Abstract

Background: It requires detailed research to understand the psychopathology behind DSH attempts. Apart from social factors, psychiatric disorders and individual coping mechanisms can contribute to DSH. This study will be helpful in knowing the prevalence of psychiatric morbidity in these patients.
 Aims and Objectives: To study the Psychiatric morbidity in patients with DSH.
 Materials and Methods: This is a retrospective, descriptive study including 42 patients who had history of DSH and were referred to psychiatry department of BARC Hospital, Mumbai. Patients who were below 45 years of age at the time of DSH and above 18 years at the time of study were included. Their socio-demographic data were collected, psychiatric diagnosis were noted from the case files, personality disorders were evaluated using ICD-10 IPDE. Data were analysed using descriptive and analytic statistical methods.
 Results: 42.86% of the population was diagnosed as having psychiatric disorder. Most common disorder was depression. 7.14% of the patients were diagnosed as having borderline personality disorder.
 Conclusions: Depression was the most common psychiatric disorder found in our study.
 Key words: Deliberate self-harm, psychiatric disorders, personality disorders.

Highlights

  • Research on deliberate self-harm has increased in recent years, and much is known about the prevalence and risk factors for DSH in various populations.WHO defines deliberate self-harm as,“An act with a non-fatal outcome, in which an individual deliberately initiates a non-habitual behaviour, that without any intervention from others will cause selfharm, or deliberately ingests a substance in excess of the prescribed or generally recognised therapeutic dosage, and which is aimed at realising changes which the subject desired via the actual or expected physical consequences.”(1)Deliberate Self Harm (DSH) is becoming more common[2,3] and is associated with significant risk of suicide[2,4]

  • Background: It requires detailed research to understand the psychopathology behind DSH attempts

  • Apart from social factors, psychiatric disorders and individual coping mechanisms can contribute to DSH

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Summary

Introduction

Research on deliberate self-harm has increased in recent years, and much is known about the prevalence and risk factors for DSH in various populations.WHO defines deliberate self-harm as,“An act with a non-fatal outcome, in which an individual deliberately initiates a non-habitual behaviour, that without any intervention from others will cause selfharm, or deliberately ingests a substance in excess of the prescribed or generally recognised therapeutic dosage, and which is aimed at realising changes which the subject desired via the actual or expected physical consequences.”(1)Deliberate Self Harm (DSH) is becoming more common[2,3] and is associated with significant risk of suicide[2,4]. Few of the precipitating factors leading to such intentions being academic failure, unemployment, financial setbacks and debts, substance use disorders, social isolation and familial stressors. Such acts can be caused by inability to cope from stress, as a form of self-punishment, or as means of influencing others[7]. Patients who were below 45 years of age at the time of DSH and above 18 years at the time of study were included Their socio-demographic data were collected, psychiatric diagnosis were noted from the case files, personality disorders were evaluated using ICD-10 IPDE.

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