Talk:Evidence based assessment/Self harm (assessment portfolio)

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Thank you, Kenny!

In the treatment section, there are both parenthetical citations and numbered links to references. Is it repetitive to include the parenthetical citations? Hkim243 (discusscontribs) 22:23, 8 March 2018 (UTC)

DSM 5 criteria and diagnostic changes[edit]

Whereas in DSM-IV non-suicidal self-injury (NSSI) was considered a symptom of borderline personality disorder (BPD), in the revised manual it is recognized as a distinct condition[1]. Research suggests that NSSI can occur independent of BPD, such as in patients with depression or even in those with no other diagnosable psychopathology. In the newest version of the manual (DSM-IV), non-suicidal self-injury (NSSI) is listed as a "condition for further study." The proposed preliminary criteria for NSSI are as follows:

  • 5 or more days of intentional self-inflicted damage to the surface of the body likely to induce bleeding, bruising, or pain (e.g., cutting, burning, stabbing, hitting, excessive rubbing), with the expectation that the injury will lead to only minor or moderate physical harm (i.e., without suicidal intent) within the past year.

Note: The absence of suicidal intent has either been stated by the individual or can be inferred by the individual's repeated engagement in a behavior that the individual knows, or has learned, is not likely to result in death.

  • Patients also must engage in the self-injurious behavior with at least 1 of the following expectations:
    • to seek relief from a negative feeling or cognitive state
    • to resolve an interpersonal difficulty
    • to induce a positive state
  • The behavior must also be associated with 1 of the following criteria:
    • interpersonal difficulty or negative feelings and thoughts (eg, depression, anxiety)
    • preoccupation with the intended behavior that is difficult to control
    • ruminating on (non-suicidal) self-injury frequently, even when not acted upon
  • The behavior must cause clinically significant distress or interference in interpersonal, academic, or other important areas of functioning.
  • The behavior can not be better explained by another mental disorder or medical condition.

Socially sanctioned behaviors, like body piercing and tattooing, do not qualify for the diagnosis, nor do scab picking or nail biting. Important to note is that patients who express suicidal behavior within the past 24 months, but who don't qualify for another psychiatric disorder, now fall under the new "suicidal behavior" diagnosis category.

Suicide assessment[edit]

We should rework this page as a self harm one, and include suicide assessment measures, such as:

Eyoungstrom (discusscontribs) 14:31, 15 May 2019 (UTC)

  1. Cite error: Invalid <ref> tag; no text was provided for refs named DSM5