NCJ Number
189134
Journal
Journal of Threat Assessment Volume: 1 Issue: 1 Dated: 2001 Pages: 91-109
Editor(s)
Joseph T. McCann
Date Published
2001
Length
19 pages
Annotation
This paper discussed the complexities involved in defining and identifying self-mutilation and presented a framework to evaluate individuals at high risk for self-mutilation.
Abstract
The detection and assessment of self-mutilation pose significant clinical challenges. Self-mutilation can range from superficial to severe and can be distinguished from more lethal suicidal behavior which receives more clinical attention. This paper discussed the complexities involved in identifying self-mutilation behaviors, examined a variety of clinical correlates related to self-mutilation, discussed important assessment considerations, and explained a framework for evaluating those at high risk for perpetrating acts of self-mutilation. Major conclusions included: (1) self-mutilation can be differentiated from suicidal behavior; (2) self-mutilation is more common than once supposed; and (3) self-mutilation is reliably associated with multiple clinical correlates, including dissociation, impulsivity, childhood trauma, affective disorders, and borderline personality disorder. References