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Self-harming in depressed patients: pattern analysis.

G Parker1, Gin Malhi, Philip Mitchell

  • 1School of Psychiatry, University of New South Wales, Sydney, Australia. g.parker@unsw.edu.au

The Australian and New Zealand Journal of Psychiatry
|September 20, 2005
PubMed
Summary
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Depression patients with a history of suicide attempts and externalizing behaviors, like acting out, are at higher risk for deliberate self-harm (DSH). This finding aids in identifying and managing at-risk individuals.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Research

Background:

  • Deliberate self-harm (DSH) is frequently observed in individuals with depressive disorders.
  • Understanding the determinants and correlates of DSH is crucial for effective clinical management.

Purpose of the Study:

  • To investigate the key factors associated with deliberate self-harm (DSH) in patients with depression.
  • To determine the consistency of these factors across different patient samples.

Main Methods:

  • Analysis of three independent samples of outpatients diagnosed with depression.
  • Comparison between subjects who engaged in DSH and those who did not, matched for gender, age, and diagnosis.
  • Exploration of sociodemographic variables, substance use, past trauma, suicide attempts, and personality functioning.

Related Experiment Videos

Main Results:

  • Approximately 20% of the depressed patients reported engaging in DSH.
  • Higher rates of DSH were observed in women and bipolar disorder patients.
  • Multivariate analyses identified previous suicide attempts and high 'acting out' behaviors as consistent predictors of DSH, indicating externalizing responses to stress and poor impulse control.

Conclusions:

  • Previous suicide attempts and externalizing behaviors are significant correlates of DSH in depressed patients.
  • These findings can improve the identification and management strategies for depressed individuals at elevated risk of DSH.