4.2 Review

Nonsuicidal Self-Injury: A Review of Current Research for Family Medicine and Primary Care Physicians

Journal

JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
Volume 23, Issue 2, Pages 240-259

Publisher

AMER BOARD FAMILY MEDICINE
DOI: 10.3122/jabfm.2010.02.090110

Keywords

Nonsuicidal Self-Injury; Self-Injury; Risk Assessment; Behavioral Science; Psychiatric; Primary Health Care; Review

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Self-injury is a dangerous behavior that is different from suicidal behavior but is associated with increased risk of suicide attempts. Some effective psychological treatments for self-injury exist. Physicians in family medicine and primary care settings play a vital role as a first step in the treatment process for those who self-injure. Physicians can enhance the care provided to those who self-injure via the accurate assessment of risk, the understanding of the functions of the behavior, assisting the patient in identifying motivations for treatment and treatment options, and provision of long-term behavioral and risk monitoring. This article summarizes the current scientific knowledge regarding the clinical features, epidemiology, assessment methods, and existing treatments of self-injury. The role of the primary care physician in the treatment of patients who self-injure is specifically outlined. (J Am Board Fam Med 2010;23:240-259.)

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