Risk Factors of Self-injury Behavior Among Psychiatric Inpatients

BackgroundSelf-injury behavior among mental patients has been recognized for several years, yet our understanding of its mechanisms and its risk factors remains limited.ObjectivesThis study aimed to assess the prevalence of deliberate self-harm (DSH) among psychiatric inpatients and to identify its association with personal and clinical factors.MethodsIt was a descriptive and analytic study. It included 87 psychiatric inpatients followed in the psychiatry department “C” at the Hedi Chaker University Hospital of Sfax in Tunisia. Barratt Impulsivity Scale (Bis11) and the 28-items Childhood Trauma Questionnaire (CTQ) were used to assess respectively impulsivity and child maltreatment.ResultsThe average age of patients was 29.32 ± 8 years. Most of them were male (75%) and single. Fifty-nine percent of patients had previously attempted suicide. A history of DSH was found in 60.9% of cases. The most frequent trauma types were emotional abuse and physical neglect with respectively 58.7% and 69.8%. Factors positively correlated with DSH were: male gender (P = 0.026), father alcoholism (P = 0.024), history of suicide attempts (P = 0.017), borderline personality (P = 0.00) and history of emotional abuse (P = 0.008) or physical abuse (P = 0.04) or neglect (P = 0.004). Score “Bis11” was significantly correlated with suicide attempts (P = 0.00) and presence of childhood abuse (P = 0.00) or neglect (P = 0.01).ConclusionDSH seems to be a prevalent problem among psychiatric inpatients. It concerns mainly patients with a history of child abuse and impulsive behavior such as suicidal attempts underlying borderline personality disorder. Patients with these risk factors warrant specific attention in mental health services.Disclosure of InterestThe authors have not supplied their declaration of competing interest.

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The Voodoo Doll Self-Injury Task: A New Measure of Sub-Clinical Self-Harm Tendencies

10.31234/osf.io/npjuv ◽

2017 ◽

Author(s):

David Skylan Chester ◽

Tchiki Davis ◽

C. Nathan DeWall

Keyword(s):

Risk Factors ◽

Clinical Utility ◽

Experimental Designs ◽

Clinical Validity ◽

Total N ◽

Self Injury ◽

Trait Level ◽

Self Harm ◽

Initial Support

We introduce a new measure of sub-clinical self-harm tendencies, the Voodoo Doll Self-Injury Task (VDSIT). In this computer task, participants virtually stick a number of sharp pins in a doll that represents themselves. Across five community and undergraduate samples who were not recruited based on their self-harm history or risk (total N = 1,289), VDSIT scores were higher among participants with histories of actual self-injury and were positively correlated with state and trait level motivations to self-harm. VDSIT scores did not correspond to tendencies to harm others, showed sensitivity to experimental manipulations that increase self-harm tendencies, and were positively correlated with established risk factors for self-harm (e.g., depression). The VDSIT did not, on average, elicit significant distress from participants during or after the task, even among participants who had previously engaged in self-harm. Whereas the clinical utility of this measure remains unexamined, these findings provide initial support for the VDSIT’s sub-clinical validity, which can help researchers accurately, economically, and rapidly measure state and trait level self-harm tendencies using both correlational and experimental designs.

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Nonsuicidal Self-Injury Among Youth

10.1093/oxfordhb/9780190634841.013.34 ◽

2018 ◽

Cited By ~ 1

Author(s):

Adam Bryant Miller ◽

Maya Massing-Schaffer ◽

Sarah Owens ◽

Mitchell J. Prinstein

Keyword(s):

Risk Factors ◽

Applied Research ◽

Evidence Based ◽

Prevalence Rates ◽

Evidence Based Treatment ◽

The Past ◽

Self Injury ◽

Assessment Techniques ◽

Basic And Applied Research ◽

Nonsuicidal Self Injury

Nonsuicidal self-injury (NSSI) is direct, intentional harm to one’s own body performed without the intent to die. NSSI has a marked developmental onset reaching peak prevalence in adolescence. NSSI is present in the context of multiple psychological disorders and stands alone as a separate phenomenon. Research has accumulated over the past several decades regarding the course of NSSI. While great advances have been made, there remains a distinct need for basic and applied research in the area of NSSI. This chapter reviews prevalence rates, correlates and risk factors, and leading theories of NSSI. Further, it reviews assessment techniques and provides recommendations. Then, it presents the latest evidence-based treatment recommendations and provides a case example. Finally, cutting edge research and the next frontier of research in this area are outlined.

