Year : 2008  |  Volume : 50  |  Issue : 4  |  Page : 288--297

Self-injurious behavior: A clinical appraisal

K Nagaraja Rao, CY Sudarshan, Shamshad Begum 
 Department of Psychiatry, JJM Medical College, Davangere, Karnataka - 577 004, India

Correspondence Address:
K Nagaraja Rao
Department of Psychiatry, JJM Medical College, Davangere - 577 004, Karnataka

A case series of self-injurious behavior (SIB) encountered in a General Hospital setting has been described. Limitations of current definition of SIB are explained. SIB is not a single clinical entity and it occurs in various psychiatric syndromes with wide range of psychopathology. Based on clinical criteria, a classification of SIB into three groups has been proposed viz 1) Mild and isolated form, 2) Moderately severe and repetitive form, and 3) Very severe and isolated form. Psychodynamic, cognitive and neurochemical explanations of SIB have been reviewed. Frustration, aggression and impulsivity appearing in helpless situation appear to be a common script across most of these models of explanations. Severity of injury seems to be determined by severity of psychopathology. Site of injury appear to have symbolic significance for a particular patient. Understanding some of these clinicopsychopathological issues helps in management of these cases.

How to cite this article:
Rao K N, Sudarshan C Y, Begum S. Self-injurious behavior: A clinical appraisal.Indian J Psychiatry 2008;50:288-297

How to cite this URL:
Rao K N, Sudarshan C Y, Begum S. Self-injurious behavior: A clinical appraisal. Indian J Psychiatry [serial online] 2008 [cited 2020 Sep 28 ];50:288-297
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