@article{ref1,
title="Closing in on crisis: informing clinical practice regarding nonsuicidal self-injury in youth",
journal="Journal of Pediatric Health Care",
year="2016",
author="Young, Cara C. and Simonton, Amanda J. and Key, Stephanie and Barczyk, Amanda N. and Lawson, Karla A.",
volume="31",
number="3",
pages="334-341",
abstract="Nonsuicidal self-injury (NSSI) in youth is a major public health concern. A retrospective chart review was conducted within a hospital system to examine (a) youth self-reports of reasons for engaging in NSSI and (b) additional contextual circumstances that may contribute to youth NSSI. Detailed history, physical examination, and treatment/discharge data were extracted by thoroughly reviewing all electronic documents in each medical record. The final sample (N = 135) were predominantly female (71.1%), and well over half (63.8%) reported Medicaid or uninsured status. Qualitative content analysis of youth self-reports and hospital progress notes showed that NSSI served as an emotional and functional coping mechanism. Five primary themes characterized the contextual influences on youth engaging in NSSI: (1) Personal Emotions, (2) Trauma, (3) Relationship Quality, (4) Sense of Loss, and (5) Risk Behaviors. Practical clinical practice suggestions for working with youth are discussed using these themes as a template for assessing risk and protective factors.<br><br>Copyright © 2016 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0891-5245",
doi="10.1016/j.pedhc.2016.10.005",
url="http://dx.doi.org/10.1016/j.pedhc.2016.10.005"
}