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- Ekman, Inger, 1959-, et al.
(författare)
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Across the street - not down the road - staying alive through deliberate self-harm
- 2009
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Ingår i: Internet and Suicide. - New York : Nova Science Publisher. - 9781607410775 ; , s. 221-232
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- While the psychiatric therapeutic community is focused on individual diagnostic tools to understand deliberate self harm, self-destructive behaviour among young persons in Western society is increasing to a level where it arguably must be regarded as a cultural rather than an individual problem. While psychiatry adheres to its expert role, trying to find explanations for the individual behaviour in past life experiences and subsequent personality formation, the world outside of the therapy room is changing. In this outside world, on the Internet deliberate self harm is not described as a pathological behaviour that needs to be corrected, but as a powerful tool to cope with present life stressors, a way to form an identity and even as a way of staying alive. Against a background of present trends in society and how these influence identity formation, these narratives give important clues for finding new approaches to the experiences and life strategies of young persons living in modern society. In encounters with young persons whose self-harming behaviour has become intimately woven into the fabric of life, the keys to opening up different perspectives and find other ways to cope probably can not be found without accrediting the strength and determination in the present behaviour and closely and attentively pay attention to her own understanding of her situation, her own strengths and her own abilities.
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| 3. |
- Söderberg, Stig, 1950-, et al.
(författare)
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Childhood sexual abuse predicts poor outcome seven years after parasuicide
- 2004
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 39:11, s. 916-920
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Tidskriftsartikel (refereegranskat)abstract
- Background: There is substantial empirical research linking borderline personality disorder with prolonged mental instability and recurrent suicidality. At the same time, a growing body of observations links borderline personality disorder to sexual abuse and other forms of abuse and trauma in childhood. The aim of this study was to investigate among patients admitted for parasuicide the predictive value for outcome 7 years after the parasuicide of a diagnosis of borderline personality disorder compared to the predictive value of a history of childhood sexual abuse.Methods: Semi-structured interviews were conducted at the time of the index parasuicide, with follow-up interviews 7 years later. In addition, information was collected from medical records at the psychiatric clinic. A logistic regression analysis was used to assess the specific influence of the covariates borderline personality disorder, gender and reported childhood sexual abuse on the outcome variables.Results: Univariate regression analysis showed higher odds ratios for borderline personality disorder, female gender and childhood sexual abuse regarding prolonged psychiatric contact and repeated parasuicides. A combined logistic regression model found significantly higher odds ratios only for childhood sexual abuse with regard to suicidal ideation, repeated parasuicidal acts and more extensive psychiatric support.Conclusion: The findings support the growing body of evidence linking the characteristic symptoms of borderline personality disorder to childhood sexual abuse, and identify sexual abuse rather than a diagnosis of borderline personality disorder as a predictor for poor outcome after a parasuicide. The findings are relevant to our understanding and treatment of parasuicide patients, especially those who fulfil the present criteria for borderline personality disorder.
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| 4. |
- Söderberg, Stig, 1950-, et al.
(författare)
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Life events, motives and precipitating factors in parasuicide among borderline patients
- 2004
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Ingår i: Archives of Suicide Research. - Dordrecht : Kluwer Academic Publishers. - 1381-1118 .- 1543-6136. ; 8:2, s. 153-162
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Tidskriftsartikel (refereegranskat)abstract
- The high prevalence of borderline personality disorder in parasuicide raises the question whether there are differences in motives, precipitating factors, and life events as compared to other clinical groups. Consecutive hospital admitted parasuicide patients were therefore investigated for personality disorders by a structured clinical interview (SCID-II), a structured interview concerning precipitating factors and a self-report questionnaire on motives and life events. Out of a total of 64 patients, 55% met the criteria for a borderline personality disorder. While the parasuicidal motives and precipitating factors did not differ between the borderline group and the others, the borderline group reported significantly more adverse life events. Our findings suggest that the overrepresentation of borderline personality disorder in parasuicide might be related to accumulated adverse life events rather than to manipulative motives.
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| 7. |
- Söderberg, Stig, 1950-
(författare)
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Personality disorders in parasuicide
- 2001
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725. ; 55:3, s. 163-167
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Tidskriftsartikel (refereegranskat)
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