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Problem-solving ability and repetition of deliberate self-harm: a multicentre study.
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2006 (English)In: Psychological Medicine, ISSN 0033-2917, E-ISSN 1469-8978, Vol. 36, no 1, 45-55 p.Article in journal (Refereed) Published
Abstract [en]

Background. While recent studies have found problem-solving impairments in individuals who engage in deliberate self-harm (DSH), few studies have examined repeaters and non-repeaters separately. The aim of the present study was to investigate whether specific types of problem-solving are associated with repeated DSH.

Method. As part of the WHO/EURO Multicentre Study on Suicidal Behaviour, 836 medically treated DSH patients (59% repeaters) from 12 European regions were interviewed using the European Parasuicide Study Interview Schedule (EPSIS II) approximately 1 year after their index episode. The Utrecht Coping List (UCL) assessed habitual responses to problems.

Results. Factor analysis identified five dimensions – Active Handling, Passive-Avoidance, Problem Sharing, Palliative Reactions and Negative Expression. Passive-Avoidance – characterized by a pre-occupation with problems, feeling unable to do anything, worrying about the past and taking a gloomy view of the situation, a greater likelihood of giving in so as to avoid difficult situations, the tendency to resign oneself to the situation, and to try to avoid problems – was the problem-solving dimension most strongly associated with repetition, although this association was attenuated by self-esteem.

Conclusions. The outcomes of the study indicate that treatments for DSH patients with repeated episodes should include problem-solving interventions. The observed passivity and avoidance of problems (coupled with low self-esteem) associated with repetition suggests that intensive therapeutic input and follow-up are required for those with repeated DSH.

Place, publisher, year, edition, pages
Cambridge University Press , 2006. Vol. 36, no 1, 45-55 p.
URN: urn:nbn:se:umu:diva-44006DOI: 10.1017/S0033291705005945PubMedID: 16194285OAI: diva2:417605
Available from: 2011-05-17 Created: 2011-05-17 Last updated: 2011-05-31Bibliographically approved

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Salander Renberg, Ellinor
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