related to NSSI (32.3±7.00), (t=3.563, p=0.000) discussioN Self-harm or self-injury is direct, intentional injury to one's skin tissue, usually without suicidal intent. Other terms such as cutting and self-mutilation have been used for any self-injurious behavior regardless of intent to suicide.…”

“…The New ArmeNiAN medicAl JourNAl, Vol. 16 (2022), 3, p. Asiri A.. [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] mental health nurses had a high level of skills related to NSSIs. Consequently, the high level of skills related to NSSIs should be an indicator of solid knowledge background.…”