Les conduites d’automutilation non suicidaires dans une population recrutée pendant une hospitalisation en psychiatrie : À propos de 100 patients

Abstract

IntroductionNon-suicidal self-harm (NSSH) is a real public health problem due to its frequency in a young population and their close relationship with other psychiatric disorders. To better understand the phenomenon, we conducted a descriptive study within the psychiatry department of the CHU of Fez. MethodsWe report a cross-sectional observational study including all inpatients with self-harm in our psychiatric department over one year. We first collected data on the sample characteristics, the NSSH behavior, its clinical context and characteristics, then we passed the Childhood trauma Questionnaire and Screened for DSM-IV comorbid diagnoses. Finally, we compared the sample with the existing literature. ResultsThe inpatient prevalence of NSSH is estimated at 6.91%, with a clear majority of men and an average age of 27 years. Among the participants, 22% have a history of suicidal behavior, 56% are substance users and 30% have experienced trauma or abuse; 33% of the sample meet DSM IV criteria for borderline personality and 30% of patients had schizophrenia. Intolerance to frustration (73%) and massive anxiety (37%) often accompanied the act of ANS and the most frequent localizations were the forearms (90%) and the arms (57%). ConclusionOur study confirms the frequency of self-harm in the psychiatric population and finds the same characteristics reported by Western literature, including the link with borderline personality and anxiety, except for the predominance of women.