@article{ref1,
title="Non-suicidal self-injury and attachment trauma in adolescent inpatients with psychiatric disorders",
journal="Comprehensive psychiatry",
year="2021",
author="Gander, Manuela and Fuchs, Martin and Franz, Nils and Jahnke-Majorkovits, Ann-Christin and Buchheim, Anna and Bock, Astrid and Sevecke, Kathrin",
volume="111",
number="",
pages="e152273-e152273",
abstract="This study examined how non-suicidal self-injury disorder (NSSID) differs with respect to mental disorders, gender and attachment status in adolescent psychiatric patients. In particular, we analyzed attachment-related traumatic material underlying adolescent NSSID. Our sample consisted of 137 in-patient adolescents aged 12 to 18 years (73% female, M(age) = 15.09, SD = 1.44; 27% male, M(age) = 14.65, SD = 1.53). Forty-four patients (32.1%) fulfilled the diagnostic criteria for NSSID according to the DSM-5 and ninety-three patients (67.9%) did not meet diagnostic criteria for NSSID. Our results revealed a higher prevalence of NSSID in female patients and in patients with mood disorders. In the total sample, 52% of our in-patients were classified with an unresolved attachment status. The diagnostic subgroup analysis demonstrated a higher percentage of unresolved attachment status only in patients with eating disorders and NSSID. However, our in-depth analysis of the total sample revealed that patients with NSSID demonstrated more traumatic material in their attachment interviews indicating a greater severity of attachment trauma. In particular the theme of helplessness in interpersonal conflicts left them in a state of attachment dysregulation. Intervention strategies targeting traumatic attachment-related themes might be useful to reduce the number of adolescents engaging in NSSI.<p /> <p>Language: en</p>",
language="en",
issn="0010-440X",
doi="10.1016/j.comppsych.2021.152273",
url="http://dx.doi.org/10.1016/j.comppsych.2021.152273"
}