Self Harm Flashcards
SITB
self-injurious thoughts and behaviors
NSSI
nonsuicidal self-injury - deliberate, self-inflicted destruction of body tissue without suicidal intent and for purposes not socially sanctioned, including behaviors such as cutting, burning, biting, and scratching skin
DSM-V: NSSI
A. 5 or more days in the last year of intentional self-inflicted damage without suicidal intent
B. Engagement in NSSI with the expectation:
- To obtain relief from a negative feeling or cognitive state.
- To resolve an interpersonal difficulty.
- To induce a positive feeling state.
C. The intentional self-injury is associated with at least one of the following:
- Interpersonal difficulties or negative feelings or thoughts occurring in the period immediately prior to the self-injurious act.
- Prior to engaging in the act, a period of preoccupation with the intended behavior that is difficult to control.
- Thinking about self-injury that occurs frequently, even when not acted upon.
D. The behavior is not socially sanctioned and is not restricted to picking a scab or nail biting.
E. The behavior or its consequences cause clinically significant distress or interference in interpersonal, academic, or other important areas of functioning.
F. The behavior does not occur exclusively during psychotic episodes, delirium, substance intoxication, or substance withdrawal. The behavior is not better described by another disorder.
ICD-10-CM
No exact match for NSSI in ICD-10
Code x71-83 Intentional self-harm by (means)
Considered purposely self-inflicted injury
Under a category called External Causes of Morbidity
Clinical Concerns
Problem with individuals who engage in NSSI are often assumed to be suicidal.
Clinicians often misdiagnose self-injuring patients with Borderline Personality Disorder
As of now, recent category still has high rate of misdiagnosis and poor interrater reliability.
Need for further study.
