
@article{ref1,
title="Dissociation, self-cutting, and other self-harm behavior in a general population of Finnish adolescents",
journal="Journal of nervous and mental disease",
year="2008",
author="Tolmunen, Tommi and Rissanen, Marja-Liisa and Hintikka, Jukka and Maaranen, Paivi and Honkalampi, Kirsi and Kylma, Jari and Laukkanen, Eila",
volume="196",
number="10",
pages="768-771",
abstract="A few studies on adult clinical samples have demonstrated that dissociation predicts self-harm behavior without intent to die. Furthermore, a similar association has been found from selected adolescent populations. However, no studies have been published on the association between dissociation and self-harm behavior in general populations of either adults or adolescents. We investigated whether a high level of dissociation predicts self-cutting or other self-harm behavior in a Finnish general population sample of 4019 adolescents aged between 13 and 18 years. Those with a high level of dissociation measured with the Adolescent Dissociative Experiences Scale had a higher risk of current self-cutting and other self-harm behavior, even when adjusted for several possible confounding factors. Self-cutting adolescents had higher Adolescent Dissociative Experiences Scale scores than those displaying other kinds of self-harm behavior. These results indicate that a high level of dissociation is an independent risk factor for self-harm behavior in adolescents, and may have value both in clinical work and further research.<p /> <p>Language: en</p>",
language="en",
issn="0022-3018",
doi="10.1097/NMD.0b013e3181879e11",
url="http://dx.doi.org/10.1097/NMD.0b013e3181879e11"
}