TY - JOUR PY - 2005// TI - Problem-solving ability and repetition of deliberate self-harm: a multicentre study JO - Psychological medicine A1 - McAuliffe, Carmel A1 - Corcoran, Paul A1 - Keeley, Helen S. A1 - Arensman, Ella A1 - Bille-Brahe, Unni A1 - De Leo, Diego A1 - Fekete, Sandor A1 - Hawton, Keith E. A1 - Hjelmeland, Heidi A1 - Kelleher, Margaret A1 - Kerkhof, Ad J. F. M. A1 - Lonnqvist, J. K. A1 - Michel, Konrad A1 - Renberg, EL A1 - Schmidtke, Armin A1 - van Heeringen, Cornelis Kees A1 - Wasserman, Danuta SP - 45 EP - 55 VL - 36 IS - 1 N2 - Background. While recent studies have found problem-solving impairments in individuals who engage in deliberate self-harm (dsh), few studies have examined repeaters and non-repeaters separately. The aim of the present study was to investigate whether specific types of problem-solving are associated with repeated dsh. Method. As part of the who/euro multicentre study on suicidal behaviour, 836 medically treated dsh patients (59% repeaters) from 12 european regions were interviewed using the european parasuicide study interview schedule (epsis ii) approximately 1 year after their index episode. The utrecht coping list (ucl) assessed habitual responses to problems. results. factor analysis identified five dimensions - active handling, passive-avoidance, problem sharing, palliative reactions and negative expression. Passive-avoidance - characterized by a pre-occupation with problems, feeling unable to do anything, worrying about the past and taking a gloomy view of the situation, a greater likelihood of giving in so as to avoid difficult situations, the tendency to resign oneself to the situation, and to try to avoid problems - was the problem-solving dimension most strongly associated with repetition, although this association was attenuated by self-esteem. Conclusions. The outcomes of the study indicate that treatments for dsh patients with repeated episodes should include problem-solving interventions. The observed passivity and avoidance of problems (coupled with low self-esteem) associated with repetition suggests that intensive therapeutic input and follow-up are required for those with repeated dsh.

LA - SN - 0033-2917 UR - http://dx.doi.org/10.1017/S0033291705005945 ID - ref1 ER -