الفهرس 
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Abstract
SUMMARY
T
his was a Cross-sectional observational comparative case control study, which was carried out at Institute of psychiatry Ain- Shams University Hospital, and was included 100 self- injurious patients who presented to ER, referred to institute of psychiatry and not known to have a psychiatric illness and control sample of 50 subjects with no history of psychiatric disorders or self-injury behaviour will be compared to the case group.
Subjects were introduced according to some inclusion and exclusion criteria; inclusion criteria were (Age: 18-60 years old, Sex: Male and female) while Exclusion criteria were (previously diagnosed psychiatric patients).
Regarding ethical consideration all procedures were reviewed by the ethical and research committees Ain-shams university and a written informed consent was obtained from all subjects participating in the study after informing them about the study rationale and their right to withdraw from the study at any time.
Regarding method of the study, any case referred to psychiatric ER or clinic for the first time due to SIB, was offered to participate in the study and any case was asked to complete (Self-punishment questionnaire, Columbia suicide questionnaire, SCID1 for axis 1 psychiatric disorders, SCID2 for personality disorders) and control group was selected to be matched to socio-demographic data.
The collected data was entered in Excel sheets. The statistical analysis was done using SPSS version 20 software, then presented in tables and suitable graphs.
Regarding Socio-demographic data We found that for group (A), the mean Age (years) 22.21±2.02, Gender Male 100 (100%), Educational Level High education 45 (45%), University education 28 (28%), Elementary 27 (27%), Marital state Married 6 (6%), Single 94 (94%), Job Unemployed 74 (74%), Employed 26 (26%), Special habits No special habits 64 (64%), Smoking 24 (36%) and Substance use 12 (12%).
For group (B) Controls, the mean Age (years) 21.82±1.84, Gender Male 50 (100%), Educational Level 17 (34%) High education, 11(22%) University education, Elementary 22 (44%), Marital state Married 7 (14%), Single 43 (86%), Job Unemployed 39 (78%), Employed 11 (22%), Special habits No special habits 37 (74%), Smoking 13 (26%) and Substance use 10 (20%)
Regarding self-injury data for group (A) We found that, the Procedure Cutting 63 (63%), Shooting 15 (15%), Hitting 13(11%), Hanging & Burning 9 (9%), Tools Sharp objects 64 (64%), Gun 15 (15%), Wood, stone & others 11 (11%), Rope, Fire & Electricity 10 (10%), Body sites Abdomen & Trunk 7 (7%), Extremities 79 (79%), H&N 14 (14%).
Regarding diagnosis distribution data for group (A) We found that, the Axis 1 psychiatric disorders Adjustment disorder 13 (13%), Mixed anxiety-depressive 17 (17%), Schizophrenia (paranoid) 6 (6%), None 64 (64%), Axis 2 personality disorders BPD 59 (59%), Mixed personality traits (avoidant, dependant, passive aggressive, schizotypal, paranoid, borderline) 41(41%).
For group (B), no self-injury data and diagnosis were reported, as the control group not introduced with self-injury and not fulfilling criteria for major psychiatric disorders.
Regarding comparative studies regarding Suicidal Ideation revealed that;
Significant relation between suicidal ideation and marital state.
Significant relation between suicidal ideation and procedure and tools.
Significant relation between suicidal ideation and axis 2 personality disorders.
Non- significant relation between suicidal ideation and axis 1 psychiatric disorders.
Regarding comparative studies regarding Intensity of Ideation revealed that;
Non-significant relation between intensity of ideation and demographic data.
Non-significant relation between intensity of ideation and self-injury data
Significant relation between intensity of ideation and axis 1 psychiatric disorders.
Non-significant relation between intensity of ideation axis2 personality disorders.
Regarding comparative studies regarding Suicidal Behavior revealed that;
Significant relation between suicidal behavior and marital state.
Significant relation between suicidal behavior and procedure and tools.
Significant relation between suicidal behavior and axis 2 personality disorders.
Non- significant relation between suicidal behavior and axis 1 psychiatric disorders.
Regarding comparative studies regarding Medical Damage for attempt revealed that;
Non-significant relation between medical damage for attempt and socio-demographic data.
Significant relation between medical damage for attempt and self-injury data.
Significant relation between medical damage for attempt and axis 2 personality disorders.
Non- significant relation between medical damage for attempt and axis 1 psychiatric disorders.
Regarding comparative studies regarding Potential lethality revealed that;
Non-significant relation between potential lethality and socio-demographic data.
Significant relation between potential lethality and procedure, tools.
Significant relation between potential lethality and axis 2 personality disorders.
Non- significant relation between potential lethality and axis 1 psychiatric disorders.
Regarding comparative studies regarding Total Self Punishment Questionnaire revealed that;
Non-significant relation between total self-punishment questionnaires with demographic data.
Non-significant relation between total self-punishment questionnaires with self-injury data.
Non-significant relation between total self-punishment questionnaires with psychiatric diagnosis.