Citation

Kirkcaldy BD, Brown JM, Siefen GR. Int. J Disabil. Hum. Dev. 2007; 6(1): 75-86.

Copyright

(Copyright © 2007, Nova Science Publishers)

DOI

10.1515/IJDHD.2007.6.1.75

PMID

unavailable

Abstract

A sample of 354 adolescents, admitted to a large German clinic for child and adolescent psychiatry and psychosomatics for the 2002-2003 period were assessed using the medical-psychological documentation and selfi-report questionnaires including the Symptom Checklist (SCL-90) and the Child Checklist (1). Self-injurious behavior-but not suicidal intent-was found to be more common among female than male adolescents. Adolescents with a history of attempted suicide showed no difference in terms of somaticization and phobias on the Symptom Check List, but yielded higher scores on other scales such as depression, anxiety, anger-hostility, paranoid ideation and psychoticism, and to a lesser extent, obsessional compulsion and interpersonal sensitivity. On the Behavior Checklist, differences were largest for anxiety-depression, social inhibition and aggressiveness. The major SCL scale predictors of the Behavioral Checklist secondary scale internalization were anxiety, depression and interpersonal sensitivity. In contrast, externalization was best predicted by anger hostility, paranoid ideation, and interpersonal (in)sensitivity and low phobic anxiety. Adolescents in psychiatric care with a prior history of self-injurious or mutilating behavior differed from those clinical cases with no history of selfi-injurious behavior in their SCL-90 profiles across all 9 scales, largest difference being for depression, anxiety, anger-hostility, obsessive-compulsive and psychoticism. Stepwise regression revealed obsessive compulsion as the single major predictor of self-injurious behavior. The two groups (self-injury and non self-injury) differed in their Behavior Checklist profile, with the self-injury inflicting individuals displaying higher scores in terms of anxiety-depression, schizoid-compulsive, social inhibition and attention disordered. Linear regression revealed that schizoid-compulsive and anxiety-depression were the two main determinants of self-injurious behavior. © 2007, by Walter de Gruyter GmbH & Co. All rights reserved.

Language: en

Keywords

adolescent; gender differences; adult; human; suicide; female; male; adolescence; self-injury; depression; anger; anxiety; psychosis; suicide attempt; aggressiveness; article; major clinical study; questionnaire; school child; child psychiatry; automutilation; paranoia; schizoidism; psychosomatic disorder; obsessive compulsive disorder; phobia; attention disturbance; Symptom Checklist 90; Child Checklist; profiling