{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T04:14:54Z","timestamp":1649909694958},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n               Hintergrund und Fragestellung Nicht-suizidales selbstverletzendes Verhalten (NSSV) ist trotz einer hohen Pr\u00e4valenz bei Jugendlichen und jungen Erwachsenen ein au\u00dferhalb der Psychiatrie nur wenig bekanntes Krankheitsbild. Auch aus diesem Unwissen heraus erfahren Betroffene von medizinischem Fachpersonal oft Unverst\u00e4ndnis f\u00fcr ihr Handeln, Ablehnung und Diskriminierung. Dies behindert einen dauerhaften Abschluss mit dem selbstverletzenden Verhalten und den Aufbau einer von Vertrauen gepr\u00e4gten Arzt-Patienten-Beziehung und kann zu einer erneuten Traumatisierung der Betroffenen f\u00fchren. Wir m\u00f6chten mit dieser Arbeit interessierte plastisch-chirurgischen Kolleg*innen anhand unseres Patient*innenkollektivs \u00fcber das Krankheitsbild des NSSV informieren und damit eine Hilfestellung f\u00fcr den Umgang mit betroffenen Patient*innen geben.<\/jats:p><jats:p>\n               Patienten und Methoden Von 600 Patient*innen mit Narben aus NSSV aus unserer plastisch-chirurgischen Narbenspezialsprechstunde der letzten 5 Jahren wurden die erhobenen Daten bei Erstvorstellung ausgewertet und mit der aktuellen Literatur verglichen.<\/jats:p><jats:p>\n               Ergebnisse 95 % der Patient*innen waren weiblich, 5 % m\u00e4nnlich. Im Mittel waren 8,4 Jahre zwischen letzter Selbstverletzung und Erstvorstellung in unserer Sprechstunde vergangen, die Patient*innen waren bei Erstvorstellung im Mittel 26 Jahre alt. Am h\u00e4ufigsten war durch NSSV-Narben der linke Unterarm (48 %) betroffen, gefolgt von beiden Unterarmen (40 %), dem linken Oberarm (20 %), beiden Oberarmen (15 %) und beiden Oberschenkeln (14 %). Bei 57 % der Patient*innen war dabei nur eine K\u00f6rperregion betroffen. Die von NSSV-Narben insgesamt betroffene K\u00f6rperoberfl\u00e4che betrug im Mittel 380 cm2 mit hohen Schwankungen. H\u00e4ufige Nebendiagnosen waren Schilddr\u00fcsenfehlfunktionen und Depressionen. 21 % der Patient*innen befanden sich zum Zeitpunkt der Erstvorstellung in psychiatrischer, psychologischer oder psychotherapeutischer Behandlung.<\/jats:p><jats:p>\n               Schlussfolgerung Unsere hier gezeigten Daten geben Einblick in ein gro\u00dfes Kollektiv von Patient*innen mit Narben aus NSSV, die sich zur Korrektur derselben in unserer plastisch-chirurgischen Spezialsprechstunde vorstellten. Die Patient*innen waren meist weiblich, die Narben am h\u00e4ufigsten an den Unterarmen lokalisiert und das letzte NSSV im Mittel mehr als 8 Jahre vergangen. Unsere Daten sollen einen faktenbasierten Zugang zu einer Gruppe von Patient*innen erm\u00f6glichen, mit einem in chirurgischen Disziplinen wenig bekannten Krankheitsbild, das aufgrund seiner hohen Pr\u00e4valenz und lebenslangen Folgen st\u00e4rker in den Fokus ger\u00fcckt werden sollte.<\/jats:p>","DOI":"10.1055\/a-1759-3068","type":"journal-article","created":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T03:57:51Z","timestamp":1649908671000},"page":"112-118","source":"Crossref","is-referenced-by-count":0,"title":["Nicht-suizidales selbstverletzendes Verhalten \u2013 Einblicke in ein wenig bekanntes plastisch-chirurgisches Patient*innenkollektiv"],"prefix":"10.1055","volume":"54","author":[{"given":"Eva","family":"K\u00f6llensperger","sequence":"additional","affiliation":[{"name":"ETHIANUM Klinik f\u00fcr Plastische Chirurgie, \u00c4sthetik und Rekonstruktion, Wirbels\u00e4ulenchirurgie, Handchirurgie, Orthop\u00e4die und Pr\u00e4ventive Medizin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Walter","sequence":"additional","affiliation":[{"name":"ETHIANUM Klinik f\u00fcr Plastische Chirurgie, \u00c4sthetik und Rekonstruktion, Wirbels\u00e4ulenchirurgie, Handchirurgie, Orthop\u00e4die und Pr\u00e4ventive Medizin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcnter","family":"Germann","sequence":"additional","affiliation":[{"name":"ETHIANUM Klinik f\u00fcr Plastische Chirurgie, \u00c4sthetik und Rekonstruktion, Wirbels\u00e4ulenchirurgie, Handchirurgie, Orthop\u00e4die und Pr\u00e4ventive Medizin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Engel","sequence":"additional","affiliation":[{"name":"ETHIANUM Klinik f\u00fcr Plastische Chirurgie, \u00c4sthetik und Rekonstruktion, Wirbels\u00e4ulenchirurgie, Handchirurgie, Orthop\u00e4die und Pr\u00e4ventive Medizin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Reichenberger","sequence":"additional","affiliation":[{"name":"ETHIANUM Klinik f\u00fcr Plastische Chirurgie, \u00c4sthetik und Rekonstruktion, Wirbels\u00e4ulenchirurgie, Handchirurgie, Orthop\u00e4die und Pr\u00e4ventive Medizin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,4,13]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.jad.2011.08.024","article-title":"Attitudes and knowledge of clinical staff regarding people who self-harm: a systematic review","volume":"139","author":"K E Saunders","year":"2012","journal-title":"J Affect Disord"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1111\/j.1365-2850.2010.01600.x","article-title":"Self-harm: what\u2018s the problem? 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