title: Psychiatric impairment among adolescents engaging in different types of deliberate self-harm.
abstract: This retrospective chart review study of 227 participants examined the psychiatric profiles of outpatient adolescents ages 12 to 19 years (M = 15.08 years, SD = 1.72 years) engaging in different types of deliberate self-harm (DSH) behaviors. Participants were divided into four groups: no deliberate self-harm (NoDSH; n = 119), nonsuicidal self-injury only (NSSI only; n = 30), suicide attempt only (n = 38), and suicide attempt plus NSSI (n = 40). Those who attempted suicide were more likely to have major depressive disorder and/or posttraumatic stress disorder than those who engaged in NSSI only. Those who engaged in any type of DSH were more likely to have features of borderline personality disorder than those who did not engage in DSH. The suicidal ideation levels of those in the NSSI group were similar to those in the NoDSH group. Findings offer empirical support for the importance of distinguishing between suicidal and nonsuicidal self-harm behaviors.
authors.affiliation: Columbia University/New York State Psychiatric Institute, USA.
authors.forename: Colleen M
authors.initials: CM
authors.lastname: Jacobson
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Muehlenkamp
authors.forename: Alec L
authors.initials: AL
authors.lastname: Miller
authors.forename: J Blake
authors.initials: JB
authors.lastname: Turner
mesh_terms: D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D044383:Black People / Q000523:psychology*; D001883:Borderline Personality Disorder / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D002648:Child; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D019263:Dysthymic Disorder / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D033182:Intention; D008297:Male; D009519:New York City; D010552:Personality Assessment / Q000706:statistics & numerical data; D011594:Psychometrics; D012189:Retrospective Studies; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000208:ethnology / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology*; D044465:White People / Q000523:psychology*; D001741:Black or African American