NDLI: Non-suicidal self-injury (NSSI) disorder: a preliminary study.

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Non-suicidal self-injury (NSSI) disorder: a preliminary study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Selby, Edward A. Bender, Theodore W. Gordon, Kathryn H. Nock, Matthew K. Joiner, Thomas E.
Description	Country affiliation: United States Author Affiliation: Selby EA ( Warren Alpert Medical School, Brown University, USA.)
Abstract	Non-suicidal self-injury (NSSI) disorder has been suggested for inclusion into the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, in preparation), yet there is concern that NSSI is primarily a function of high borderline personality disorder (BPD) symptoms. The purpose of this study was to examine the characteristics of NSSI disorder and compare it to BPD and other DSM Axis I diagnoses commonly seen in clinical practice to aid in the determination of whether NSSI should be considered a separate, valid diagnostic entity. Chart data were analyzed from the screening, intake, and termination information of 571 treatment-seeking patients in a general practice clinic. Patients were classified into one of three groups: NSSI without BPD, BPD (with and without NSSI) or a comparison condition for those who did not meet criteria for the first 2 groups. Participants in these 3 groups were compared on functioning at intake, psychopathology, and diagnostic co-occurrence. Results indicated important group differences regarding diagnostic co-occurrence rates, patient history of associated features, and impairment at intake. The NSSI group displayed similar levels of functional impairment as the BPD group, including on indices of suicidality. The BPD group reported increased experiences with abuse and fewer men relative to the NSSI group. Most in the NSSI group did not exhibit subthreshold BPD symptoms or personality disorder not otherwise specified. In conclusion, a potential NSSI disorder may be characterized by high levels of depressive symptoms, anxiety, suicidality, and low functioning relative to other Axis I diagnoses.
File Format	HTM / HTML
ISSN	19492715
Issue Number	2
Volume Number	3
e-ISSN	19492723
Journal	Personality Disorders: Theory, Research, and Treatment
Language	English
Publisher	American Psychological Association
Publisher Date	2012-04-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Psychology Borderline Personality Disorder Diagnosis Self-injurious Behavior Adult Case-control Studies Diagnostic And Statistical Manual Of Mental Disorders Female Humans Male Therapy Suicide, Attempted Psychology Statistics & Numerical Data Time Factors Treatment Outcome Young Adult Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Clinical Psychology Psychiatry and Mental Health

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