Báo cáo ca bệnh: Hành vi tự gây thương tích không tự sát ở vị thành niên

Abstract

Introduction: Non-suicidal self-injury (NSSI) is the deliberate destruction of body tissue without suicidal intent, a common and increasing phenomenon among adolescents. Case presentations: A 17-year-old female student was admitted for depression and repeated cutting of arms and legs over 6 months. She was diagnosed with depressive conduct disorder, presenting with depressive symptoms, irritability, defiance toward parents, and school absence. During stress, she used razor blades to cut her forearms, wrists, and thighs for tension relief. Treatment included combined psychological therapy (behavioral activation, cognitive-behavioral therapy, family therapy) and medication (Sertraline, Risperdal, Aripiprazole). After 16 days of treatment, the patient showed significant improvement and was discharged.

Conclusion: NSSI is a serious mental health issue in adolescents requiring early detection and comprehensive treatment combining psychological and pharmacological interventions to prevent complications and suicide risk.