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Mechanisms of self-harm behavior in non-clinical adolescent population: the results of monitoring in Moscow schools 3454
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
PhD in Psychology, research fellow of the Centre for emergency psychological assistance, Moscow State University of Psychology, Russia
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
PhD in Psychology, director of the Urgent Psychological Aid Center, Moscow State University of Psychology and Education, Moscow, Russia
Laboratory Assistant, Center for Emergent Psychological Aid, Moscow State University of Psychology and Education, Moscow, Russia
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.
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