Fundamentals of Nonsuicidal Self-Injury in Pediatric Patients.

IF 1.1 4区 医学 Q3 PEDIATRICS Pediatric Annals Pub Date : 2024-08-01 DOI:10.3928/19382359-20240605-02
Carolyn Green Bernacki
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Abstract

Nonsuicidal self-injury (NSSI) is deliberate self-inflicted injury to one's own body without suicidal intent. There is a high prevalence of NSSI among adolescents, especially in adolescents with history of adverse childhood events and intense reactive emotions. Pediatricians are commonly the first point of contact for adolescents and preadolescents with mental health concerns, and knowledge of how to elicit and respond to reports of NSSI are critical in identifying, supporting, and making appropriate referrals to behavioral health providers. Appropriate referrals include a psychiatric assessment by a child and adolescent psychiatrist and licensed therapist. Therapy targets NSSI by identifying the function of the behavior for the patient and finding ways to obtain that function safely using coping skills. Pediatricians should consider their role in setting the tone for families to engage in productive mental health treatment, with the goal of having the adolescent and caregiver work collaboratively to use healthy coping skills. [Pediatr Ann. 2024;53(8):e280-e282.].

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儿科患者非自杀性自伤的基础知识。
非自杀性自残(NSSI)是指在没有自杀意图的情况下故意自残。NSSI 在青少年中的发病率很高,尤其是在有不良童年事件史和强烈反应情绪的青少年中。儿科医生通常是有心理健康问题的青少年和学龄前儿童的第一接触点,了解如何诱导和应对 NSSI 报告对于识别、支持和适当转诊给行为健康服务提供者至关重要。适当的转介包括由儿童和青少年精神科医生及执业治疗师进行精神评估。针对 NSSI 的治疗方法是确定该行为对患者的功能,并找到使用应对技巧安全获得该功能的方法。儿科医生应考虑自己在为家庭参与富有成效的心理健康治疗定调方面所扮演的角色,其目标是让青少年和照顾者共同努力,使用健康的应对技能。[2024;53(8):e280-e282.].
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来源期刊
Pediatric Annals
Pediatric Annals 医学-小儿科
CiteScore
1.80
自引率
0.00%
发文量
104
审稿时长
2 months
期刊介绍: Published for more than 40 years, Pediatric Annals is an online-only, monthly medical review journal dedicated to providing pediatricians and other clinicians with the latest practical information on the diagnosis and treatment of pediatric diseases and disorders. Begin to explore the Journal and all of its great benefits such as: -Single-topic summary reviews of important trends in pediatric medicine -Access to current articles, as well as several years of archived content -Columns including Healthy Baby/Healthy Child and Case Challenges
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