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Association Between Deliberate Self-Harm and Coping in Adolescents: A Critical Review of the Last 10 Years' Literature
Authors:Diogo F. Guerreiro  Diana Cruz  Diana Frasquilho  José C. Santos  Maria L. Figueira  Daniel Sampaio
Affiliation:1. Psychiatry Department, Faculty of Medicine , University of Lisbon , Portugal dfguerreiro@campus.ul.pt;3. Faculty of Psychology , University of Lisbon , Portugal;4. Faculty of Medical Sciences , New Lisbon University , Portugal;5. Nursing School, University of Coimbra , Portugal;6. Psychiatry Department, Faculty of Medicine , University of Lisbon , Portugal
Abstract:Coping is commonly associated with deliberate self-harm (DSH) in adolescents. This article reviews the published literature from 2000 to 2010, aiming to highlight the current evidence supporting this association. Eighteen studies met the inclusion criteria, a total sample of 24,702 subjects was obtained and 17% were DSH cases. Emotion-focused coping style and in particular avoidant coping strategies have consistently been associated with DSH in adolescents. Problem-focused coping style seems to have a negative relation. Most studies were cross-sectional, which seriously limits our conclusions on causality. There is a clear need for more systematic studies, performed in accordance with consensual methodology.
Keywords:adolescence and coping  deliberate self-harm  non-suicidal self-injury  suicide attempts
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