Problem-solving ability and repetition of deliberate self-harm: a multicentre study
Background. 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...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
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Cambridge University Press
2005
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| _version_ | 1797081593396854784 |
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| author | McAuliffe, C Corcoran, P Keeley, H Arensman, E Bille-Brahe, U de Leo, D Fekete, S Hawton, K Hjelmeland, H Kelleher, M Kerkhof, A Lönnqvist, J Michel, K Salander-Renberg, E Schmidtke, A Van Heeringen, K Wasserman, D |
| author_facet | McAuliffe, C Corcoran, P Keeley, H Arensman, E Bille-Brahe, U de Leo, D Fekete, S Hawton, K Hjelmeland, H Kelleher, M Kerkhof, A Lönnqvist, J Michel, K Salander-Renberg, E Schmidtke, A Van Heeringen, K Wasserman, D |
| author_sort | McAuliffe, C |
| collection | OXFORD |
| description | Background. 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. Method. 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. Results. 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. Conclusions. 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. |
| first_indexed | 2024-03-07T01:16:24Z |
| format | Journal article |
| id | oxford-uuid:8ed66fe1-f59f-409a-98d9-3e840c208d48 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T01:16:24Z |
| publishDate | 2005 |
| publisher | Cambridge University Press |
| record_format | dspace |
| spelling | oxford-uuid:8ed66fe1-f59f-409a-98d9-3e840c208d482022-03-26T23:00:17ZProblem-solving ability and repetition of deliberate self-harm: a multicentre studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8ed66fe1-f59f-409a-98d9-3e840c208d48PsychiatryEnglishOxford University Research Archive - ValetCambridge University Press2005McAuliffe, CCorcoran, PKeeley, HArensman, EBille-Brahe, Ude Leo, DFekete, SHawton, KHjelmeland, HKelleher, MKerkhof, ALönnqvist, JMichel, KSalander-Renberg, ESchmidtke, AVan Heeringen, KWasserman, DBackground. 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. Method. 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. Results. 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. Conclusions. 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. |
| spellingShingle | Psychiatry McAuliffe, C Corcoran, P Keeley, H Arensman, E Bille-Brahe, U de Leo, D Fekete, S Hawton, K Hjelmeland, H Kelleher, M Kerkhof, A Lönnqvist, J Michel, K Salander-Renberg, E Schmidtke, A Van Heeringen, K Wasserman, D Problem-solving ability and repetition of deliberate self-harm: a multicentre study |
| title | Problem-solving ability and repetition of deliberate self-harm: a multicentre study |
| title_full | Problem-solving ability and repetition of deliberate self-harm: a multicentre study |
| title_fullStr | Problem-solving ability and repetition of deliberate self-harm: a multicentre study |
| title_full_unstemmed | Problem-solving ability and repetition of deliberate self-harm: a multicentre study |
| title_short | Problem-solving ability and repetition of deliberate self-harm: a multicentre study |
| title_sort | problem solving ability and repetition of deliberate self harm a multicentre study |
| topic | Psychiatry |
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