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Comparison of Risk Factors of Falling for Psychiatric Inpatients and General Ward Inpatients Who Had Fallen

Journal of the American Psychiatric Nurses Association ◽

10.1177/10783903211033028 ◽

2021 ◽

pp. 107839032110330

Author(s):

Wen P. Chang ◽

Hsiu J. Jen

Keyword(s):

Risk Factors ◽

Multinomial Logistic Regression ◽

Psychiatric Patients ◽

Length Of Hospital Stay ◽

Psychiatric Inpatients ◽

General Ward ◽

Prevention Measures ◽

Risk Of Falling ◽

Multinomial Logistic Regression Analysis ◽

Risk Factors For Falling

BACKGROUND: For psychiatric patients, the issue of falling is complex. OBJECTIVE: The objective of this study was to compare the risk factors for falling in psychiatric inpatients and general ward inpatients who had fallen. METHODS: The researchers first derived official fall records for 122 psychiatric inpatients and then selected 122 psychiatric inpatients who had not fallen as well as 122 general ward patients who had fallen, matched for gender, age, and length of hospital stay at the time of the fall incident. RESULTS: After controlling other variables, multinomial logistic regression analysis revealed that psychiatric inpatients who had fallen and had dizziness (odds ratio [OR] = 7.11, p < .001), had an unsteady gait (OR = 1.97, p = .030), or were not using aids (OR = 0.42, p = .042) were at greater risk of falling than those who had not fallen. The researchers also found that general ward inpatients who had fallen and had higher Charlson Comorbidity Index scores (OR = 1.77, p < .001), were clear-headed (OR = 27.15, p = .001), had dizziness (OR = 11.55, p < .001), were unable to walk (OR = 64.28, p < .001), or were using aids (OR = 3.86, p = .001) were at greater risk of falling than those who had not fallen before. CONCLUSIONS: The causes of falling among psychiatric inpatients and general ward inpatients are different. Medical personnel should understand the medications and attributes of patients for an accurate assessment of their risk factors for falling and thus implement fall prevention measures and health education to reduce falls.

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Assessing change in dynamic risk factors in forensic psychiatric inpatients: relationship with psychopathy and recidivism

Journal of Forensic Psychiatry and Psychology ◽

10.1080/14789949.2017.1377277 ◽

2017 ◽

Vol 29 (2) ◽

pp. 323-336 ◽

Cited By ~ 5

Author(s):

Bianca Mastromanno ◽

Delene M. Brookstein ◽

James R. P. Ogloff ◽

Rachel Campbell ◽

Chi Meng Chu ◽

...

Keyword(s):

Risk Factors ◽

Psychiatric Inpatients ◽

Dynamic Risk Factors ◽

Dynamic Risk ◽

Forensic Psychiatric

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Association of Self-reported Impulsivity to Nonsuicidal Self-Injury, Suicidality, and Mortality in Adolescent Psychiatric Inpatients

The Journal of Nervous and Mental Disease ◽

10.1097/nmd.0000000000000655 ◽

2017 ◽

Vol 205 (5) ◽

pp. 340-345 ◽

Cited By ~ 9

Author(s):

Lauri Alasaarela ◽

Helinä Hakko ◽

Kaisa Riala ◽

Pirkko Riipinen

Keyword(s):

Psychiatric Inpatients ◽

Self Injury ◽

Nonsuicidal Self Injury

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Factores contextuales relacionados a las conductas de autolesión no suicidas: una revisión sistemática

Psicología y Salud ◽

10.25009/pys.v31i1.2675 ◽

2020 ◽

Vol 31 (1) ◽

pp. 51-59

Author(s):

Karen Guadalupe Duarte Tánori ◽

José Ángel Vera Noriega ◽

Daniel Fregoso Borrego

Keyword(s):

Risk Factors ◽

Self Injury ◽

Palabras Clave ◽

Revisión Sistemática ◽

Factores De Riesgo ◽

Self Harm

Las conductas autolesivas implican hacerse daño sin la intención de llegar al suicidio, y son comportamientos que se consideran como un problema que va en aumento entre la población adolescente; de hecho, en México los datos estadísticos estiman que 10% de los adolescentes se autolesionan; no obstante, la investigación de los factores de riesgo contextuales que propician tales conductas se ha considerado inadecuada y limitada. Objetivo: Con la finalidad de recabar las variables y teorías actuales para abordar el problema, el propósito de esta revisión fue analizar la bibliografía especializada sobre los factores contextuales relacionados a las conductas de autolesión no suicida en adolescentes. Método: Se realizó una búsqueda exhaustiva en las bases de datos Scopus, EBSCO, Dialnet Plus y SciELO, considerando los artículos publicados de enero de 2015 a abril de 2019, y empleando las palabras clave self-injury, self-harm, adolescents, teenagers, risk factors, autolesión, adolescentes y factores de riesgo, ubicadas tanto en el título como en el resumen. Se seleccionaron diez trabajos que cumplieron los criterios de inclusión en la base bibliográfica. Resultados: Entre las variables estudiadas en los distintos artículos, relacionadas con la familia se encontraron como significativas la muerte de los padres, un historial de abuso y los conflictos familiares, mientras que en las vinculadas a la escuela la variable significativa fue la victimización en el acoso escolar.

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