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Authors:  (Donald E Greydanus, and Hatim A Omar, Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, United States of America, and others)
Abstract:
Deliberate self-harm (DSH) is a common and typically secret phenomenon in
adolescents, especially females that involves two main features—self-derogation and
negative emotionality. Causes of non-suicidal self-injury include attempts to get help
from professionals, express disgust or self-anger, resist suicidal thoughts, and correct
episodes of dissociation. DSH is associated with eating disorders and alcohol abuse, as
well as other illict drug abuse. Fortunately, most self-cutters are not at high risk for
eventual suicide; however, all those with DSH histories should be carefully assessed for
suicide as well as offered comprehensive management. Programs for prevention of
suicide should be implemented for adolescents at risk for suicide and this includes those
with histories of DSH. 


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Self-Cutting and Suicide in Adolescents (pp. 141-148)