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https://www.readbyqxmd.com/read/28065425/clinical-outcome-of-patients-with-self-inflicted-burns
#1
P A Cornet, A S Niemeijer, G D Figaroa, M A van Daalen, T W Broersma, M E van Baar, G I J M Beerthuizen, M K Nieuwenhuis
INTRODUCTION: Patients with self-inflicted burns (SIB) are thought to have a longer length of stay compared to patients with accidental burns. However, other predictors for a longer length of stay are often not taken into account, e.g. percentage of the body surface area burned, age or comorbidities. Therefore, we wanted to study the outcome of patients with SIB at our burn center. METHODS: A retrospective, observational study was conducted. All adult patients with acute burns admitted to the burn center of the Martini Hospital Groningen, between January 1, 2009 and December 31, 2013 were included...
January 5, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28050482/headache-disability-suicidality-and-pain-catastrophization-are-they-related
#2
Harshal Rathod, Dushad Ram, Harsha Sundarmurthy, Snehal Rathod, Deepa John
INTRODUCTION: Studies have found that headache is associated with suicidality. Some demographic and clinical features have been reported to be associated with suicidality. Pain catastrophizing and disability may also have bearing on suicidality in patients with headache. AIM: To evaluate the relationship between pain disability and catastrophizing in headache and suicidal behaviour. MATERIALS AND METHODS: Patients diagnosed with headache were recruited from neurology Out-Patient Department (OPD)...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28040576/a-short-term-longitudinal-examination-of-the-relations-between-depression-anhedonia-and-self-injurious-thoughts-and-behaviors-in-adults-with-a-history-of-self-injury
#3
Melissa J Zielinski, Jennifer C Veilleux, E Samuel Winer, Michael R Nadorff
BACKGROUND: Limited research has addressed the role of anhedonia in predicting suicidality and/or nonsuicidal self-injury (NSSI) in adults, despite evidence suggesting that loss of interest or pleasure may increase vulnerability for self-inflicted harm, even beyond other depressive symptoms. METHODS: In the current study, we explored the role of symptoms of depression and recent changes in anhedonia in predicting suicidality, NSSI ideation, and perceptions of NSSI helpfulness among individuals with a history of NSSI or suicide attempts (N=187)...
December 7, 2016: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28039803/resting-cardiac-function-in-adolescent-non-suicidal-self-injury-the-impact-of-borderline-personality-disorder-symptoms-and-psychosocial-functioning
#4
Julian Koenig, Lena Rinnewitz, Peter Parzer, Franz Resch, Julian F Thayer, Michael Kaess
Vagally mediated heart rate variability (vmHRV) is reduced in borderline personality disorder (BPD). Non-suicidal self-injury (NSSI) is associated with comorbid psychopathology, in particular BPD. We aimed to examine differences in cardiac function (vmHRV and heart rate [HR]) comparing adolescents (12-17 years) engaging in NSSI (n=30) and healthy controls (n=30). Further, we aimed to determine clinical concomitants of cardiac function in patients with NSSI. Analyses showed no significant group differences on cardiac function...
December 21, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/28004442/psychopathological-differences-between-suicide-ideators-and-suicide-attempters-in-patients-with-mental-disorders
#5
Sandra Pérez, Jose H Marco, Joaquin García-Alandete
BACKGROUND: Although suicide is one of the leading causes of death worldwide, there is a need for studies to identify variables that can differentiate patients with suicide ideation at risk of transitioning to an attempt. METHOD: In this study, we assessed suicide ideation and attempts, non-suicidal self-injury (NSSI), hopelessness, borderline symptoms and meaning in life in a sample of 348 patients with different diagnoses of mental disorders. We divided the sample into four subgroups: patients without suicide ideation or suicide attempts; patients with current suicide ideation; patients with lifetime suicide attempts and patients with a suicide attempt in the previous year...
December 22, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27995358/ecological-momentary-assessment-of-affective-and-interpersonal-instability-in-adolescent-non-suicidal-self-injury
#6
Philip S Santangelo, Julian Koenig, Vera Funke, Peter Parzer, Franz Resch, Ulrich W Ebner-Priemer, Michael Kaess
Affective and interpersonal instability, both core features of Borderline Personality Disorder (BPD), have been suggested to underlie non-suicidal self-injury (NSSI). Ecological momentary assessment (EMA) is the method of choice when investigating dynamic processes. Previously no study addressed affective and interpersonal instability in daily life of adolescents engaging in NSSI. Female adolescents with NSSI (n = 26) and age- and sex-matched healthy controls (n = 20) carried e-diaries on 2 consecutive weekends and were prompted in hourly intervals to rate their momentary affective state and feelings of attachment towards their mother and best friend...
