Protocolo diagnóstico y tratamiento de las autolesiones en la adolescencia

  1. Rodríguez, I. Bello
  2. Martín, M.V. Alonso
  3. Anta, L.
  4. Quintero, J.
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2022

Issue Title: Medicina de la adolescencia

Series: 13

Issue: 61

Pages: 3627-3630

Type: Article

DOI: HTTPS://DOI.ORG/10.1016/J.MED.2022.08.006 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Nonsuicidal self-injury, frequently called self-harm, is the act of deliberately harming the body without the intention of dying. Though nonsuicidal self-injury can occur in any part of the body, the most common locations are the arms, hands, wrists, and thighs. The clinical evaluation must include a physical and psychopathological examination in which special emphasis is placed on suicidal thoughts. Likewise, the clinical interview should explore thoughts, feelings, and behaviors that precede self-injury, the circumstances that lead to nonsuicidal self-injury, and the consequences of the behavior. Treatment includes creating a safety plan; a psychotherapeutic intervention focused on identifying and approaching cognitive, behavioral, and emotional factors that lead to and maintain nonsuicidal self-injury; and specific behavioral functions and drug therapy, if needed.

Bibliographic References

  • Glenn CR, Franklin JC, Nock MK. Evidence-based psychosocial treatments for self-injurious thoughts and behaviours in youth. J Clin Child Adolesc Psychol. 2015;44(1):1-29.
  • Klonsky ED, Glenn CR, Styer DM, Olino TM, Washburn JJ. The functions of nonsuicidal self-injury: converging evidence for a two-factor structure. Child Adolesc Psychiatry Ment Health. 2015;9:44.
  • Lewis SP, Heath NL. Nonsuicidal self-injury among youth. J Pediatr. 2015;166(3):526-30.
  • Ougrin D, Tranah T, Stahl D, Moran P, Asarnow JR. Therapeutic interventions for suicide attempts and self-harm in adolescents: systematic review and meta-analysis. J Am Acad ChildAdolesc Psychiatry. 2015; 54(2):97-107.
  • Peel-Wainwright KM, Hartley S, Boland A, Rocca E, Langer S, Taylor PJ. The interpersonal processes of non-suicidal self-injury: A systematic review and meta-synthesis. Psychol Psychother. 2021; 94(4):1059-82.
  • Plener PL, Brunner R, Fegert JM, Groschwitz RC, In-Albon T, Kaess M. Treating nonsuicidal self-injury (NSSI) in adolescents: consensus-based German guidelines. Child Adolesc Psychiatry Ment Health. 2016;10:46.
  • Turner BJ, Austin SB, Chapman AL. Treating nonsuicidal self-injury: a systematic review of psychological and pharmacological interventions. Can J Psychiatry. 2014;59(11):576-85. doi: 10.1177/070674371405901103
  • Wolff JC, Thompson E, Thomas SA, Nesi J, Bettis AH, Ransford B. Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis. Eur Psychiatry. 2019;59:25-36.
Data source: Dialnet