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| Research article summary (published 28 Apr 2009): |
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[Self-harm and personality disorders]
(Selvskading og personlighetsforstyrrelser.)
Full Abstract
BACKGROUND: Clinical experience and recent research convey that patients with personality disorders who harm themselves with a suicidal intention should be treated differently than those who do so without a suicidal intention. The purpose of this article is to give an overview of non-suicidal self-harm in these patients. MATERIAL AND METHOD: The article is based on a non-systematic literature search in PsycINFO, Medline, Clinical Evidence and Cochrane and own clinical experience. RESULTS: Self-harm in patients with personality disorders is associated with borderline personality traits. Up to 70 % of patients with borderline personality disorders have reported non-suicidal self-harm. Non-suicidal self-harm is one of the risk factors for suicide. Borderline personality disorder develops due to interaction between genetic vulnerability and a traumatic and unsafe upbringing. The patients are often influenced by intense negative emotions and have reduced ability to regulate and handle these in interpersonal situations. Self-harm can give short-term alleviation of the inner pain associated with emotion dysregulation. Dialectical behavior therapy and mentalization-based therapy is shown to reduce the prevalence of self-harm in patients with borderline personality disorder. Acute referral to in-patient treatment should only be used in crises that cannot be handled in out-patient treatment. The regular general practitioner can function as a stable attachment figure and contribute to self-regulation. INTERPRETATION: Non-suicidal self-harm in patients with personality disorders should be given more attention.
Author information
Author/s: Urnes, Oyvind (O);
Affiliation: Avdeling for personlighetspsykiatri Oslo universitetssykehus, Ullevål 0407 Oslo. oyvind.urnes(-atsign-)medisin.uio.no
Journal and publication information
Publication Type: English Abstract; Journal Article; Review
Journal: Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række (Tidsskr Nor Laegeforen), published in Norway. (Language: nor)
Reference: 2009-Apr; vol 129 (issue 9) : pp 872-6
Dates: Created 2009/05/05; Completed 2009/05/18;
PMID: 19415088, status: MEDLINE (last retrieval date: 5/18/2009, IMS Date: )
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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