scholarly journals Proposed Diagnostic Criteria for theDSM-5of Nonsuicidal Self-Injury in Female Adolescents: Diagnostic and Clinical Correlates

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Tina In-Albon ◽  
Claudia Ruf ◽  
Marc Schmid
Keyword(s):  
Major Depression ◽  
Diagnostic Criteria ◽  
Borderline Personality ◽  
Female Adolescents ◽  
Clinical Correlates ◽  
Dsm 5 ◽  
Self Injury ◽  
High Comorbidity ◽  
Nssi Disorder ◽  
Nonsuicidal Self Injury

Nonsuicidal self-injury (NSSI) is included as conditions for further study in theDSM-5. Therefore, it is necessary to investigate the proposed diagnostic criteria and the diagnostic and clinical correlates for the validity of a diagnostic entity. The authors investigated the characteristics of NSSI disorder and the proposed diagnostic criteria. A sample of 73 female inpatient adolescents and 37 nonclinical adolescents (aged 13 to 19 years) was recruited. Patients were classified into 4 groups (adolescents with NSSI disorder, adolescents with NSSI without impairment/distress, clinical controls without NSSI, and nonclinical controls). Adolescents were compared on self-reported psychopathology and diagnostic cooccurrences. Results indicate that adolescents with NSSI disorder have a higher level of impairment than adolescents with other mental disorders without NSSI. Most common comorbid diagnoses were major depression, social phobia, and PTSD. There was some overlap of adolescents with NSSI disorder and suicidal behaviour and borderline personality disorder, but there were also important differences. Results further suggest that the proposedDSM-5diagnostic criteria for NSSI are useful and necessary. In conclusion, NSSI is a highly impairing disorder characterized by high comorbidity with various disorders, providing further evidence that NSSI should be a distinct diagnostic entity.

Nail‐biting, scab‐picking, and tattooing as nonsuicidal self‐injury (NSSI): A deviant case series analysis of the proposed NSSI disorder diagnostic criteria

2020 ◽  
Vol 76 (12) ◽  
pp. 2296-2313
Author(s):  
Adam J. D. Mann ◽  
Elizabeth E. Van Voorhees ◽  
Tapan A. Patel ◽  
Sarah M. Wilson ◽  
Kim L. Gratz ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Case Series ◽  
Series Analysis ◽  
Nail Biting ◽  
Self Injury ◽  
Deviant Case ◽  
Nssi Disorder ◽  
Nonsuicidal Self Injury

Nonsuicidal Self-Injury and Suicide: Differences Between Those With and Without Borderline Personality Disorder

2020 ◽  
Vol 34 (1) ◽  
pp. 131-144 ◽  
Author(s):  
Alina Z. Levine ◽  
Rawya Aljabari ◽  
Kristy Dalrymple ◽  
Mark Zimmerman
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Behavior Disorder ◽  
Borderline Personality ◽  
Skin Picking ◽  
Dsm 5 ◽  
Self Injury ◽  
Nonsuicidal Self Injury

Nonsuicidal self-injury (NSSI) is associated with borderline personality disorder (BPD), but it also occurs in nonclinical samples (Briere & Gil, 1998), inflicting serious harm and serving as a precursor to suicide attempts (Klonsky, May, & Glenn, 2013). Therefore, the DSM-5 proposed a nonsuicidal self-injury disorder (NSSID) and suicidal behavior disorder. Because this addition requires reconciliation with current BPD criteria, the authors' study evaluated type and frequency of NSSI and suicide attempts in 3,795 outpatients. Both were found in those without BPD, although the behaviors increased when some symptoms and full criteria for BPD were met. Wound/skin picking, scratching, and hitting were most common. Cutting was the fifth most common self-injury for those with BPD and the eighth most common for those without the disorder. Therefore, increased clinical attention is warranted for such self-injury, which may go unnoticed but indicate significant distress. Findings suggest that NSSID/suicidal behavior disorder may account for self-injury outside of BPD.

scholarly journals Comorbidity Between Non-suicidal Self-Injury Disorder and Borderline Personality Disorder in Adolescents: A Graphical Network Approach

2020 ◽  
Vol 11 ◽  
Author(s):  
Tinne Buelens ◽  
Giulio Costantini ◽  
Koen Luyckx ◽  
Laurence Claes
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Separation Anxiety ◽  
Borderline Personality ◽  
Small Male ◽  
Dsm 5 ◽  
Self Injury ◽  
Symptom Level ◽  
First Time ◽  
Nssi Disorder

In 2013, DSM-5 urged for further research on non-suicidal self-injury (NSSI) and defined NSSI disorder (NSSI-D) for the first time separate from borderline personality disorder (BPD). However, research on the comorbidity between NSSI-D and BPD symptoms is still scarce, especially in adolescent populations. The current study selected 347 adolescents who engaged at least once in NSSI (78.4% girls, Mage = 15.05) and investigated prevalence, comorbidity, gender differences, and bridge symptoms of NSSI-D and BPD. Network analysis allowed us to visualize the comorbidity structure of NSSI-D and BPD on a symptom-level and revealed which bridge symptoms connected both disorders. Our results supported NSSI-D as significantly distinct from, yet closely related to, BPD in adolescents. Even though girls were more likely to meet the NSSI-D criteria, our findings suggested that the manner in which NSSI-D and BPD symptoms were interconnected, did not differ between girls and boys. Furthermore, loneliness, impulsivity, separation anxiety, frequent thinking about NSSI, and negative affect prior to NSSI were detected as prominent bridge symptoms between NSSI-D and BPD. These bridge symptoms could provide useful targets for early intervention in and prevention of the development of comorbidity between NSSI-D and BPD. Although the current study was limited by a small male sample, these findings do provide novel insights in the complex comorbidity between NSSI-D and BPD symptoms in adolescence.

scholarly journals Gyermekkori traumatizáció, disszociáció és szándékos fizikai önsértő viselkedés borderline személyiségzavarban

2017 ◽  
Vol 158 (19) ◽  
pp. 740-747 ◽  
Author(s):  
Katalin Merza ◽  
János Harmatta ◽  
Gábor Papp ◽  
Ildikó Kuritárné Szabó
Keyword(s):  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Significant Role ◽  
Borderline Personality ◽  
Cumulative Trauma ◽  
Self Injury ◽  
Borderline Patients ◽  
Trauma Score ◽  
Nonsuicidal Self Injury

Abstract: Introduction: Childhood traumatization plays a significant role in the etiology of borderline personality disorder. Studies found a significant association between childhood traumatization, dissociation, and nonsuicidal self-injurious behavior. Aim: The aim of our study was to assess dissociation and nonsuicidal self-injury among borderline inpatients and to reveal the association between childhood traumatization, dissociation, and self-injurious behavior. Method: The sample consisted of 80 borderline inpatients and 73 depressed control patients. Childhood traumatization, dissociation and self-injurious behavior were assessed by questionnaires. Results: Borderline patients reported severe and multiplex childhood traumatization. Cumulative trauma score and sexual abuse were the strongest predictors of dissociation. Furthermore, we have found that cumulative trauma score and dissociation were highly predictive of self-injurious behavior. Conclusion: Our results suggest that self-injurious behavior and dissociation in borderline patients can be regarded as indicators of childhood traumatization. Orv Hetil. 2017; 158(19): 740–747.

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