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Self Injurious Behavior

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https://www.readbyqxmd.com/read/27906614/development-of-new-forms-of-self-injurious-behavior-following-total-dental-extraction-in-lesch-nyhan-disease
#1
Livia Gisbert de la Cuadra, Rosa J Torres, Luis M Beltrán, Arantxa Sánchez, Juan G Puig
We report two Lesch-Nyhan Disease (LND) patients who developed new forms of self-injurious behavior following total dental extraction. Patients 1 and 2 were submitted to total teeth extraction at the age of 13 and 8 years, respectively, due to continuous self-biting, not prevented by mouth guards. Severity of dystonia was markedly reduced and quality of life improved. After 12 and 17 months, respectively, patient 1 started rubbing one foot against other and scratching toenails with his hands, and patient 2 stuck his legs and feet against hard objects...
December 2016: Nucleosides, Nucleotides & Nucleic Acids
https://www.readbyqxmd.com/read/27906411/mental-health-emergencies-in-paediatric-services-characteristics-diagnostic-stability-and-gender-differences
#2
Montserrat Porter, Rebeca Gracia, Joan-Carles Oliva, Montserrat Pàmias, Gemma Garcia-Parés, Jesús Cobo
INTRODUCTION: Child and adolescent psychiatric emergencies have increased in recent years. The main objective of our study is to analyze sociodemographic and clinical characteristics of psychiatric emergencies under 18 years old that came to our hospital. Secondary objectives were to study diagnostic stability made in the emergency department and undertake a gender analysis. METHODS: Descriptive cross-sectional study of patients attending the pediatric emergency department who required consultation to psychiatry service during 2010 and 2011, comparing data with two previous cross-sectional cuts (2002-2003 and 2006-2007)...
November 2016: Actas Españolas de Psiquiatría
https://www.readbyqxmd.com/read/27894037/psychopathology-profiles-of-acutely-suicidal-adolescents-associations-with-post-discharge-suicide-attempts-and-rehospitalization
#3
Johnny Berona, Adam G Horwitz, Ewa K Czyz, Cheryl A King
BACKGROUND: Suicidal adolescents are heterogeneous, which can pose difficulties in predicting suicidal behavior. The Youth Self-Report (YSR) psychopathology profiles predict the future onset of psychopathology and suicide-related outcomes. The present study examined the prevalence and correlates of YSR psychopathology profiles among suicidal adolescents and prospective associations with post-discharge rates of suicide attempts and psychiatric rehospitalization. METHODS: Participants were acutely suicidal, psychiatrically hospitalized adolescents (N=433 at baseline; n=355 at follow-up) who were enrolled in a psychosocial intervention trial during hospitalization...
November 18, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27888700/negative-mood-and-interference-control-in-nonsuicidal-self-injury
#4
Kenneth J D Allen, Jill M Hooley
People who engage in nonsuicidal self-injury (NSSI) often report high levels of impulsivity. However, results from behavioral tasks measuring impulsivity have been mixed: those with a history of NSSI generally perform comparably to healthy controls. Recent research suggests, however, that people who self-injure have specific deficits in response inhibition to negative emotional stimuli. Here, we extend this work by testing whether negative mood impairs interference control in NSSI. 33 participants reporting a history of NSSI (approximately half in the past year) and 31 age- and gender-matched healthy controls completed the multi-source interference task before and after a written negative mood induction designed to increase feelings of worthlessness, guilt, and shame...
November 4, 2016: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/27878840/challenging-behaviours-in-adults-with-an-intellectual-disability-a-total-population-study-and-exploration-of-risk-indices
#5
Darren L Bowring, Vasiliki Totsika, Richard P Hastings, Sandy Toogood, Gemma M Griffith
OBJECTIVES: Considerable variation has been reported in the prevalence and correlates of challenging behaviour (CB) in adults with intellectual disabilities (ID). To provide a robust estimate of prevalence, we identified the entire administrative population of adults with ID in a defined geographical area and used a behaviour assessment tool with good psychometric properties. METHODS: Data from 265 adults who were known to services were collected using a demographic survey tool and the Behavior Problems Inventory - Short Form...
