Clinical Correlates of Self-Mutilation in Turkish Male Substance-Dependent Inpatients

Abstract

Objective: The aim of this study was to evaluate the prevalence of self-mutilation (SM) in male substance-dependent inpatients, and to investigate the relationship of SM with childhood abuse and neglect, axis I disorders and personality disorders. Methods: Participants were 112 consecutively admitted male substance dependents (56 alcohol and 56 drug). Substance dependence was diagnosed by means of the Structured Clinical Interview for DSM-IV (SCID-I, Turkish version). Patients were evaluated by the Childhood Abuse and Neglect Questionnaire, SCID-I, SCID-II, Beck Depression Inventory and Beck Anxiety Inventory. Results: Among substance-dependent patients, SM was found to be present in 33% (SM group). Mean age and educational status were lower in the SM group. Moreover rates of being single, history of childhood physical and emotional abuse and neglect, suicide attempt history and personality disorder were higher. Mean depression and anxiety scores were also higher in the SM group. Personality disorder, physical abuse, suicide attempt history and drug dependency were predictors for SM. Conclusions: SM is more common in drug dependents than alcohol dependents. Also results of this study suggest that among Turkish substance dependents SM might be related to the presence of personality disorder and childhood physical abuse and suicide attempts.

The Interactive Effect of Major Depression and Nonsuicidal Self-Injury on Current Suicide Risk and Lifetime Suicide Attempts

“…Internal consistency of the DSHI in this sample was adequate (α = .70). Consistent with past research examining the factors associated with NSSI among various populations, including SUD patients, a dichotomous NSSI variable was created by assigning a score of “1” to participants who reported having engaged in NSSI, and a score of “0” to participants who did not report having engaged in any of the behaviors on the DSHI (for a comparable approach to examining NSSI, see Evren, Jural, & Cakmak, 2006; Heath, Toste, Nedecheva, & Charlebois, 2008; Klonsky et al, 2003; Muehlenkamp & Gutierrez, 2004; Polk & Liss, 2007). …”

Eroin bağımlısı bir erkek hastada tedaviyi engelleyen çoklu kendine zarar verme davranışı: Olgu sunumu / Heroin dependent male patient with multiple types of self mutilative behaviors that impair the treatment: a case report

“…Madde bağımlılığı olanlarda KZVD'nin sık görüldü-ğü yapılan çalışmalarda bildirilmiştir (15)(16)(17)(18)(19). Alkol ya da madde bağımlılarında yapılan çalışmalarda sık karşı-laşılan KZVD biçimleri, kendini kesme, başını ya da ekstremitelerini bir yere vurma ve kendini yakma iken (15)(16)(17)20,21), opiyat bağımlıları ile yapılan bir çalışmada en sık saptanan KZVD tipleri, kendini kesme (%75), tırnak yeme (%51), dudak yeme (%44) ve kendini ısırma (%36) olarak bildirilmiştir (19).…”

“…Alkol ya da madde bağımlılarında yapılan çalışmalarda sık karşı-laşılan KZVD biçimleri, kendini kesme, başını ya da ekstremitelerini bir yere vurma ve kendini yakma iken (15)(16)(17)20,21), opiyat bağımlıları ile yapılan bir çalışmada en sık saptanan KZVD tipleri, kendini kesme (%75), tırnak yeme (%51), dudak yeme (%44) ve kendini ısırma (%36) olarak bildirilmiştir (19). Bizim olgumuzda ise, bunlardan farklı olarak, dişlerini sökme, cilt yolma ve gözü kaşıyarak mikrop bulaştırma şeklinde birden çok KZVD mevcuttu.…”

“…Madde bağımlılarında KZVD'nin görülme riski, alkol bağımlılarındakine göre 3 ila 8 kat fazladır (17). Opiyat bağımlılarında yapılan çalışmalarda ise KZVD, %25 ile %49 arasında değişen oranlarda bildirilmiştir (18,19).…”

Characteristics and Development of Nonsuicidal Super Self-Injury Among Borderline Inpatients

“…NSSI is often a key feature of borderline personality disorder (BPD) (Dubo et al 1997) and is sometimes referred to as the borderline patient's "behavioral specialty" (Sansone 2004). Though NSSI has historically been conceptualized as a feature of BPD, it can occur among adolescents without BPD (Csorba et al 2010, Swannel et al 2014, and in a wide range of other mental disorders (Sansone et al 2007), including substance-dependency (Evren et al 2006), psychotic disorders (Martin & Gattaz 1991); eating disorders (Paul et al 2002, Sansone & Levitt 2002, and post-traumatic stress disorder (Zlotnick et al 1999). Although NSSI is frequently associated with different psychiatric diagnoses and it has long been regarded as a pathognomonic of BPD, DSM-5 proposes non-suicidal self-injury as a separate diagnostic entity (American Psychiatric Association 2013).…”