Authors: E. Malá Authors‘ workplace: Vedoucí lékař: prim. MUDr. Martin Jarolímek ; Denní psychoterapeutické sanatorium Ondřejov, Praha ; Neurologická klinika 1. LF UK a VFN ; Přednosta: prof. MUDr. Evžen Růžička, DrSc. ; Univerzita Karlova v Praze Published in: Prakt. Lék. 2009; 89(9): 494-498 Category: Of different specialties
Deliberate self-harm syndrome (DSH, or SIB, self injurious behaviour), is a dangerous and serious problem. Apart from rare cases of psychotic motivation, the factors triggering DSH are unclear. An estimated 4 % of adults in the general population self-harm. The typical age of onset for DSH is adolescence. Up to 75 per cent of DSH sufferers report feeling no pain during the DSH act. This is generally explained by the involvement of the endogenous opioid system or dissociative mechanisms. The most worrisome and yet neglected aspect of DSH is the high suicide risk it entails. This is confirmed again and again by the day-to-day follow-up of DSH patients.
Key words: deliberate self-harm, endogenous opioid system, suicide, emo.
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