Adolescents With Suicidal and Nonsuicidal Self-Harm: Clinical Characteristics and Response to Therapeutic Assessment.

Self-harm is one of the best predictors of death by suicide, but few studies directly compare adolescents with suicidal versus nonsuicidal self-harm. Seventy adolescents presenting with self-harm (71% young women, ages 12-18 years) who participated in a randomized controlled trial were divided into...

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Publicado en:Psychological Assessment Vol. 24; no. 1; pp. 11 - 21
Autores principales: Ougrin, Dennis, Kyriakopoulos, Marinos, Zundel, Tobias, Banarsee, Reetoo, Stahl, Daniel, Taylor, Eric
Formato: Artículo
Publicado: American Psychological Association Mar2012
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2012
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      pub: American Psychological Association
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        10.1037/a0025043
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        atl: Adolescents With Suicidal and Nonsuicidal Self-Harm: Clinical Characteristics and Response to Therapeutic Assessment.
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          Ougrin, Dennis
          Kyriakopoulos, Marinos
          Zundel, Tobias
          Banarsee, Reetoo
          Stahl, Daniel
          Taylor, Eric
        affil:
          King's College London
          Tavistock Centre
          Imperial College London
      su:
        Self-mutilation
        Suicide
        Death
        Teenagers
        Psychology
      sug:
        subj:
          Self-mutilation
          Suicide
          Death
          Teenagers
          Psychology
      keyword:
        adolescents
        nonsuicidal self-injury
        self-harm
        suicide attempt
        therapeutic assessment
        adolescents
        nonsuicidal self-injury
        self-harm
        suicide attempt
        therapeutic assessment
      ab: Self-harm is one of the best predictors of death by suicide, but few studies directly compare adolescents with suicidal versus nonsuicidal self-harm. Seventy adolescents presenting with self-harm (71% young women, ages 12-18 years) who participated in a randomized controlled trial were divided into suicidal and nonsuicidal self-harm categories using the Columbia Classification Algorithm of Suicide Assessment. Adolescents with suicidal self-harm were more likely than those with nonsuicidal self-harm to be young women, 22/23 (96%) versus 34/47 (72%), odds ratio (OR) = 8.33, 95% confidence interval (CI) [ 1.03, 50.0]; had a later age of onset of self-harm, 15.4 years vs. 13.8 years, mean difference = 1.6, 95% CI [.8, 2.431; and used self-poisoning more often, 18/23 (78%) versus I 1/47 (23%), OR = 3.43, 95% CI [2.00, 5.89]. Only those with nonsuicidal self-harm had an improvement on Children's Global Assessment Scale score following a brief therapeutic intervention, mean difference = 8.20, 95% CI 1.97, 15.421. However, there was no interaction between treatment and suicidality. There are important differences between adolescents presenting with suicidal and nonsuicidal self-harm. Suicidal self-harm in adolescence may be associated with a less favorable response to therapeutic assessment.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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