Abstract
To determine the frequency and correlates of nonsuicidal physically self-damaging acts in 12–14 year olds, a two stage epidemiologic survey with a self-administered questionnaire (N=3283) followed by a psychiatric interview of a subsample of the adolescents and their parents (N=444) was used. Prevalence estimates of interview validated nonsuicidal physically self-damaging acts were 2.46% in males and 2.79% in females. Significant relationships were found between nonsuicidal physically self-damaging acts and suicidal ideation, major depression and undesirable life events. Data suggest that physically self-damaging acts occur at substantial rates during early adolescence. The strong correlation between nonsuicidal self-destructive acts and both suicidal ideation and major depression clarifies prior conflicting reports in the literature and suggests that a history of self-damaging acts should be taken into consideration when evaluating for possible depression and suicide risk.
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References
American Psychiatric Association. (1980).Diagnostic and statistical manual of mental disorders (3rd ed.) Washington DC: Author.
Bach-y-Rita G. (1974). Habitual violence and self-mutilation.American Journal of Psychiatry, 131 1018–1020.
Chambers, W. J., Puig-Antich, J., Hirsch, M., Paez P., Ambrosini, P. J., Tabrizi, M. A., & Davies, M. (1985). The assessment of affective disorders in children and adolescents by semistructured interview: Test-retest reliability of the schedule for affective disorders and schizophrenia for school-age children present episode version.Archives of General Psychiatry, 42 696–702
Chowanec, G. D., Josephson, A. M., Coleman, C., & Davis, H. (1982). Self-harming behavior in incarcerated male delinquent adolescents.Journal of the American Academy of Child and Adolescent Psychiatry, 30 202–207.
Coddington, R. (1972). The significance of life events as etiologic factors in the diseases of children.Journal Psychosomatic Research, 16 7–18.
deWilde, E. J., Kienhorst, C. W. M., Dickstra, R. F. W., & Walters, W. H. G. (1992). The relationship between adolescent suicidal behavior and life events in childhood and adolescence.American Journal of Psychiatry, 149 45–51.
Favazza, A. R., & Conterio, K. (1988). The plight of chronic self-mutilators.Community Mental Health Journal, 24 22–30.
Favazza, A. R., & Conterio, K. (1989). Female habitual self-mutilators.Acta Psychiat. Scandinavica, 79 283–289.
Finkelhor, D. (1986).A sourcebook on child sexual abuse. Newbury Park, CA: Sage.
Garrison, C. Z., Schoenbach, V. J., Schluchter, M. D., & Kaplan, B. H. (1987). Life events in early adolescence.Journal of the American Academy of Child and Adolescent Psychiatry, 26 865–872.
Garrison, C. Z., Jackson, K. L., Addy, C. L., McKeown, R. E., Waller, J. L. (1991). Suicidal behaviors in young adolescents.American Journal of Epidemiology, 133 1005–1014.
Green, A. H. (1978). Self-destructive behavior in battered children.American Journal of Psychiatry, 135 579–582.
Greenspan, G. S., & Samuel, S. E. (1989). Self-cutting after rape.American Journal of Psychiatry, 146 789–790.
Harrell, F. E. (1983).SUGI: supplemental library user's guide. Cary, NC: SAS Institute, 181–202.
Miller, M. L., Chiles, J. A., & Barnes, V. E. (1982). Suicide attempters within a delinquent population.Journal of Consulting and Clinical Psychology, 4 491–498.
Morgan, H. (1979).Death wishes? The understanding and management of deliberate self-harm. New York: John Wiley & Sons.
Olson, D., Bell, R., & Portner, J. (1982).FACES II. St. Paul. MN: University of Minnesota.
Pattison, E. M., & Kahan, J. (1983). The deliberate self-harm syndrome.American Journal of Psychiatry, 140 867–872.
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population.Applied Psychological Measures, 1 385–401
Rosenthal, P. A., & Rosenthal, S. (1984). Sucidal behavior by preschool children.American Journal of Psychiatry, 141 520–525.
Schoenbach, V. J., Kaplan, B. H., Grimson, R. C., & Wagner, E. H. (1982). Use of a symptom scale to study the prevalence of a depressive syndrome in young adolescents.American Journal of Epidemiology, 166 791–800.
Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., & Bird, H. (1983). A children's global assessment scale (CGAS).Archives of General Psychiatry, 40 1228–1231.
Schwartz, R. H., Cohen, P., Hoffman, N. G., & Meeks, J. E. (1989). Self-harm behaviors (carving) in female adolescent drug abusers.Clinical Pediatrics, 28 340–346.
Shah, B. V., Folsom, R. E., Harrell, F. E., & Dillard, C. N. (1984).Survey data analysis software for logistic regression. Research Triangle, NC: Research Triangle Institute.
Shapiro, S. (1987). Self-mutilation and self-blame in incest victims.American Journal of Psychotherapy, 41 46–54.
Teasdale, J. D. (1983). Negative thinking in depression: cause, effect or reciprocal relationship?Advanced Behavior Research Therapy, 5 3–25.
Terr, L. C. (1991). Childhood traumas: An outline and overview.American Journal of Psychiatry, 148 10–20.
Van der Kolk, B. A., Perry, J. C., & Herman, J. L. (1991). Childhood origins of self-destructive behavior.American Journal of Psychiatry, 148 1665–1671.
Walsh, B. W., & Rosen, P. M. (1988).Self-mutilation: Theory, research, and treatment. New York: Guilford Press.
Whitehead, P. C., Johnson, F. G., & Ferrence, R. (1973). Measuring the incidence of self-injury.American Journal of Orthopsychiatry, 3 142–148.
Winchel, R. M., & Stanley, M. (1991). Self-injurious behavior: a review of the behavior and biology of self-mutilation.American Journal of Psychiatry, 148 306–317.
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Garrison, C.Z., Addy, C.L., McKeown, R.E. et al. Nonsuicidal physically self-damaging acts in adolescents. J Child Fam Stud 2, 339–352 (1993). https://doi.org/10.1007/BF01321230
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DOI: https://doi.org/10.1007/BF01321230