dc.contributor.author | Langjord, Tuva | |
dc.contributor.author | Pedersen, Geir Arild Feigum | |
dc.contributor.author | Bovim, Tone | |
dc.contributor.author | Christensen, Tore Buer | |
dc.contributor.author | Eikenæs, Ingeborg Helene Ulltveit-Moe | |
dc.contributor.author | Hove, Oddbjørn | |
dc.contributor.author | Kildahl, Arvid Nikolai | |
dc.contributor.author | Mork, Erlend | |
dc.contributor.author | Norheim, Astrid Berge | |
dc.contributor.author | Ramleth, Ruth-Kari | |
dc.contributor.author | Ringen, Petter Andreas | |
dc.contributor.author | Romm, Kristin Lie | |
dc.contributor.author | Siqveland, Johan | |
dc.contributor.author | Schønning, Thea | |
dc.contributor.author | Stänicke, Line Indrevoll | |
dc.contributor.author | Torgersen, Terje | |
dc.contributor.author | Pettersen, Mona | |
dc.contributor.author | Tveit, Tone | |
dc.contributor.author | Urnes, Øyvind | |
dc.contributor.author | Walby, Fredrik A | |
dc.contributor.author | Kvarstein, Elfrida Hartveit | |
dc.date.accessioned | 2024-01-18T10:17:15Z | |
dc.date.available | 2024-01-18T10:17:15Z | |
dc.date.created | 2023-11-22T10:02:45Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Frontiers in Psychiatry. 2023, 14 . | en_US |
dc.identifier.issn | 1664-0640 | |
dc.identifier.uri | https://hdl.handle.net/11250/3112426 | |
dc.description.abstract | Background: Severe self-harm leading to extensive hospitalization generates extreme challenges for patients, families, and health services. Controversies regarding diagnoses and health care often follow. Most evidence-based treatments targeting self-harm are designed for borderline personality disorder (BPD). However, current knowledge about mental health status among individuals with severe self-harm is limited.
Objectives: To investigate psychopathology among patients extensively hospitalized due to severe or frequent self-harming behaviors.
Method: A cross sectional study (period 2019–2021) targeting psychiatric inpatients (>18 years) with frequent (>5) or long (>4 weeks) admissions last year due to self-harm. The target sample (N = 42, from 12 hospitals across all Norwegian health regions) was compared to individuals admitted to outpatient personality disorder (PD) treatment within specialist mental health services in the same period (N = 389). Clinicians performed interviews on self-harm and psychopathology, supplemented by self-report.
Results: The target sample were young adults, mainly female, with considerable hospitalization and self-harming behaviors, both significantly more extensive than the comparison group. The majority in both groups reported self-harm onset <18 years. The target sample reported increasing severity of self-harm acts and suicidal intention over time. Both samples had high levels of childhood trauma, impaired personality functioning, and a majority fulfilled criteria for PD. In the target sample, comorbid depression, PTSD, anxiety disorders, and substance use occurred more frequently and in 50%, psychosis/dissociative disorder/autism spectrum disorder/ADHD was reported (outpatient comparison sample: 9%). 35% in the target sample screened over cut-off for possible intellectual disability. The target sample reported poor psychosocial functioning and health-related quality of life – greater impairment than the outpatient comparison sample.
Conclusion: The study reveals that severe self-harm inpatients have complex psychopathology and highlights the importance of individualized and thorough assessment among patients with severe and/or repetitive self-harm. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Frontiers | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Mental health disorders, functioning and health-related quality of life among extensively hospitalized patients due to severe self-harm – results from the Extreme Challenges project | en_US |
dc.title.alternative | Mental health disorders, functioning and health-related quality of life among extensively hospitalized patients due to severe self-harm – results from the Extreme Challenges project | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.source.pagenumber | 0 | en_US |
dc.source.volume | 14 | en_US |
dc.source.journal | Frontiers in Psychiatry | en_US |
dc.identifier.doi | 10.3389/fpsyt.2023.1258025 | |
dc.identifier.cristin | 2200063 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |