Kendine Zarar Verme Davranışı Gösteren Ergenlerin 5 Yıllık Takip Çalışması

Abstract

Nonsuicidal self-injury is defined as an conscious and purposeful action that causes tissue damage of varying degrees to one's own body without a conscious desire to die. This type of behaviour begins primarily in adolescence and continues through adulthood. The aim of this study is to contribute to the data of the course of nonsuicidal self-injurious behaviour from adolescence onwards. 51 adolescents who were admitted to the outpatient clinic for NSSI in their early adolescence were assessed 5 years later, and an attempt was made to identify the risk factors associated with the continuation of NSSI 57 adolescents who had no medical history of NSSI and were matched for age and gender with the research group formed the control group. Besides the clinical interview, the adolescents were given 'Difficulties in Emotion Regulation Scale', ‘Beck Depression Inventory’, 'Ways of Coping Inventory', 'Body Attitudes Scale', 'Adolescent Relationship Scales Questionnaire', ‘Assessment of Identity Development in Adolescence’, 'State Trait Anxiety Inventory', and 'Brief Symptom Inventory'. In addition, the Ottawa Self Injury Inventory - Clinical was applied to adolescents who had NSSI initially. It was found that the adolescents in the NSSI group, compared to the control group, were significantly more likely to grow up in a dysfunctional family, to have a history of mental/physical illness, to have difficulties with emotion regulation and stress management, to perceive themselves as having less physical integrity and health, to have more identity problems and higher psychiatric pathology. Notably, it has been identified that the factor predicting the persistence of non-suicidal self-injury after 5 years was identity diffusion.