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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


License: CC BY-NC 4.0

Published since 1992

Published quarterly

Free of fees
Open Access Journal


Mechanisms of self-harm behavior in non-clinical adolescent population: the results of monitoring in Moscow schools 4088


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

Fedunina N.Y.
PhD in Psychology, research fellow of the Centre for emergency psychological assistance, Moscow State University of Psychology, Russia

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

Vikhristyuk O.V.
PhD in Psychology, Director of Center for Emergent Psychological Aid, Moscow State University of Psychology and Education, Moscow, Russia

Letova A.V.
Laboratory Assistant, Center for Emergent Psychological Aid, Moscow State University of Psychology and Education, Moscow, Russia

Bazhenova M.D.
Center for Emergency Psychological Aid, Moscow State University of Psychology & Education

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


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