November 23, 2016: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/27872793/improved-methods-to-produce-tissue-engineered-skin-substitutes-suitable-for-the-permanent-closure-of-full-thickness-skin-injuries
#6
Danielle Larouche, Laurence Cantin-Warren, Maxime Desgagné, Rina Guignard, Israël Martel, Akram Ayoub, Amélie Lavoie, Robert Gauvin, François A Auger, Véronique J Moulin, Lucie Germain
There is a clinical need for skin substitutes to replace full-thickness skin loss. Our group has developed a bilayered skin substitute produced from the patient's own fibroblasts and keratinocytes referred to as Self-Assembled Skin Substitute (SASS). After cell isolation and expansion, the current time required to produce SASS is 45 days. We aimed to optimize the manufacturing process to standardize the production of SASS and to reduce production time. The new approach consisted in seeding keratinocytes on a fibroblast-derived tissue sheet before its detachment from the culture plate...
2016: BioResearch Open Access
https://www.readbyqxmd.com/read/27869505/using-propensity-scores-to-examine-the-association-between-behavioral-inhibition-activation-and-nonsuicidal-and-suicidal-self-injury
#7
Brooke A Ammerman, Evan M Kleiman, Abbigail L Jenkins, Mitchell E Berman, Michael S McCloskey
BACKGROUND: Self-injurious behavior (e.g., nonsuicidal self-injury, suicide attempts) is a serious public health concern. One potentially important but understudied predictor of nonsuicidal and suicidal self-injury involves the behavioral inhibition and activation system (BIS/BAS). AIMS: The goal of the current study was to examine the relationship between nonsuicidal and suicidal self-injury and BIS/BAS, and to consider the influence of related variables in the relationship...
November 21, 2016: Crisis
https://www.readbyqxmd.com/read/27856605/medically-hospitalized-patients-with-eating-disorders-and-somatoform-disorders-in-pediatrics-what-are-their-similarities-and-differences-and-how-can-we-improve-their-care
#8
Patricia Ibeziako, Jennifer M Rohan, Simona Bujoreanu, Christine Choi, Meghan Hanrahan, Melissa Freizinger
OBJECTIVES: The purpose of the current study is to describe the demographic and clinical characteristics and health care use of medically hospitalized patients with eating disorders (ED) and somatoform disorders (SFD) in a pediatric setting and to use the findings to explore opportunities for improved care. METHODS: Retrospective chart reviews of 125 patients with SFD and 125 patients with ED (N = 250) seen at a tertiary pediatric facility over a 12- and 19-month period, respectively...
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27844461/antecedents-of-suicide-among-youth-aged-11-15-a-multistate-mixed-methods-analysis
#9
Kristin M Holland, Alana M Vivolo-Kantor, Joseph E Logan, Ruth W Leemis
Suicide is the second leading cause of death for youth aged 11 to 15, taking over 5,500 lives from 2003 to 2014. Suicide among this age group is linked to risk factors such as mental health problems, family history of suicidal behavior, biological factors, family problems, and peer victimization and bullying. However, few studies have examined the frequency with which such problems occur among youth suicide decedents or the context in which decedents experience these risk factors and the complex interplay of risk that results in a decedent's decision to take his/her own life...
November 14, 2016: Journal of Youth and Adolescence
https://www.readbyqxmd.com/read/27843436/lifetime-multiple-mild-traumatic-brain-injuries-are-associated-with-cognitive-and-mood-symptoms-in-young-healthy-college-students
#10
Kyle C Vynorius, Alyssa M Paquin, Daniel R Seichepine
BACKGROUND/OBJECTIVES: Repetitive mild traumatic brain injury (mTBI, also known as concussion) has been associated with a range of long-term mood and cognitive deficits, including executive dysfunction. Previous research in athletes suggests that cognitive and mood problems are associated with a history of repetitive mTBI. However, to date, no studies have examined the impact of a lifetime accumulation of repetitive mTBIs on cognition, particularly executive functioning, and mood in a sample of young adults who were not athletes...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27833236/self-injurious-behavior-in-a-young-child-with-lesch-nyhan-syndrome
#11
Satyakam Mohapatra, Alok Jyoti Sahoo
Lesch-Nyhan syndrome (LNS) is a rare inherited disorder caused by a deficiency of the enzyme hypoxanthine-guanine phosphoribosyl transferase-1. Few reports on behavioral aspects especially self-injurious behavior in LNS patients are available. We report a case of LNS in an 8-year-old male child, who presented with characteristic self-injurious behavior.
