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Counseling Psychology and Psychotherapy

Publisher: Moscow State University of Psychology and Education

ISSN (printed version): 2075-3470

ISSN (online): 2311-9446

DOI: http://dx.doi.org/10.17759/cpp

License: CC BY-NC 4.0

Started in 1992

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Mechanisms of self-harm behavior in non-clinical adolescent population: the results of monitoring in Moscow schools 2860

Bannikov G.S., PhD in Medicine, senior researcher, Center for Urgent Psychological Help, head of laboratory Scientific-methodical support of urgent psychological help, Moscow State Research Institute of Psychiatry, Ministry of Public Health and Social Development, Moscow State University of Psychology and Education, Moscow, Russia, bannikovgs@mgppu.ru
Fedunina N.Y., PhD in Psychology, research fellow of the Centre for emergency psychological assistance, Moscow State University of Psychology, Russia, natalia_fedunina@mail.ru
Pavlova T.S., research associate, research laboratory «Scientific and Methodological Basis of Emergent Psychological Aid», Center for Emergent Psychological Aid, Moscow State University of Psychology & Education, Moscow, Russia, darzo@yandex.ru
Vikhristyuk O.V., PhD in Psychology, director of the Urgent Psychological Aid Center, Moscow State University of Psychology and Education, Moscow, Russia, vikhristukov@mgppu.ru
Letova A.V., Laboratory Assistant, Center for Emergent Psychological Aid, Moscow State University of Psychology and Education, Moscow, Russia, letovaav@mgppu.ru
Bazhenova M.D., Center for Emergency Psychological Aid, Moscow State University of Psychology & Education, maribazh@gmail.com
Abstract
The behavior of self-harm is prevalent among adolescents. Most research on the topic has focused either on qualitative investigation of hospitalized teens or on quantitative research of non-clinical population. There combination of these approaches is considered very promising, yet it is extremely rare. The present article investigates the behavior of self-harm without suicidal intention in non-clinical population. The participants were 604 students of Moscow schools (7—11 grades). 22% participants reported at least 1 act of deliberate self-harm in the lifetime period (54% — single episode, 46% multiple episodes of self-harm). 100 adolescents with a history of non-suicidal self-harm were further assessed with Clinical In- ventory, which reflected the gradation of the key suicide markers. Clinical assess- ment revealed three major mechanisms of self-harm development: stressful (20%), depressive (45%), and psychopathological (35%). Further distinction among impulsive and reflective led to description of 6 groups, each having specific clini- cal picture, dynamics, motives, personal patterns and attitude towards self-harm. Understanding of leading mechanism of antivital behavior is essential for effecting crisis intervention and psychological counseling of adolescents in the aftermath of self-harm or suicidal attempts. Comparative analysis of these results with data on clinical population reveals several differences.

Keywords: adolescents, self-harm behavior, clinical assessment, monitoring

Column: Empirical researches

DOI: http://dx.doi.org/10.17759/cpp.2016240304

For Reference

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