December 19, 2016: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/27978502/associations-between-emotion-regulation-difficulties-eating-disorder-symptoms-non-suicidal-self-injury-and-suicide-attempts-in-a-heterogeneous-eating-disorder-sample
#7
Emily M Pisetsky, Ann F Haynos, Jason M Lavender, Scott J Crow, Carol B Peterson
BACKGROUND: This study examined the associations between specific dimensions of emotion dysregulation and eating disorder (ED) symptoms and behaviors, non-suicidal self-injury (NSSI), and suicide attempts in a heterogeneous ED sample. METHODS: Participants (N=110) completed the Difficulties in Emotion Regulation Scale (DERS), the Eating Disorder Examination Questionnaire (EDE-Q), and self-reported the presence of lifetime NSSI and a lifetime suicide attempt. RESULTS: The EDE-Q global score, a primarily cognitive measure of ED symptoms, was significantly positively correlated with DERS strategies, clarity, and awareness subscale scores and DERS total score (ps<0...
November 30, 2016: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/27969068/psychological-characteristics-of-self-harming-behavior-in-korean-adolescents
#8
Woo Kyeong Lee
Recently, self-injury is drawing the attention of researchers and clinicians. The purpose of this study was to investigate the prevalence and psychological characteristics of adolescents who engage in self-harm and to examine the risk factors for engaging in this harmful behavior among Korean mid-adolescents. Participants were 784 adolescents aged 13-15 years. They completed self-report questionnaires that assessed (1) Non-Suicidal Self-Injury: the Self-Harm Questionnaire, Toronto Alexithymia Scale; (2) depression: Children's Depression Inventory; (3) adolescent-parent relationship: Parental Bonding Instrument; (4) peer attachment: Inventory of Parent and Peer Attachment; and (5) academic stress...
October 2016: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/27941497/the-role-of-nociceptive-input-and-tissue-injury-on-stress-regulation-in-borderline-personality-disorder
#9
Franziska Willis, Sarah Kuniss, Nikolaus Kleindienst, Janina Naoum, Sarah Reitz, Sabrina Boll, Martin Bohus, Rolf-Detlef Treede, Ulf Baumgärtner, Christian Schmahl
Approximately 60-90% of patients with Borderline Personality Disorder (BPD) show non- suicidal self-injurious behavior (NSSI) with cutting being the most frequently applied method. One of NSSI's functions is to reduce aversive tension. Previous studies have found a tension-reducing effect of painful tissue injury by an incision. It is still unclear whether this effect is based on the effect of tissue injury or the effect of pain experience, or both. The aim of this study was to determine whether tissue injury leads to a stronger stress reduction than a sole pain stimulus in patients with BPD...
December 7, 2016: Pain
https://www.readbyqxmd.com/read/27936455/non-suicidal-self-injury-and-frequency-of-suicide-attempts-the-role-of-pain-persistence
#10
Keyne C Law, Lauren R Khazem, Hyejin M Jin, Michael D Anestis
BACKGROUND: Non-suicidal self-injury (NSSI) and suicidal behavior exhibit a robust association with one another. Research on the contexts within which this relationship is stronger or weaker, however, is limited. The interpersonal theory of suicidal behavior (ITS) posits that NSSI influences suicidal behavior through a habituation to physical pain and, as such, pain tolerance has been theorized to play an important role. We tested whether pain persistence, the difference between pain threshold and pain tolerance, would moderate the relationship between frequency of NSSI and suicidal behavior in both an undergraduate and community sample...
February 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27922239/predictors-of-self-esteem-in-adolescents-with-a-psychiatric-referral
#11
Devrim Akdemir, Tuna Çak, Cihan Aslan, Büşra Sultan Aydos, Kevser Nalbant, Füsun Çuhadaroğlu-Çetin
In the literature self-esteem is found to be lower in clinically referred adolescents compared to adolescents without any psychiatric disorder. The aim of this study is to examine self-esteem and associated socio-demographical and psychological factors in clinically referred adolescents in Turkey. Three hundred forty-nine adolescents aged between 12 and 18 years admitted to the Department of Child and Adolescent Psychiatry with a psychiatric complaint were enrolled. Rosenberg Self-Esteem Scale (RSES), Brief Symptom Inventory (BSI), Parenting Style Scale (PSS) and Sense of Identity Assessment Form (SIAF) were used for the evaluation...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27910261/borderline-personality-disorder-features-emotion-dysregulation-and-non-suicidal-self-injury-preliminary-findings-in-a-sample-of-community-dwelling-italian-adolescents
#12
Antonella Somma, Carla Sharp, Serena Borroni, Andrea Fossati
In order to assess the relationships among borderline personality disorder features, non-suicidal self-injury (NSSI) and emotion dysregulation, 122 community-dwelling Italian adolescents were administered by the Italian translations of the Borderline Personality Features Scale for Children-11, the Deliberate Self-Harm Inventory and the Difficulties in Emotion Regulation Scale (DERS). Regression models showed that both Deliberate Self-Harm Inventory (DSHI) and DERS scores significantly predicted Borderline Personality Features Scale for Children-11 total score; moreover, the DSHI total score significantly predicted the DERS total score...
