Problem-solving ability and repetition of deliberate self-harm: a multicentre study.
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Authors
McAuliffe, Carmel
Corcoran, Paul
Keeley, Helen S
Arensman, Ella
Bille-Brahe, Unni
De Leo, Diego
Fekete, Sandor
Hawton, Keith
Hjelmeland, Heidi
Kelleher, Margaret
Issue Date
2005-09-29
Type
Journal Article
Multicenter Study
Multicenter Study
Language
en
Keywords
Alternative Title
Abstract
While recent studies have found problem-solving impairments in individuals who engage in deliberate self-harm (DSH), few studies have examined repeaters and non-repeaters separately. The aim of the present study was to investigate whether specific types of problem-solving are associated with repeated DSH.
As part of the WHO/EURO Multicentre Study on Suicidal Behaviour, 836 medically treated DSH patients (59% repeaters) from 12 European regions were interviewed using the European Parasuicide Study Interview Schedule (EPSIS II) approximately 1 year after their index episode. The Utrecht Coping List (UCL) assessed habitual responses to problems.
Factor analysis identified five dimensions--Active Handling, Passive-Avoidance, Problem Sharing, Palliative Reactions and Negative Expression. Passive-Avoidance--characterized by a pre-occupation with problems, feeling unable to do anything, worrying about the past and taking a gloomy view of the situation, a greater likelihood of giving in so as to avoid difficult situations, the tendency to resign oneself to the situation, and to try to avoid problems--was the problem-solving dimension most strongly associated with repetition, although this association was attenuated by self-esteem.
The outcomes of the study indicate that treatments for DSH patients with repeated episodes should include problem-solving interventions. The observed passivity and avoidance of problems (coupled with low self-esteem) associated with repetition suggests that intensive therapeutic input and follow-up are required for those with repeated DSH.
As part of the WHO/EURO Multicentre Study on Suicidal Behaviour, 836 medically treated DSH patients (59% repeaters) from 12 European regions were interviewed using the European Parasuicide Study Interview Schedule (EPSIS II) approximately 1 year after their index episode. The Utrecht Coping List (UCL) assessed habitual responses to problems.
Factor analysis identified five dimensions--Active Handling, Passive-Avoidance, Problem Sharing, Palliative Reactions and Negative Expression. Passive-Avoidance--characterized by a pre-occupation with problems, feeling unable to do anything, worrying about the past and taking a gloomy view of the situation, a greater likelihood of giving in so as to avoid difficult situations, the tendency to resign oneself to the situation, and to try to avoid problems--was the problem-solving dimension most strongly associated with repetition, although this association was attenuated by self-esteem.
The outcomes of the study indicate that treatments for DSH patients with repeated episodes should include problem-solving interventions. The observed passivity and avoidance of problems (coupled with low self-esteem) associated with repetition suggests that intensive therapeutic input and follow-up are required for those with repeated DSH.
Description
Citation
McAuliffe, C., Corcoran, P., Keeley, H. S., Arensman, E., Bille-Brahe, U., De Leo, D., Fekete, S., Hawton, K., Hjelmeland, H., Kelleher, M., Kerkhof, A. J., Lönnqvist, J., Michel, K., Salander-Renberg, E., Schmidtke, A., Van Heeringen, K., & Wasserman, D. (2006). Problem-solving ability and repetition of deliberate self-harm: a multicentre study. Psychological medicine, 36(1), 45–55. https://doi.org/10.1017/S0033291705005945
Publisher
License
Journal
Psychological medicine
Volume
36
Issue
1
PubMed ID
ISSN
0033-2917