@article{ref1,
title="Atypical and severe nonsuicidal self-injury as an indicator of severe psychopathology: findings from a sample of high-risk community mental health clients",
journal="Journal of nervous and mental disease",
year="2018",
author="Hom, Melanie A. and Rogers, Megan L. and Schneider, Matthew E. and Chiurliza, Bruno and Doerfler, Leonard A. and Walsh, Barent W. and Joiner, Thomas E.",
volume="206",
number="8",
pages="582-588",
abstract="This study examined whether atypical/severe nonsuicidal self-injury (NSSI; e.g., foreign body ingestion, cutting necessitating sutures) serves as a marker of severe psychopathology among 467 adult community mental health clients (n = 33 with an atypical/severe NSSI history). Information regarding psychiatric risk indicators was extracted from participants' psychiatric records. Generalized linear models with negative binomial distribution and log link function, as well as chi-square tests, were used to address study aims. Clients with a lifetime atypical/severe NSSI history met criteria for a significantly greater number of psychiatric risk indicators than clients with a lifetime history of common NSSI only; however, these clients were not significantly more likely to report recent suicidal actions. Individuals with an atypical/severe NSSI history may demonstrate more severe psychopathology than those with a history of common NSSI only. Thus, it may be clinically useful to consider individuals with an atypical/severe NSSI history as a high-risk subgroup.<p /> <p>Language: en</p>",
language="en",
issn="0022-3018",
doi="10.1097/NMD.0000000000000865",
url="http://dx.doi.org/10.1097/NMD.0000000000000865"
}