Deliberate self-harm II: self-injury

Author(s):  
MS Thambirajah
2007 ◽  
Vol 28 (2_suppl2) ◽  
pp. S381-S391 ◽  
Author(s):  
Arabinda N. Chowdhury ◽  
Sohini Banerjee ◽  
Arabinda Brahma ◽  
M. G. Weiss

Background Deliberate self-poisoning by ingesting pesticides is a serious health problem among farmers, especially in low- and middle-income countries. Preventing these suicides is a priority for a public mental health agenda. Objective To examine the role of pesticide poisoning in suicide and nonfatal deliberate self-harm, and clarify awareness of risks, safe practices concerning storage and use of pesticides, and associated self-injury, both unintentional and intentional, within farmer households of the Sundarban region, India. Methods Retrospective record review of adult cases of deliberate self-poisoning at the Block Primary Health Centres of 13 Sundarban Blocks was performed to analyze the relative roles of various methods of self-harm and their lethality. Focus group discussions, questionnaires, and in-depth interviews were undertaken in a community study of farmer households to examine pesticide-related views and practices, with particular attention to storage, use, and health impact. Results Pesticide poisoning was the most common method of deliberate self-harm in both men and women. Pesticide storage in most households was unsafe and knowledge was inadequate concerning adverse effects of pesticides on health, crops, and the environment. Conclusions An intersectoral approach linking the interests of public health, mental health, and agriculture is well suited to serve the collective interests of all three agendas better than each in isolation. Such an approach is needed to reduce morbidity and mortality from unintentional and intentional self-injury in low-income agricultural communities like those of the Sundarban region.


Author(s):  
Kim-San Lim ◽  
Celine H. Wong ◽  
Roger S. McIntyre ◽  
Jiayun Wang ◽  
Zhisong Zhang ◽  
...  

Objective: This meta-analysis aimed to estimate the global lifetime and 12-month prevalence of suicidal behavior, deliberate self-harm and non-suicidal self-injury in children and adolescents. Methods: A systematic search for relevant articles published between 1989 to 2018 was performed in multiple electronic databases. The aggregate 12-month and lifetime prevalence of suicidal behavior, deliberate self-harm, and non-suicidal self-injury were calculated based on the random-effects model. Subgroup analyses were performed to compare the prevalence according to school attendance and geographical regions. Results: A total of 686,672 children and adolescents were included. The aggregate lifetime and 12-month prevalence of suicide attempts was 6% (95% CI: 4.7–7.7%) and 4.5% (95% CI: 3.4–5.9%) respectively. The aggregate lifetime and 12-month prevalence of suicidal plan was 9.9% (95% CI: 5.5–17%) and 7.5% (95% CI: 4.5–12.1%) respectively. The aggregate lifetime and 12-month prevalence of suicidal ideation was 18% (95% CI: 14.2–22.7%) and 14.2% (95% CI: 11.6–17.3%) respectively. The aggregate lifetime and 12-month prevalence of non-suicidal self-injury was 22.1% (95% CI: 16.9–28.4%) and 19.5% (95% CI: 13.3–27.6%) respectively. The aggregate lifetime and 12-month prevalence of deliberate self-harm was 13.7% (95% CI: 11.0–17.0%) and 14.2% (95% CI: 10.1–19.5%) respectively. Subgroup analyses showed that full-time school attendance, non-Western countries, low and middle-income countries, and geographical locations might contribute to the higher aggregate prevalence of suicidal behaviors, deliberate self-harm, and non-suicidal self-injury. Conclusions: This meta-analysis found that non-suicidal self-injury, suicidal ideation, and deliberate self-harm were the three most common suicidal and self-harm behaviors in children and adolescents.


Author(s):  
Johanna Vigfusdottir ◽  
Karl Yngvar Dale ◽  
Kim L. Gratz ◽  
E. David Klonsky ◽  
Egil Jonsbu ◽  
...  

AbstractDeliberate self-harm (DSH) is a widespread transdiagnostic health problem with increasing prevalence among adolescences, and young adults. It is therefore essential to effectively chart the epidemiology of DSH, as well as to assess the efficacy of interventions designed to modify this behavior. The aim was to translate and analyze the psychometric properties of the Norwegian versions of two instruments designed to assess DSH: the Deliberate Self-harm Inventory (DSHI) and the Inventory of Statements About Self-Injury (ISAS), as well as to assess the prevalence of DSH within a nonclinical Norwegian adult population. Of the 402 participants who completed a questionnaire packet comprising the DSHI, ISAS, general questions about DSH, and other related measures, 30.6% reported some form of DSH. Those with a history of DSH reported greater difficulties with emotion regulation than those without. Participants with and without a history of DSH did not differ in unrelated constructs, including social desirability. The frequency of specific DSH behaviors was in accordance with previous research, with cutting being the most frequent. The factor structure of DSH functions in the Norwegian ISAS was generally comparable to the factor structure of the English version. Overall, results indicate that: a) the Norwegian versions of the DSHI and ISAS behave as expected and in accordance with prior research in other languages and other populations, and b) both the DSHI and ISAS have high internal consistency and adequate construct, convergent, and discriminant validity, and may be applied to evaluate DSH in adult Norwegian populations.


