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Interpersonal loss and self-mutilation.

P M Rosen1, B W Walsh, S A Rode

  • 1Community Treatment Complex, Worcester, Massachusetts.

Suicide & Life-Threatening Behavior
|January 1, 1990
PubMed
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Adolescent self-mutilation significantly increased before staff departures in a treatment program. This heightened risk during anticipated loss, not after, highlights a critical period for intervention.

Area of Science:

  • Psychology
  • Adolescent Psychiatry
  • Behavioral Science

Background:

  • Seriously disturbed adolescents in treatment programs are vulnerable to behavioral changes during interpersonal loss.
  • Previous research suggests a link between loss and maladaptive behaviors in this population.

Purpose of the Study:

  • To investigate the frequency of self-mutilation, aggression, and running away in adolescents experiencing staff departures.
  • To determine if interpersonal loss triggers an increase in these specific behaviors.

Main Methods:

  • A 4-year data collection period analyzed behavioral changes in 32 teenagers.
  • Behavioral data (self-mutilation, aggression, running away) were compared before and after staff terminations.

Main Results:

Related Experiment Videos

  • Self-mutilation frequency significantly increased two weeks prior to staff terminations (anticipated loss).
  • No significant increase in self-mutilation was observed immediately following staff departures.
  • Rates of aggression and running away showed no significant changes related to loss events.

Conclusions:

  • Anticipated loss, rather than the loss event itself, represents the highest risk period for self-mutilative behavior in these adolescents.
  • Interventions should focus on the period preceding staff departures to mitigate self-harm risks.
  • Specific behavioral responses like aggression and running away were not significantly impacted by staff loss.