Nonsuicidal self-injury behavior in non-psychotic disorders: epidemiology, social and clinical risk factors

Zinchuk, Mikhail; Аведисова, А С; Guekht, Alla

doi:10.17116/jnevro2019119031108

Cited by 11 publications

(3 citation statements)

References 177 publications

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“…For example, a recent study from Moscow found a strong association between NSSI and suicidality in people with epilepsy [62] . Further research is needed to identify the possible common biological and psychological underpinnings of these often co-occurring factors [63,64] .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation

Zinchuk¹

2023

Consortium Psychiatricum

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Abstract Objectives: Data on sociodemographic, biographical, and clinical factors associated with a lifetime diagnosis of eating disorders (ED) in patients with non-psychotic mental disorders (NPMD) and suicidal ideation (SI) are scarce. Methods: A cohort study was conducted at the Moscow Research and Clinical Centre for Neuropsychiatry. The sample consisted of consecutive patients with non-psychotic mental disorders and SI, aged 18-45 years. Participants with a lifetime diagnosis of anorexia and/or bulimia (in current remission or recovery) were compared with those without ED in terms of sociodemographic profile, clinical characteristics, lifetime traumatic events and some behavioral patterns. All participants underwent the Russian version of the Self-Injurious Thoughts and Behaviors Interview (SITBI) and completed the Brief Reasons for Living Inventory (bRFL), the State and Trait Anxiety Inventory (STAI) and the Beck Depression Inventory (BDI). Results: A total of 892 patients with non-psychotic mental disorders and SI were included in the study. The mean age was 25.7 years and 84.0% were assigned female at birth. Same-sex experience was more common in the ED group. Patients with ED were more likely to have a history of physical and sexual abuse and to have witnessed domestic violence. Significantly more patients with ED had piercings, tattoos or severe body modifications. Patients in the ED group were more likely to engage in non-suicidal self-injurious behaviors and to have a history of suicide attempts. Limitations: Retrospective design, referral population, retrospective diagnosis of ED, diagnosis based on expert opinion, and exclusion of psychotic patients and participants older than 45 years. Conclusion: Lifetime ED in NPMD patients with SI is associated with younger age, being assigned female at birth, having an alternative gender identity, having same-sex experience, having more than one psychiatric diagnosis, having a diagnosis of bipolar disorder, having more severe depression and anxiety, being exposed to multiple traumatic experiences, having various body modifications, practicing NSSI and having lifetime suicide attempt.

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Section: Discussionmentioning

confidence: 99%

Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation

Zinchuk¹

2023

Consortium Psychiatricum

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“…The highest life-threatening risk in PD is associated with autodestructive [79,80,81 ▪ ] and suicidal behaviour [82 ▪ ,83]. Nonsuicidal self-harm in PD is considered to be a heterogeneous psychopathological phenomenon in the structure of PD decompensation throughout the entire adolescent period [80,81 ▪ ].…”

Section: Personality Disorder and Comorbidity Problemsmentioning

confidence: 99%

Conceptualization and management of personality disorders in Russian psychiatry

Kulygina¹,

Chetkina²,

Berezantsev³

2021

Current Opinion in Psychiatry

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Purpose of reviewThis article aims to present the current picture on conceptualization, diagnosis and care provision of personality disorders (PD) in modern Russia. These issues are highly relevant to Russian psychiatry, which has a rich historical tradition of analysing psychopathic constitution, personality types and dynamics. Recent findingsThis narrative review covers the main tendencies in the recent Russian academic literature devoted to PD. PD are most frequently investigated in the frames of forensic psychiatry, in which expert conclusions and assessment of the risk factors for socially dangerous behaviour are particularly important. Another area of research concerns comorbidity, since PD often affect other health conditions or are co-occurrent with other mental or behavioural problems. Specialists have also focused on the challenges of therapy in PD. SummaryReviewed manuscripts show a pathogenic and pathoplastic role of personality factors in manifestation of other mental, behavioural or somatic disorders. Analysis of pathocharacterological profile and selfregulation processes is a major component in assessing and diagnosing PD. The principal perspectives in this particular area focus on evidence-based research of mechanisms of personality pathology and validation of targeted personalized combined therapeutic approaches.

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“…Существуют затруднения, вызванные феноменологическим сходством их проявлений и разногласиями в теоретических взглядах на то, какие проявления могут быть отнесены к НССП. Трактовка повреждений в результате НССП как суицидальных проявлений -одна из причин искажения статистики распространенности этого паттерна поведения [9].…”

Section: Introductionunclassified

Body Image in Adolescents with Suicidal and Non-Suicidal Self-Harm Behavior: Satisfaction with Their Own Bodies

Kuznetsova,

Basova,

Zalmanova

et al. 2023

Клиническая И Специальная Психология

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The aim of the study was to examine the features of body image perception in adolescents with self-harming, suicidal and normative behavior in terms of satisfaction with their own bodies. A theoretical review of the phenomena of suicidal and self-harming behavior and current studies of body image in non-clinical and clinical samples was conducted. The description and results of the first part of the empirical study of body image, devoted to the study of satisfaction with one's own body, are presented. The study was conducted on three groups of adolescents: those with suicidal behavior (n=30, Mage=15.10, SDage=0.97, 26.7% of males), self-injurious behavior (n=27, Mage=15.48, SDage=1.10, 11.1% of males) and normative behavior (control group: n=30, Mage=15.40, SDage=0.96, 50% of males). The first group was distinguished on the basis of anamnestic data (suicide attempts in the last year or current hospitalization due to high suicide risk), the second group was distinguished on the basis of the Self-Harming Behavior Reason Scale (N.A. Polskaya, 2017): repeated cuts, punctures, and/or self-burns in the last year. The following methods were used: Self-Harming Behavior Reason Scale (N.A. Polskaya, 2017), Body Focus Questionnaire (Fisher, 1970), adapted by E.T. Sokolova (1985) and a questionnaire to collect socio-demographic data (gender, age, presence of psychiatric diagnoses, suicide attempts). The results suggest that self-harm is determined by an adolescent's need to reduce psychoemotional tension and gain control over emotions, and these determinants are stronger in the main groups than in the control groups, but no differences were found between the main groups. Satisfaction with one's own body is lower in the main groups compared to controls, but no differences were found between the main groups.

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Nonsuicidal self-injury behavior in non-psychotic disorders: epidemiology, social and clinical risk factors

Cited by 11 publications

References 177 publications

Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation

Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation

Conceptualization and management of personality disorders in Russian psychiatry

Body Image in Adolescents with Suicidal and Non-Suicidal Self-Harm Behavior: Satisfaction with Their Own Bodies

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