Self-Harm (Chapter 191)
Nancy Heath, PhD, Jessica R. Toste, PhD, Timothy R. Moore, PhD, Frank Symons, PhD, 2016. "Self-Harm (Chapter 191)", American Academy of Pediatrics Textbook of Pediatric Care, Thomas K. McInerny, MD, FAAP, Henry M. Adam, MD, FAAP, Deborah E. Campbell, MD, FAAP, Thomas G. DeWitt, MD, FAAP, Jane Meschan Foy, MD, FAAP, Deepak M. Kamat, MD, PhD, FAAP, Rebecca Baum, MD, FAAP, Kelly J. Kelleher, MD, MPH, FAAP
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Self-injury in children and youth may be grouped into 2 classifications: self-injury with intent to die (suicidal behaviors) and self-injury without intent to die (nonsuicidal self-injurious behaviors). Two of the best-known behaviors within the nonsuicidal classification are nonsuicidal self-injury (NSSI), occurring in typically developing children and youth, and self-injurious behavior (SIB), most common among children and youth with intellectual and developmental disabilities. Although cases of NSSI are seen more commonly than SIB in clinical practice, SIB is generally the more severe behavior. However, both forms of self-injury pose significant challenges to pediatricians. The chapter describes the independent and converging characteristics...