2018 ◽  
Vol 2018 ◽  
pp. 1-36 ◽  
Author(s):  
Maria N. K. Karanikola ◽  
Anne Lyberg ◽  
Anne-Lise Holm ◽  
Elisabeth Severinsson

Background. Identifying deliberate self-harm in the young and its relationship with bullying victimization is an important public health issue. Methods. A systematic review was performed to explore evidence of the association between deliberate self-harm and school bullying victimization in young people, as well as the mediating effect of depressive symptoms and self-stigma on this association. An advanced search in the following electronic databases was conducted in January 2018: PubMed/Medline; CINAHL; PsycINFO; PsycARTICLES; Science Direct; Scopus, and Cochrane Library. Studies that fulfilled the inclusion criteria were further assessed for their methodological integrity. The Norwegian Knowledge Centre for Health Services tool was applied for cross-sectional studies and the Critical Appraisal Skills Programme instrument for the cohort studies. Only empirical quantitative studies published in the English language in peer reviewed journals during the last decade (2007-2018) aimed at exploring the association between deliberate self-harm and school bullying victimization in community-based schoolchildren with a mean age of under 20 years were included. Results. The reviewed cross-sectional and cohort studies (22) revealed a positive association between school bullying victimization and deliberate self-harm, including nonsuicidal self-injury, which remained statistically significant when controlled for the main confounders. The mediating role of depressive symptoms in the association between deliberate self-harm and school bullying victimization was confirmed. A dose-response effect was shown in the association between nonsuicidal self-injury and school bullying victimization, whilst the mediating effect of depressive symptoms needs to be further explored. No studies were found directly exploring the mediating effect of self-stigma in the association between deliberate self-harm and bullying victimization. Conclusion. Targeted interventions aimed at eliminating victimization behaviours within the school context are therefore proposed, as well as interventions to promote healthy parenting styles for the parents of schoolchildren. Moreover, school healthcare professionals should screen students involved in bullying for self-injury, and vice versa.


Medicina ◽  
2009 ◽  
Vol 45 (2) ◽  
pp. 132 ◽  
Author(s):  
Agnė Laskytė ◽  
Nida Žemaitienė

The aim of this study is to identify how widely deliberate self-harm is spread and the types of deliberate self-harm among 15–17-year-old teenagers in Lithuania. Material and methods. The anonymous Lifestyle and Coping Questionnaire was used for the study carried out in 2006. This countrywide study involved 3848 respondents (2200 girls (57.2 %) and 1648 boys (42.8%)) aged 15–17 years from all 10 regions of Lithuania. Results. According to the findings of this study, 7.3% of 15–17-year-old Lithuanian teenagers (9.9% girls and 3.8% boys) stated that they had deliberately overdosed drugs or tried to inflict self-injury in other ways. Less than half of them (43.4%) reported that they were thinking to repeat such behavior. Half of the adolescents who inflicted self-injury were living in a two-parent family, 27.4% – with one of the parents, 7% – with other member of the family, and 9% – with other people. One-third of adolescents (34.2%) choose internal ways of self-harm, 26% – external self-injury, 11% – tried to harm themselves in mixed way, and 28.8% – did not indicate the way. In case of a self-injury mentioned above, 13.5% of adolescents were admitted to hospital. Conclusions. In Lithuania, adolescent self-harm is relatively frequent: 7.3% of 15–17-year-old Lithuanian adolescents deliberately self-harmed during their life. The most frequent way to self-harm is to overdose. This study confirms the need for preventive activities and necessity of further studies in this field.


Author(s):  
Jennifer J Muehlenkamp ◽  
Laurence Claes ◽  
Lindsey Havertape ◽  
Paul L Plener

Author(s):  
Roger Smyth

Self-harm refers to self-poisoning or self-injury, regardless of the apparent purpose of the act. The term self-harm is preferred to the older terms parasuicide/attempted suicide (which suggests an intent to die which might not have been present) and deliberate self-harm (because self-harm may also occur without deliberate intent in dissociative states). Self-harm includes a wide range of behaviours, including poisoning with drugs, poisoning with toxic chemicals, cutting, mutilation, jumping from heights, jumping in front of moving vehicles, and attempted drowning, shooting, asphyxiation, and hanging.


2013 ◽  
Vol 30 (1) ◽  
pp. 24-35 ◽  
Author(s):  
Rebecca Kortge ◽  
Tanya Meade ◽  
Alan Tennant

Deliberate self-harm (DSH), commonly defined as the intentional, direct and non-suicidal destruction of one's body, appears to be common across both clinical and non-clinical populations. A recently developed measure of functions of DSH, the Inventory of Statements About Self-Injury (ISAS), was examined to test its two-factor model within a sample of members of online social networks. The approach adopted was to fit data from the scale to the Rasch measurement model, which is increasingly used to develop and/or assess scales. Two hundred and one (n = 201) participants aged over 18 years of age, who had engaged in DSH in the last 12 months, were recruited from online social networks’ DSH peer support groups to complete an online survey. An exploratory factor analysis supported interpersonal and intrapersonal factors based on 13 function domains. Furthermore, both factors demonstrated satisfactory fit to the Rasch model. Some local dependency was detected, and when addressed, it impacted on the alpha coefficient level for intrapersonal factor. This study is the first independent psychometric investigation of ISAS, further supporting the scale authors’ psychometric evaluations. Additional validation across different DSH samples is recommended.


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