TY - JOUR PY - 1984// TI - Proposal for a distinctive diagnosis: the deliberate self-harm syndrome (DSH) JO - Suicide and life-threatening behavior A1 - Pattison, E. M. A1 - Kahan, J. SP - 17 EP - 35 VL - 14 IS - 1 N2 - Self-destructive behavior is a major clinical problem in psychiatry. A review of the literature reveals the existence of enough clinical data to identify a diagnostic entity, "The Deliberate Self-Harm Syndrome" (DSH). The authors present a diagnostic formulation of the DSH syndrome (in the DSM-III format) which consists of four essential clinical features, a group of associated features, clinical features, a group of associated features, a clinical course of typical onset in late adolescence, with multiple recurrent episodes, with multiple methods of low lethality physical self-injury, extending over many years. On the basis of relatively exclusive association of clinical signs and symptoms a heuristic clinical entity is proposed. LA - SN - 0363-0234 UR - http://dx.doi.org/ ID - ref1 ER -