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Related Experiment Videos

Multiple psychiatric diagnoses and self-harm behavior.

Randy A Sansone1, George A Gaither, Douglas A Songer

  • 1Departments of Psychiatry and Internal Medicine, Wright State University School of Medicine, Dayton, OH and Psychiatry Education, Kettering Medical Center, OH, Kettering, USA.

International Journal of Psychiatry in Clinical Practice
|June 20, 2014
PubMed
Summary

Psychiatric inpatients with more Axis I diagnoses reported more self-harm behaviors (SHBs). Borderline personality disorder (BPD) was associated with higher SHB frequency but did not mediate the link between diagnosis count and self-harm.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Research

Background:

  • Comorbidity is common in psychiatric populations.
  • Self-harm behaviors (SHBs) are a significant concern in inpatient settings.
  • Understanding factors associated with SHBs is crucial for treatment.

Purpose of the Study:

  • To investigate the relationship between the number of Axis I diagnoses and the frequency of SHBs in psychiatric inpatients.
  • To explore the potential mediating role of borderline personality disorder (BPD) in this relationship.

Main Methods:

  • A sample of 110 psychiatric inpatients was assessed.
  • Discharge diagnoses (Axis I) and scores on the Self-Harm Inventory (SHI) were collected.
  • Analyses were conducted on the total sample and stratified by BPD status.
Keywords:
Self-harm behaviorborderline personalitydiagnosis

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Main Results:

  • A significant positive correlation was found between the number of Axis I diagnoses and SHBs in the overall sample (Spearman's rho=0.21, p=0.03).
  • Patients with BPD reported significantly more SHBs than those without BPD.
  • The correlation between Axis I diagnoses and SHBs was significant only in the non-BPD subsample.

Conclusions:

  • The number of Axis I diagnoses is associated with the number of self-harm behaviors among psychiatric inpatients.
  • While BPD is linked to increased self-harm, it does not appear to mediate the relationship between diagnostic comorbidity and self-harm frequency in this cohort.