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Self-destructive behavior in patients with dissociative disorders.

Glenn N Saxe1, Neharika Chawla, Bessel Van der Kolk

  • 1Department of Child and Adolescent Psychiatry, Boston University School of Medicine, MA, USA. glenn.saxe@bmc.org

Suicide & Life-Threatening Behavior
|October 11, 2002
PubMed
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Patients with dissociative disorders exhibit higher rates of self-injury compared to other psychiatric patients. This group also uses more self-injury methods and starts engaging in these behaviors at a younger age.

Area of Science:

  • Psychiatry
  • Psychology
  • Trauma Studies

Background:

  • High rates of self-injury are noted in dissociative disorders.
  • Direct comparisons with other psychiatric populations are lacking.
  • Dissociation is often linked to childhood trauma and self-harm.

Purpose of the Study:

  • To compare self-destructive behaviors in dissociative disorder patients versus those with few dissociative symptoms.
  • To investigate the frequency, methods, and age of onset of self-injury.
  • To explore the relationship between dissociation, trauma, and self-injury.

Main Methods:

  • Comparative study of inpatient groups.
  • Assessment of self-destructive behaviors.
  • Inclusion of patients with dissociative disorders and those with minimal dissociation.

Related Experiment Videos

Main Results:

  • Patients with dissociative disorders showed significantly higher rates of self-injury.
  • This group utilized a wider range of self-injury methods.
  • Self-injury commenced at an earlier age in patients with dissociative disorders.

Conclusions:

  • Findings highlight a strong association between dissociative disorders and self-injury.
  • Results underscore the importance of assessing self-injury in dissociative patients.
  • Understanding the dissociation-trauma-self-injury link is crucial for treatment planning.