Der Nervenarzt

, Volume 79, Issue 9, pp 1017–1022 | Cite as

Selbstverletzendes Verhalten

Erscheinungsformen, Risikofaktoren und Verlauf
Übersichten

Zusammenfassung

Selbstverletzendes Verhalten stellt eine direkte Schädigung des eigenen Körpers dar und wird ohne bewusste Suizidabsicht ausgeführt. Selbstverletzungen können in vielfältiger Weise in Erscheinung treten und verschiedene Körperstellen, primär die Extremitäten, betreffen. Das Verhalten weist eine 6-Monats-Prävalenz von 4% in der Allgemeinbevölkerung auf. Häufig unterstützt es die Emotionsregulation. Traumatische Erfahrungen, psychische Störungen und eine allgemeine Impulsivität begünstigen das Auftreten.

Schlüsselwörter

Selbstverletzendes Verhalten Selbstverstümmelung Prävalenz Risikofaktoren Verlauf 

Self-injurious behaviour

Phenomenology, risk factors, and course

Summary

Self-injurious behavior refers to the direct destructive treatment of one’s own body performed without suicidal intent. Many methods are observable, and different body parts are harmed, particularly arms and legs. The 6-month prevalence of self-injurious behavior is projected at 4% in the general population. Such behavior most often supports emotional regulation. Traumatic experiences, mental disorders, and general impulsivity facilitate its appearance.

Keywords

Self-injurious behavior Self-mutilation Prevalence Risk factors Course 

Literatur

  1. 1.
    Briere J, Gil E (1998) Self-mutilation in clinical and general population samples: Prevalence, correlates, and functions. Am J Orthopsychiatry 68: 609–620PubMedCrossRefGoogle Scholar
  2. 2.
    Bohus M, Limberger M, Ebner U et al. (2000) Pain perception during self-reported distress and calmness in patients with borderline personality disorder and self-mutilating behavior. Psychiatry Res 95: 251–260PubMedCrossRefGoogle Scholar
  3. 3.
    Brunner R, Parzer P, Haffner J et al. (2007) Prevalence and psychological correlates of occasional and repetitive deliberate self-harm in adolescents. Arch Pediatr Aolesc Med 161: 641–649CrossRefGoogle Scholar
  4. 4.
    Favazza AR (1998) The coming of age of self-mutilation. J Nerv Ment Dis 186: 259–268PubMedCrossRefGoogle Scholar
  5. 5.
    Gratz KL (2006) Risk factors for deliberate self-harm among female college students: The role and interaction of childhood maltreatment, emotional inexpressivity, and affect intensity/reactivity. Am J Orthopsychiatry 76: 238–250PubMedCrossRefGoogle Scholar
  6. 6.
    Gratz KL, Chapman AL (2007) The role of emotional responding and childhood maltreatment in the development and maintenance of deliberate self-harm among male undergraduates. Psychol Men Masculin 8: 1–14CrossRefGoogle Scholar
  7. 7.
    Herpertz S, Sass H, Favazza AR (1997) Impulsivity in self-mutilative behavior: Psychometric and biological findings. J Psychiatr Res 31: 451–165PubMedCrossRefGoogle Scholar
  8. 8.
    Kamphuis JH, Ruyling SB, Reijntjes AH (2007) Testing the emotion regulation hypothesis among self-injuring females: Evidence for differences across mood states. J Nerv Ment Dis 195: 912–918PubMedCrossRefGoogle Scholar
  9. 9.
    Klonsky ED (2007) The functions of deliberate self-injury: A review of the evidence. Clin Psychol Rev 27: 226–239PubMedCrossRefGoogle Scholar
  10. 10.
    Laye-Gindhu A, Schonert-Reichl KA (2005) Nonsuicidal self-harm among adolescents: Understanding the Whats and Whys of self-harm. J Youth Adolesc 34: 447–457CrossRefGoogle Scholar
  11. 11.
    Libal G, Plener PL, Fegert JM (2005) Psychopharmakologische Behandlung. In: Petermann F, Winkel S Selbstverletzendes Verhalten Hogrefe GöttingenGoogle Scholar
  12. 12.
    Lloyd-Richardson EE, Perrine N, Dierker L, Kelley ML (2007) Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychol Med 37: 1183–1192PubMedCrossRefGoogle Scholar
  13. 13.
    Muehlenkamp JJ (2005) Self-injurious behavior as a separate clinical syndrome. Am J Orthopsychiatry 75: 324–333PubMedCrossRefGoogle Scholar
  14. 14.
    Nixon MK, Cloutier PF, Aggarwal S (2002) Affect regulation and addictive aspects of repetitive self-injury in hospitalized adolescents. J Am Acad Child Adolesc Psychiatry 41: 1333–1341PubMedCrossRefGoogle Scholar
  15. 15.
    Nock MK, Joiner TE, Gordon KH et al. (2006) Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Res 144: 65–72PubMedCrossRefGoogle Scholar
  16. 16.
    Nock MK, Prinstein MJ (2005) Contextual features and behavioral functions of self-multilation among adolescents. J Abnorm Psychol 114: 140–146PubMedCrossRefGoogle Scholar
  17. 17.
    Petermann F, Winkel S (2005) Selbstverletzendes Verhalten. Hogrefe GöttingenGoogle Scholar
  18. 18.
    Petermann F, Winkel S (2007) Selbstverletzendes Verhalten. Diagnostik und psychotherapeutische Ansätze. Z Psychiatr Psychol Psychother 55: 123–132Google Scholar
  19. 19.
    Petermann F, Winkel S (2007) Selbstverletzendes Verhalten bei Kindern mit intellektueller Beeinträchtigung. Monatsschr Kinderheilkd 155: 937–944CrossRefGoogle Scholar
  20. 20.
    Salbach-Andrae H, Lenz K, Klinkowski N et al. (2007) Selbstverletzendes Verhalten bei weiblichen Jugendlichen. Z Psychiat Psychol Psych 55: 185–193Google Scholar
  21. 21.
    Whitlock J, Eckenrode J, Silverman D (2006) Self injurious behaviors in a college population. Pediatrics 177: 1939–1948CrossRefGoogle Scholar
  22. 22.
    Wiedebusch S, Petermann F (2006) Psychologische Tests zur Erfassung emotionaler Fertigkeiten. Monatsschr Kinderheilkd 154: 320–325CrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag 2008

Authors and Affiliations

  1. 1.Zentrum für Klinische PsychologieRehabilitation der Universität BremenBremenDeutschland

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