September 2016: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/27830427/factors-associated-with-self-injurious-behaviors-in-children-with-autism-spectrum-disorder-findings-from-two-large-national-samples
#12
G N Soke, S A Rosenberg, R F Hamman, T Fingerlin, C R Rosenberg, L Carpenter, L C Lee, E Giarelli, L D Wiggins, M S Durkin, A Reynolds, C DiGuiseppi
In this study, we explored potential associations among self-injurious behaviors (SIB) and a diverse group of protective and risk factors in children with autism spectrum disorder from two databases: Autism and Developmental Disabilities Monitoring (ADDM) Network and the Autism Speaks-Autism Treatment Network (AS-ATN). The presence of SIB was determined from children's records in ADDM and a parent questionnaire in AS-ATN. We used multiple imputation to account for missing data and a non-linear mixed model with site as a random effect to test for associations...
November 9, 2016: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/27817247/breaking-bad-news-to-patients-with-spinal-cord-injury-in-turkey-physiatrists-perspective
#13
Ozden Ozyemisci-Taskiran, Isil Irem Budakoglu, Ozlem Coskun, Nesrin Demirsoy
OBJECTIVE: To explore Turkish physiatrists' experiences and opinions about breaking bad news (BBN) to patients with spinal cord injury (SCI). DESIGN: A cross sectional study. SETTING: Turkey. PARTICIPANTS: Sixty-nine physiatrists completed a questionnaire about experiences and opinions regarding BBN and self-assessment of communication skills (CS). RESULTS: Eleven percent of specialists and 53% of residents were trained on basic CS...
November 7, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27816254/closing-in-on-crisis-informing-clinical-practice-regarding-nonsuicidal-self-injury-in-youth
#14
Cara C Young, Amanda J Simonton, Stephanie Key, Amanda N Barczyk, Karla A Lawson
Nonsuicidal self-injury (NSSI) in youth is a major public health concern. A retrospective chart review was conducted within a hospital system to examine (a) youth self-reports of reasons for engaging in NSSI and (b) additional contextual circumstances that may contribute to youth NSSI. Detailed history, physical examination, and treatment/discharge data were extracted by thoroughly reviewing all electronic documents in each medical record. The final sample (N = 135) were predominantly female (71.1%), and well over half (63...
November 2, 2016: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/27814456/the-role-of-parental-psychopathology-and-personality-in-adolescent-non-suicidal-self-injury
#15
Molly A Gromatsky, Monika A Waszczuk, Greg Perlman, Katie Lee Salis, Daniel N Klein, Roman Kotov
Adolescent non-suicidal self-injury (NSSI), a significant risk factor for suicidal behavior, is strongly associated with adolescent psychopathology and personality traits, particularly those characterized by poor self-regulation. Some parental psychopathology and personality traits have also been identified as risk factors for adolescent NSSI, but specific parental characteristics and mechanisms involved in this association have not been systematically examined. The current study comprehensively investigated the contribution of parental psychopathology and personality to adolescent NSSI using data from the baseline wave of the Adolescent Development of Emotion and Personality Traits (ADEPT) study of 550 adolescent girls (mean age = 14...
October 19, 2016: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/27813143/emergency-department-youth-patients-with-suicidal-ideation-or-attempts-predicting-suicide-attempts-through-18%C3%A2-months-of-follow-up
#16
Joan Rosenbaum Asarnow, Michele Berk, Lily Zhang, Peter Wang, Lingqi Tang
This prospective study of suicidal emergency department (ED) patients (ages 10-18) examined the timing, cumulative probability, and predictors of suicide attempts through 18 months of follow-up. The cumulative probability of attempts was as follows: .15 at 6 months, .22 at 1 year, and .24 by 18 months. One attempt was fatal, yielding a death rate of .006. Significant predictors of suicide attempt risk included a suicide attempt at ED presentation (vs. suicidal ideation only), nonsuicidal self-injurious behavior, and low levels of delinquent symptoms...
