Clinical features of adolescents with deliberate self-harm: A case control study in Lisbon, Portugal

Diogo F Guerreiro, Ema L Neves, Rita Navarro, Raquel Mendes, Ana Prioste, Diana Ribeiro, Tiago Lila, António Neves, Mónica Salgado, Nazaré Santos, Daniel SampaioYouth Suicide Study Group (NES), The Hospital Santa Maria, Psychiatry Department, Lisbon Facul...

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Autores principales: Diogo F Guerreiro, Ema L Neves, Rita Navarro, et al
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Publicado: Dove Medical Press 2009
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spelling oai:doaj.org-article:6809cb39e56744838687380b7b3862c82021-12-02T04:25:33ZClinical features of adolescents with deliberate self-harm: A case control study in Lisbon, Portugal1176-63281178-2021https://doaj.org/article/6809cb39e56744838687380b7b3862c82009-11-01T00:00:00Zhttp://www.dovepress.com/clinical-features-of-adolescents-with-deliberate-self-harm-a-case-cont-a3721https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Diogo F Guerreiro, Ema L Neves, Rita Navarro, Raquel Mendes, Ana Prioste, Diana Ribeiro, Tiago Lila, António Neves, Mónica Salgado, Nazaré Santos, Daniel SampaioYouth Suicide Study Group (NES), The Hospital Santa Maria, Psychiatry Department, Lisbon Faculty of Medicine, PortugalAbstract: Deliberate self-harm (DSH) among adolescents is a high-risk condition for suicide. The aim of the present study is to describe the characteristic clinical features of adolescents with DSH according to our local context (Lisbon, Portugal), using easily available information from clinical settings. A case control study was constructed from a sample of 100 adolescents (aged 12 to 21 years). The sample was divided into two groups: adolescents with and without DSH. Case files were examined and data was completed by clinical interviews. Demographic, psychosocial, and psychopathological data were assessed and compared. Ninety-eight subjects completed the protocol. The DSH group was associated with the following: suicidal ideation or suicidal behavior as consultation motive, emergency room referral, previous follow-up attempts, suicidal ideation, psychosocial difficulties, or lack of therapeutic goals. There was a nonsignificant trend towards diagnosis of depression in the DSH group. These results reflect our clinical practice with adolescents and add data about teenagers who self-harm to the literature. Prevention and early recognition of DSH (and frequently associated depression) in adolescents are essential and could be life-saving measures. An integrated approach, which takes into account psychosocial difficulties, family dysfunction, and negative expectations, seems to be of great importance.Keywords: deliberate self-harm, suicide, adolescents, suicide risk, case control Diogo F GuerreiroEma L NevesRita Navarroet alDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2009, Iss default, Pp 611-617 (2009)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Diogo F Guerreiro
Ema L Neves
Rita Navarro
et al
Clinical features of adolescents with deliberate self-harm: A case control study in Lisbon, Portugal
description Diogo F Guerreiro, Ema L Neves, Rita Navarro, Raquel Mendes, Ana Prioste, Diana Ribeiro, Tiago Lila, António Neves, Mónica Salgado, Nazaré Santos, Daniel SampaioYouth Suicide Study Group (NES), The Hospital Santa Maria, Psychiatry Department, Lisbon Faculty of Medicine, PortugalAbstract: Deliberate self-harm (DSH) among adolescents is a high-risk condition for suicide. The aim of the present study is to describe the characteristic clinical features of adolescents with DSH according to our local context (Lisbon, Portugal), using easily available information from clinical settings. A case control study was constructed from a sample of 100 adolescents (aged 12 to 21 years). The sample was divided into two groups: adolescents with and without DSH. Case files were examined and data was completed by clinical interviews. Demographic, psychosocial, and psychopathological data were assessed and compared. Ninety-eight subjects completed the protocol. The DSH group was associated with the following: suicidal ideation or suicidal behavior as consultation motive, emergency room referral, previous follow-up attempts, suicidal ideation, psychosocial difficulties, or lack of therapeutic goals. There was a nonsignificant trend towards diagnosis of depression in the DSH group. These results reflect our clinical practice with adolescents and add data about teenagers who self-harm to the literature. Prevention and early recognition of DSH (and frequently associated depression) in adolescents are essential and could be life-saving measures. An integrated approach, which takes into account psychosocial difficulties, family dysfunction, and negative expectations, seems to be of great importance.Keywords: deliberate self-harm, suicide, adolescents, suicide risk, case control
format article
author Diogo F Guerreiro
Ema L Neves
Rita Navarro
et al
author_facet Diogo F Guerreiro
Ema L Neves
Rita Navarro
et al
author_sort Diogo F Guerreiro
title Clinical features of adolescents with deliberate self-harm: A case control study in Lisbon, Portugal
title_short Clinical features of adolescents with deliberate self-harm: A case control study in Lisbon, Portugal
title_full Clinical features of adolescents with deliberate self-harm: A case control study in Lisbon, Portugal
title_fullStr Clinical features of adolescents with deliberate self-harm: A case control study in Lisbon, Portugal
title_full_unstemmed Clinical features of adolescents with deliberate self-harm: A case control study in Lisbon, Portugal
title_sort clinical features of adolescents with deliberate self-harm: a case control study in lisbon, portugal
publisher Dove Medical Press
publishDate 2009
url https://doaj.org/article/6809cb39e56744838687380b7b3862c8
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