December 2, 2016: Personality and Mental Health
https://www.readbyqxmd.com/read/27894037/psychopathology-profiles-of-acutely-suicidal-adolescents-associations-with-post-discharge-suicide-attempts-and-rehospitalization
#13
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...
February 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27858962/a-randomized-trial-of-brief-dialectical-behaviour-therapy-skills-training-in-suicidal-patients-suffering-from-borderline-disorder
#14
Shelley F McMain, Tim Guimond, Ryan Barnhart, Liat Habinski, David L Streiner
OBJECTIVE: Evidence-based therapies for borderline personality disorder (BPD) are lengthy and scarce. Data on brief interventions are limited, and their role in the treatment of BPD is unclear. Our aim was therefore to evaluate the clinical effectiveness of brief dialectical behaviour therapy (DBT) skills training as an adjunctive intervention for high suicide risk in patients with BPD. METHOD: Eighty-four out-patients were randomized to 20 weeks of DBT skills (n = 42) or a waitlist (WL; n = 42)...
February 2017: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/27835855/cross-sectional-and-temporal-association-between-non-suicidal-self-injury-and-suicidal-ideation-in-young-adults-the-explanatory-roles-of-thwarted-belongingness-and-perceived-burdensomeness
#15
Carol Chu, Megan L Rogers, Thomas E Joiner
Non-suicidal self-injury (NSSI) is a strong predictor of suicidal ideation and attempts. Consistent with the interpersonal theory of suicide, preliminary evidence suggests that NSSI is associated with higher levels of perceived burdensomeness (PB) and thwarted belongingness (TB). However, no study to date has examined the cross-sectional and prospective relationships between NSSI, TB, PB, and suicidal ideation (SI). To fill this gap, this study examined the mediating role of TB and PB in the relationship between NSSI and SI at baseline and follow-up...
December 30, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27829508/the-role-of-seeing-blood-in-non-suicidal-self-injury-in-female-patients-with-borderline-personality-disorder
#16
Janina Naoum, Sarah Reitz, Annegret Krause-Utz, Nikolaus Kleindienst, Franziska Willis, Sarah Kuniss, Ulf Baumgärtner, Falk Mancke, Rolf-Detlef Treede, Christian Schmahl
Patients with Borderline Personality Disorder (BPD) often engage in non-suicidal self-injury (NSSI), to reduce arousal levels under stress. However, the importance of seeing blood for the effect of NSSI is yet unknown. The present pilot study examined 20 female BPD patients and 20 healthy controls (HC) to assess the role of seeing blood on arousal, pain, urge for NSSI (ratings) and heart rate (continuously measured). Participants completed two sessions consisting of stress induction (forced mental arithmetics with white noise), followed by a seven second non-invasive pain stimulus with a blade to the volar forearm...
December 30, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27815757/impulsivity-and-self-harm-in-adolescence-a-systematic-review
#17
REVIEW
Joanna Lockwood, David Daley, Ellen Townsend, Kapil Sayal
Research supports an association between impulsivity and self-harm, yet inconsistencies in methodology across studies have complicated understanding of this relationship. This systematic review examines the association between impulsivity and self-harm in community-based adolescents aged 11-25 years and aims to integrate findings according to differing concepts and methods. Electronic searches of EMBASE, MEDLINE, PsychINFO, CINAHL, PubMed and The Cochrane Library, and manual searches of reference lists of relevant reviews identified 4496 articles published up to July 2015, of which 28 met inclusion criteria...
November 5, 2016: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/27814456/the-role-of-parental-psychopathology-and-personality-in-adolescent-non-suicidal-self-injury
#18
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...
February 2017: Journal of Psychiatric Research
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/27790863/identity-processes-and-statuses-in-patients-with-and-without-eating-disorders
#20
Margaux Verschueren, Koen Luyckx, Erin A Kaufman, Maarten Vansteenkiste, Philip Moons, Ellen Sleuwaegen, Ann Berens, Katrien Schoevaerts, Laurence Claes
Problems with identity formation are associated with a range of psychiatric disorders. Yet, the mechanisms underlying such problems and how they are refined into specific diagnostic presentations require further investigation. The present study investigated identity processes among 123 women with eating disorders (ED) and age-matched community controls via a newly developed identity model. Several clinical outcome variables were assessed. Patients with ED scored lower on committing to and identifying with identity-related choices and scored higher on maladaptive or ruminative exploration, identity diffusion and identity disorder...
January 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
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