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Problem-solving abi...
Problem-solving ability and repetition of deliberate self-harm : a multicentre study.
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McAuliffe, Carmel (author)
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Corcoran, Paul (author)
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Keeley, Helen S (author)
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Arensman, Ella (author)
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Bille-Brahe, Unni (author)
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De Leo, Diego (author)
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Fekete, Sandor (author)
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Hawton, Keith (author)
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Hjelmeland, Heidi (author)
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Kelleher, Margaret (author)
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Kerkhof, Ad J F M (author)
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Lönnqvist, Jouko (author)
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Michel, Konrad (author)
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- Salander Renberg, Ellinor (author)
- Umeå universitet,Psykiatri
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- Schmidtke, Armin (author)
- Karolinska Institutet
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Van Heeringen, Kees (author)
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- Wasserman, Danuta (author)
- Karolinska Institutet
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(creator_code:org_t)
- Cambridge University Press, 2006
- 2006
- English.
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In: Psychological Medicine. - : Cambridge University Press. - 0033-2917 .- 1469-8978. ; 36:1, s. 45-55
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Background. While recent studies have found problem-solving impairments in individuals who engage in deliberate self-harm (DSH), few studies have examined repeaters and non-repeaters separately. The aim of the present study was to investigate whether specific types of problem-solving are associated with repeated DSH. Method. As part of the WHO/EURO Multicentre Study on Suicidal Behaviour, 836 medically treated DSH patients (59% repeaters) from 12 European regions were interviewed using the European Parasuicide Study Interview Schedule (EPSIS II) approximately 1 year after their index episode. The Utrecht Coping List (UCL) assessed habitual responses to problems. Results. Factor analysis identified five dimensions – Active Handling, Passive-Avoidance, Problem Sharing, Palliative Reactions and Negative Expression. Passive-Avoidance – characterized by a pre-occupation with problems, feeling unable to do anything, worrying about the past and taking a gloomy view of the situation, a greater likelihood of giving in so as to avoid difficult situations, the tendency to resign oneself to the situation, and to try to avoid problems – was the problem-solving dimension most strongly associated with repetition, although this association was attenuated by self-esteem. Conclusions. The outcomes of the study indicate that treatments for DSH patients with repeated episodes should include problem-solving interventions. The observed passivity and avoidance of problems (coupled with low self-esteem) associated with repetition suggests that intensive therapeutic input and follow-up are required for those with repeated DSH.
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- art (subject category)
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- By the author/editor
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McAuliffe, Carme ...
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Corcoran, Paul
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Keeley, Helen S
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Arensman, Ella
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Bille-Brahe, Unn ...
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De Leo, Diego
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show more...
-
Fekete, Sandor
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Hawton, Keith
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Hjelmeland, Heid ...
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Kelleher, Margar ...
-
Kerkhof, Ad J F ...
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Lönnqvist, Jouko
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Michel, Konrad
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Salander Renberg ...
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Schmidtke, Armin
-
Van Heeringen, K ...
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Wasserman, Danut ...
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show less...
- Articles in the publication
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Psychological Me ...
- By the university
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Umeå University
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Karolinska Institutet