
@article{ref1,
title="Self-harm intentions: can they be distinguished based upon a history of childhood physical and sexual abuse?",
journal="Canadian journal of nursing research",
year="2010",
author="Santa Mina, Elaine E.",
volume="42",
number="4",
pages="122-143",
abstract="A non-experimental, comparative design is used to measures self-harm intention in clients with and without a history of childhood physical and sexual abuse (CP/SA) presenting to an emergency department with an episode of self-harm behaviour. The traditional suicide literature identifies the key intention concepts of wish-to-die, lethality, hopelessness, and depression. However, the trauma literature understands self-harm behaviour to be an adaptive response to CP/SA and as such possibly helpful for managing intense affect and dissociation. The findings of this study demonstrate that a CP/SA history is not a distinguishing factor in self-harm intention. Almost all participants, regardless of abuse history, gave multiple reasons for their self-harm behaviour, in addition to or other than the wish-to-die. The striking similarity between the non-abused and abused groups with regard to self-harm intention challenges clinicians to assess for the full range of intentions of people who engage in self-harm and suicidal behaviour.<p /> <p>Language: en</p>",
language="en",
issn="0844-5621",
doi="",
url="http://dx.doi.org/"
}