Non-suicidal self-injury (NSSI) has its typical onset during adolescence and usually configures a maladaptive coping strategy that serves numerous functions. Adverse psychosocial situations are related with an increased risk for NSSI. The objective of this work was to identify the most prevalent psychosocial risk factors for NSSI during adolescence and statistically significant associations between them. A convenience sample of 50 adolescents with identified history of NSSI was used. Each case was searched for the Abnormal Psychosocial Situations (APS) contemplated in the psychosocial axis (Axis V) of the International Classification of Diseases (10 th edition). The 10 more prevalent APS were present in at least 50% of the subjects. Several statistically significant associations between APS were identified, signalizing certain patterns of associations that suggest increased risk for NSSI. A proper assessment of the psychosocial contexts may allow identification of youth at risk for NSSI, and thus the institution of early intervention programs.
CONTEXT: The aim of the present clinical review was to illustrate the diagnostic difficulty associated with psychotic experiences during adolescence, in the light of the multiplicity of circumstances interplaying during this period. It was also intended to illustrate the observation that not all hallucinations occur in the context of a declared psychotic disorder. CASE REPORT: The patient was a 16-year-old adolescent girl who came to the Emergency Department of Coimbra Pediatric Hospital. On admission, she displayed mood and sensory perception disorders, with a bizarre gait abnormality. A diagnosis of conversion disorder was finally suggested, in accordance with the International Classification of Diseases, 10 th edition. CONCLUSIONS: Conversive hallucinations are rare in the psychiatric literature. This diagnostic hypothesis only gained consistency over a long period of follow-up within a child and adolescent psychiatry outpatient service, which was fundamental for appropriate diagnostic clarification. The authors discuss psychotic experiences that can arise from a neurotic setting and share the reasoning that was constructed in relation to the differential diagnosis. The psychogenesis and phenomenology of this young patient's conversive hallucinations and the therapeutic strategies adopted over the course of the follow-up are also discussed.
Non-suicidal self-injury (NSSI) has its typical onset during adolescence and usually configures a maladaptive coping strategy that serves numerous functions. Adverse psychosocial situations are related with an increased risk for NSSI. The objective of this work was to identify the most prevalent psychosocial risk factors for NSSI during adolescence and statistically significant associations between them. A convenience sample of 50 adolescents with identified history of NSSI was used. Each case was searched for the Abnormal Psychosocial Situations (APS) contemplated in the psychosocial axis (Axis V) of the International Classification of Diseases (10 th edition). The 10 more prevalent APS were present in at least 50% of the subjects. Several statistically significant associations between APS were identified, signalizing certain patterns of associations that suggest increased risk for NSSI. A proper assessment of the psychosocial contexts may allow identification of youth at risk for NSSI, and thus the institution of early intervention programs.
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