November 3, 2016: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/27809667/social-and-behavioral-outcomes-following-traumatic-brain-injury-what-predicts-outcome-at-12-months-post-insult
#17
Cathy Catroppa, Stephen J C Hearps, Louise Crossley, Keith Owen Yeates, Miriam Helen Beauchamp, Jessica Fussela, Vicki Anderson
This study sought to investigate social and behavioral outcomes 12 months following childhood traumatic brain injury (TBI) and to identify predictors of these outcomes. The study also compared rates of impairment in social and behavioral outcomes at 12 months post-injury between children with TBI and a typically developing (TD) control group. The study comprised 114 children ages 5.5 to 16 years, 79 with mild, moderate, or severe TBI and 35 TD children, group-matched for age, sex and SES. Children with TBI were recruited via consecutive hospital admissions and TD children from the community...
November 3, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27808541/the-emotion-regulation-function-of-nonsuicidal-self-injury-a-momentary-assessment-study-in-inpatients-with-borderline-personality-disorder-features
#18
Marlies Houben, Laurence Claes, Kristof Vansteelandt, Ann Berens, Ellen Sleuwaegen, Peter Kuppens
Studies using retrospective self-report or proxies of nonsuicidal self-injury (NSSI) in the lab have shown that NSSI is often preceded by intense negative emotions and followed by a decrease in negative emotions/tension, suggesting an emotion regulation function of NSSI. To investigate this emotion regulation function of NSSI in a more ecologically valid way, we used experience sampling methods to examine the temporal relationship between NSSI behavior and emotional experiences throughout the day in 30 inpatients currently staying in psychiatric hospitals...
November 3, 2016: Journal of Abnormal Psychology
https://www.readbyqxmd.com/read/27808001/what-changes-when-the-course-of-improvement-during-a-stage-based-treatment-for-suicidal-and-self-injuring-women-with-borderline-personality-disorder-and-ptsd
#19
Melanie S Harned, Robert J Gallop, Helen R Valenstein-Mah
OBJECTIVE: Dialectical Behavior Therapy (DBT) with the DBT Prolonged Exposure (DBT PE) protocol is an integrated treatment for suicidal and self-injuring individuals with PTSD and borderline personality disorder (BPD) that occurs in three stages: Stage 1 targets behavioral dyscontrol, Stage 2 targets posttraumatic stress disorder (PTSD) via the DBT PE protocol, and Stage 3 addresses remaining problems. We evaluated the course of change in multiple outcomes across these three stages and compared them to changes found in DBT alone...
November 3, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27807672/nucleus-accumbens-deep-brain-stimulation-for-a-patient-with-self-injurious-behavior-and-autism-spectrum-disorder-functional-and-structural-changes-of-the-brain-report-of-a-case-and-review-of-literature
#20
Hye Ran Park, In Hyang Kim, Hyejin Kang, Dong Soo Lee, Bung-Nyun Kim, Dong Gyu Kim, Sun Ha Paek
The aim of this report was to investigate the clinical outcome of deep brain stimulation (DBS) for autism spectrum disorder (ASD) and the functional and structural changes in the brain after DBS. We present a 14-year-old boy with ASD and self-injurious behavior (SIB) refractory with medical and behavioral therapy. He was treated by bilateral nucleus accumbens (NAc) DBS. Remarkable clinical improvement was observed following NAc DBS. Brain fluorodeoxyglucose-positron emission tomography (FDG-PET) and magnetic resonance imaging (MRI) volumetric studies revealed that the metabolism in the prefrontal and the frontal cortex as well as the occipital cortex was markedly decreased in association with the decreased cortical volumes in those areas 2 years after NAc DBS...
November 3, 2016: Acta Neurochirurgica
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