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Medical and legal aspects of the etiology and pathogenesis of non-suicidal self-injury (drawing on the cases of autoaggressive behavior of patients in a psychiatric hospital)
- Authors: Aleksandr Umnov A.B.1,2
- Affiliations:
- State budgetary healthcare institution of the city of Moscow «Psychiatric Clinical Hospital №1 named after N.A.Alekseeva Department of Health of the City of Moscow»
- Federal State University of Education
- Issue: Vol 28, No 4 (2024)
- Section: Общественное здоровье и организация здравоохранения
- URL: http://bulleten-nriph.ru/journal/article/view/2803
- DOI: https://doi.org/10.69541/NRIPH.2024.04.007
- Cite item
Abstract
Target. To study the etiology and pathogenesis of self-injurious behavior in humans, including identifying the features of the causes, forms of taking NSSIs, as well as tactics of its treatment in psychiatric hospital patients, taking into account legal conditions and practical materials on the problems of proper regulation of the use of NSSIs in Russia and all over the world.
Procedures and methods. The main content of the study is a narrative review of the scientific literature on the epidemiology of NSSI, an analysis of the legislative framework of the Russian Federation, as well as world judicial practice on the problem of legal regulation of NSSI, as well as the study and discussion of 27 clinical cases of autoaggressive summing up that occurred in the period from May 2022 to June 2024 in the Healthcare Institution «PKB №1» (branch PB 14).
Results. An analysis of clinical cases involving non-suicidal acts of self-harm by patients in a psychiatric hospital was carried out. As a result of the study, an anamnesis of patients of the State Budgetary Healthcare Institution «PKB №1 of the Department of Health, Branch PB 14» who required surgical care was collected, and a survey of medical workers monitoring these patients was also conducted. Features of acts of non-suicidal self-harm in psychiatric hospital patients have been identified, and methodological approaches to organizing surgical treatment of such patients, taking into account their psychosomatic state, have been proposed.
Theoretical and/or practical significance. The conducted research makes it possible to improve the traditional understanding of the features of non-suicidal behavior; the work touches on the problems of the relationship between NSSI and suicide, and examines the world practice of legislative regulation of actions of a self-destructive nature. The obtained results can be used for the prevention, detection and control of self-injurious actions in patients while in a psychiatric hospital, optimization of surgical care, as well as to improve legal regulation of sanctioning autoaggressive behavior.
About the authors
Aleksandr B. Aleksandr Umnov
State budgetary healthcare institution of the city of Moscow «Psychiatric Clinical Hospital №1 named after N.A.Alekseeva Department of Health of the City of Moscow»;Federal State University of Education
Author for correspondence.
Email: umnoff2011@yandex.ru
ORCID iD: 0009-0009-5506-8962
Russian Federation, Moscow, Russian Federation;
Moscow region, Mytishchi, Russian Federation
References
- Whitlock J., Eckenrode J., Silverman D. Self-injurious behaviors in a college population. Pediatrics. 2006.
- Klonsky E.D, Victor S.E., Saffer B.Y. Nonsuicidal self-injury: What we know, and what we need to know. The Canadian Journal of Psychiatry. 2014;59(11):565—568.
- Polskaya N.A. Psychology of self-injurious behavior. Moscow: LENAND; 2017 (in Russian).
- Scharfetter Ch. Allgemeine psychopatology. Stuttgart: Georg Thieme Verlag; 1991.
- Menninger K.A. Man against Himself. Harcourt, Brace: New York; 1938.
- Krietman N., Philip A.E., Greer S., Bagley C.R. Parasuicide. Br J. Psychiatry. 1969;115(523):746—747.
- Dulit R.A, Fyer M.R, Leon A.C, Brodsky B.S, Frances A.J. Clinical correlates of self-mutilation in borderline personality disorder. American Journal of Psychiatry. 1994;151(9):1305—1311.
- Darin E.V., Zaitseva O.G. Etiology and risk factors for non-suicidal self-injurious behavior. Medical Herald of the South of Russia. [Meditsinskiy vestnik Yuga Rossii]. 2023;14(1):13—23 (in Russian).
- Abramova A.A., Enikolopov S.N., Efremov A.G., Kuznetsova S.O. Auto-aggressive non-suicidal behavior as a way of coping with negative emotions. Clinical and special psychology. [Klinicheskaya i spetsial'naya psikhologiya]. 2018;7(2):21—40 (in Russian).
- Kuleshova I.N., Minnikov V.K. Social and psychological features of the political worldview and political activity of the modern intelligentsia. Intelligentsia and the world. [Intelligentsiya i mir].2016;(1):66—76 (in Russian).
- Daryin E.V., Zaitseva O.G. Epidemiology of non-suicidal self-injurious behavior (non-systematic narrative review). Review of psychiatry and medical psychology named after V.M.Bekhterev. [Obozreniye psikhiatrii i meditsinskoy psikhologii imeni V.M.Bekhtereva].2023;57(2):8—19 (in Russian).
- Nock M.K., Prinstein M.J. A functional approach to the assessment of self mutilative behavior. Journal of Consulting and Clinical Psychology. 2004;(72):885—890.
- Nock M.K., Prinstein M.J. Contextual features and behavioral functions of self-mutilation among adolescents. Journal of Abnormal Psychology.2005;(114):140—146.
- Nock M.K., Prinstein M. J., Sterba S.K. Revealing the form and function of self- injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults. Journal of Abnormal Psychology. 2009;18(4):816.
- Solomentsev V.V., Stanevich E.V. On the issue of the structure of injuries in places of deprivation of liberty in Russia. Tsarskoye Selo readings. [Tsarskosel'skiye chteniya]. 2013;(8):60—63 (in Russian).
- Amburova A.G., Tikhonenko V.A. Diagnosis of suicidal behavior: method. Recommendations. Moscow: Moscow Research Institute of Psychiatry of the Ministry of Health of the RSFSR; 1980 (in Russian).
- Krietman N., Philip A.E, Greer S, Bagley C.R. Parasuicide. Br.J. Psychiatry. 1969;115(523):746—747.
- Shabanov V.B., Kashinsky M.Yu. Organizational and legal problems of countering suicidal and non-suicidal self-destructive manifestations of convicts in prison. Bulletin of the Voronezh Institute of the Ministry of Internal Affairs of Russia. [Vestnik Voronezhskogo instituta MVD Rossii]. 2012; (3):17—24 (in Russian).
- Vega D., Sintes A., Fernández M., Puntí J., Soler J., Santamarina P., et al., editors. Review and update on non-suicidal self-injury: who, how and why? Actas Españolas de Psiquiatría.2018;46(4):146—55.
- Henking T. Suizid und Suizidbeihilfe aus rechtlicher und ethischer Perspektive. Bundesgesundheitsblatt. Gesundheitsforschung. Gesundheitsschutz. German. 2022;65(1):67—73.
- Zinchuk M.S., Avedisova A.S., GekhtA.B. Non-suicidal self-injurious behavior in non-psychotic mental disorders: epidemiology, social and clinical risk factors. Journal of Neurology and Psychiatry. [Zhurnal nevrologii i psikhiatrii]. 2019;119(3):108—119 (in Russian).
- Skryabin E.G., Zotov P.B., Akselrov M.A., Troshina I.A., Reichert L.I., Bukhna Yu.A., Petrova A.G. Intentional self-cuts with suicidal and non-suicidal intent in clinical practice. Suicidology. [Suitsidologiya]. 2020;40(3):130—147 (in Russian).
