Deliberate Foreign Body Ingestion and Hopefulness Across
Clinical Settings: An Under-Appreciated, but Significant, Non-Suicidal
Self-Injury
Author(s):
Gagandeep Singh, Theodore A. Petti, Michael
Gara, Barbara K. Snyder and Mark Rosato Pages 229 - 236 ( 8 )
Abstract:
Background: Deliberate Foreign Body Ingestion
(DFBI) is a form of non-suicidal self-injury (NSSI). DFBI is a problem in
longer-term care psychiatric facilities but is poorly detailed in clinical and
general pediatric populations. Hopefulness is a construct that may prove useful
in formulating diagnosis and treatment for youth with DFBI.
Methods: Adolescents ages 11-18 years from an
adolescent medicine clinic and a psychiatric inpatient unit were surveyed to
estimate the prevalence and associated factors of DFBI in clinical settings.
They were asked to anonymously complete a questionnaire focused on coping
styles under stress that elicits basic demographics, positive and negative
coping strategies, deliberate self-harm (DSH), and DFBI.
Results: Survey completers, N=253 were ages
11-19 years; 229 responded to the question concerning DFBI. Prevalence of
reported DFBI differed with statistical significance between the settings.
Neither age nor a sense of hopefulness differed between the groups. All of the
youth with DFBI reported being very or somewhat hopeful. Degree of hopefulness
reported across the settings differed but for those with DFBI was not
significantly different. A history of DSH was correlated with a statistically
significant increased risk for DFBI.
Conclusions: DFBI occurs frequently enough to
warrant clinician inquiry especially in more restrictive settings in youth with
histories of DSH; it should be considered within the NSSI DSM-V diagnostic
classification. The sense of hopefulness in those endorsing DFBI and other NSSI
should be more fully explored for its role in formulation and treatment
planning.
Keywords:
Adolescents, deliberate foreign body
ingestion, NSSI, self-injury, suicide.
Affiliation:
671 Hoes Lane West, Piscataway, NJ 08854, USA.
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