J Psychosoc Nurs Ment Health Serv. 2020 Jun 1;58(6):13-16. doi: 10.3928/02793695-20200513-03.
Self-injury is a mental health-related behavior people engage in to feel pain because they feel numb, to experience physical pain to ease their psychological pain, or to experience an emotional release. Self-injury is more common in patients with other co-occurring anxiety or mood disorders. An addictive component to self-injury has been identified related to an increase in dopamine levels from the self-injury, which then disrupts normal dopamine production similar to substance use disorders. Instruments are available to help identify patients who self-injure along with questions that should be asked in the course of a mental health assessment and physical examination. Patients with self-injury should be treated for any underlying mental health disorder as well as for self-injury, which includes therapy strategies and medications. Nurses can play a vital role in identifying and treating this disorder, which carries risk factors including infection, accidental death, and a higher risk of suicide. [Journal of Psychosocial Nursing and Mental Health Services, 58(6), 13-16.].
自我伤害是一种与心理健康相关的行为，人们通过这种行为来感受疼痛，因为他们感到麻木，通过体验身体上的疼痛来缓解心理上的痛苦，或者通过情感释放来获得解脱。自我伤害在同时患有其他共病焦虑或情绪障碍的患者中更为常见。已经确定自我伤害与多巴胺水平的增加有关，这种增加类似于物质使用障碍，破坏了正常的多巴胺产生。有工具可用于帮助识别自我伤害的患者，以及在心理健康评估和身体检查过程中应提出的问题。应治疗有自我伤害行为的患者的任何潜在心理健康障碍，包括治疗策略和药物治疗。护士可以在识别和治疗这种疾病方面发挥重要作用，这种疾病的危险因素包括感染、意外死亡和更高的自杀风险。[《心理社会护理和心理健康服务杂志》，58（6），13-16]。
