Nesuicidalno samoozljeđivanje (NSSO) je značajan problem mentalnog zdravlja adolescenata. Pretpostavlja se da problemi u formiranju identiteta imaju važnu ulogu u nastanku samoozljeđujućeg ponašanja kod mladih. Ciljevi istraživanja su bili ispitati klinička obilježja u adolescenata s NSSO te istražiti razlike u razvoju identiteta između opće
(školske) populacije adolescenata i adolescenata s NSSO.
U istraživanju su sudjelovali adolescenti u dobi od 11 do 18 godina oba spola. Kliničku skupinu (n=31) činili su adolescenti prvi puta psihijatrijski hospitalizirani kod kojih je kliničkom procjenom utvrđena prisutnost NSSO unutar 6 mjeseci prije hospitalizacije. Školsku populaciju (n=294) činili su učenici osnovnih i srednjih škola Grada Zagreba. Svi adolescenti su popunjavali upitnik Procjena razvoja identiteta u adolescenciji (AIDA), dok su pacijenti ispunjavali
i Inventar namjernog samoozljeđivanja (DSHI). U kliničkoj populaciji adolescenata utvrđena je visoka učestalost i multipli tipovi NSSO. Pacijenti s NSSO su imali značajno više rezultate difuzije identiteta u odnosu na učenike, što upućuje na veće poteškoće u razvoju identiteta kod adolescenata s NSSO. Bolje razumijevanje odnosa između oštećenja u razvoju identiteta i NSSO moglo bi unaprijediti procjenu i liječenje adolescenata s ovim značajnim psihijatrijskim problemom.Nonsuicidal self-injury (NSSI) is a significant mental health problem among adolescents. Problems in identity formation have been hypothesised to play an important role in the emergence of self-harming behaviours among adolescents. The aims of the study were to examine clinical characteristics of hospitalized adolescents with NSSI and differences in identity development between inpatients with NSSI and general (school) adolescent population. The participants were adolescents aged 11 to 18 years of both genders. The clinical sample (n=31) included inpatients hospitalized for the first time at the psychiatric ward in whom NSSI was present 6 months before referral as established by clinical assessment. The school sample (n=294) consisted of elementary and high school students from the city of
Zagreb. All adolescents completed the Assessment of Identity Development in Adolescence (AIDA), while inpatients with NSSI also completed the Deliberate Self-Harm Inventory (DSHI). A high frequency and multiple types of NSSI were found in the clinical sample. Inpatient adolescents with NSSI had significantly higher scores on Identity Diffusion than students, which indicates greater difficulties in identity development in hospitalized adolescents with NSSI. A better understanding of the relationship between impairment of identity development and NSSI could improve the assessment and treatment
of adolescents with this significant psychiatric problem
