Featured Research

from universities, journals, and other organizations

Self-embedding behavior and other forms of self-injury should be responded to quickly, experts urge

Date:
May 10, 2011
Source:
Nationwide Children's Hospital
Summary:
While the disturbing act of self-injury is nothing new to adolescents, researchers and physicians have identified a more severe type of behavior that is raising some concern among medical professionals. Often misdiagnosed, ignored and under-reported, self-embedding behavior (SEB) is a form of self-injurious behavior that involves inserting foreign objects into soft tissue -- either under the skin or into muscle.

While the disturbing act of self-injury is nothing new to adolescents, researchers and physicians at Nationwide Children's Hospital have identified a more severe type of behavior that is raising some concern among medical professionals. Often misdiagnosed, ignored and under-reported, Self-Embedding Behavior (SEB) is a form of self-injurious behavior that involves inserting foreign objects into soft tissue -- either under the skin or into muscle.

Related Articles


A recent study, published in the June issue of Pediatrics, stresses the importance of quickly identifying this dangerous behavior while distinguishing it from other forms of self-injury to prevent future episodes.

During this three-year study period, physicians at Nationwide Children's identified 11 patients who demonstrated SEB. Of these patients, each had been diagnosed with a psychiatric disorder and 82 percent were female. In fact, the majority of the patients, 90 percent, had a history of out-of-home placements and were members of a group home or psychiatric facility at the time they engaged in SEB.

"Typically these patients first present in Emergency Departments, so medical professionals have the unique opportunity to be the first to identify this dangerous behavior," said co-author William E. Shiels, DO, chief of Radiology at Nationwide Children's Hospital. "It is important for practitioners to first understand this behavior, and then rapidly pursue targeted intervention to interrupt the cycle of self-harm."

SEB is an extreme form of self-injury and this study found it is most commonly accompanied with suicidal ideations. Nearly 75 percent of the patients involved in the study reported the purpose of engaging in SEB was due to suicidal ideations and intentionally causing serious harm to themselves. Due to the complexity of the care that is required, a multidisciplinary team is typically formed to properly manage these individuals. This team includes primary care and emergency physicians, behavioral health specialists and interventional radiologists.

Nine of the 11 patients were referred to the Department of Radiology at Nationwide Children's for diagnosis and removal of the foreign bodies. The department uses sonographic or fluoroscopic guidance to remove foreign bodies such as metal, glass, wood, plastic, graphite and crayon. The most common sites of self-injury are the arms, wrists, ankles and lower legs.

"This study helped us identify a clinical profile of adolescents who engage in self-embedding behavior," said Dr. Shiels, also a clinical professor of Radiology, Pediatrics and Biomedical Engineering at The Ohio State University College of Medicine. "These fragile adolescents require aggressive and timely interdisciplinary assessment in addition to long-term therapy to help control their dangerous behavior."


Story Source:

The above story is based on materials provided by Nationwide Children's Hospital. Note: Materials may be edited for content and length.


Journal Reference:

  1. G. H. Bennett, W. E. Shiels, A. S. Young, N. Lofthouse, L. Mihalov. Self-Embedding Behavior: A New Primary Care Challenge. Pediatrics, 2011; DOI: 10.1542/peds.2010-2877

Cite This Page:

Nationwide Children's Hospital. "Self-embedding behavior and other forms of self-injury should be responded to quickly, experts urge." ScienceDaily. ScienceDaily, 10 May 2011. <www.sciencedaily.com/releases/2011/05/110510111208.htm>.
Nationwide Children's Hospital. (2011, May 10). Self-embedding behavior and other forms of self-injury should be responded to quickly, experts urge. ScienceDaily. Retrieved March 31, 2015 from www.sciencedaily.com/releases/2011/05/110510111208.htm
Nationwide Children's Hospital. "Self-embedding behavior and other forms of self-injury should be responded to quickly, experts urge." ScienceDaily. www.sciencedaily.com/releases/2011/05/110510111208.htm (accessed March 31, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Tuesday, March 31, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Solitair Device Aims to Takes Guesswork out of Sun Safety

Solitair Device Aims to Takes Guesswork out of Sun Safety

Reuters - Innovations Video Online (Mar. 31, 2015) — The Solitair device aims to take the confusion out of how much sunlight we should expose our skin to. Small enough to be worn as a tie or hair clip, it monitors the user&apos;s sun exposure by taking into account their skin pigment, location and schedule. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Soda, Salt and Sugar: The Next Generation of Taxes

Soda, Salt and Sugar: The Next Generation of Taxes

Washington Post (Mar. 30, 2015) — Denisa Livingston, a health advocate for the Dinι Community Advocacy Alliance, and the Post&apos;s Abby Phillip discuss efforts around the country to make unhealthy food choices hurt your wallet as much as your waistline. Video provided by Washington Post
Powered by NewsLook.com
UnitedHealth Buys Catamaran

UnitedHealth Buys Catamaran

Reuters - Business Video Online (Mar. 30, 2015) — The $12.8 billion merger will combine the U.S.&apos; third and fourth largest pharmacy benefit managers. Analysts say smaller PBMs could also merge. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
S. Leone in New Anti-Ebola Lockdown

S. Leone in New Anti-Ebola Lockdown

AFP (Mar. 28, 2015) — Sierra Leone imposed a three-day nationwide lockdown Friday for the second time in six months in a bid to prevent a resurgence of the deadly Ebola virus. Duration: 01:17 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins