Case Report

Assessment of self-injurious behavior in major depressive disorder: a case report

Elena-Rodica Popescu*, Bianca Augusta Oroian, Vasile Chiriță and Roxana Chiriță

Published: 10 March, 2023 | Volume 7 - Issue 1 | Pages: 004-009

Introduction: Self-harm and depression are two related mental health issues that often co-occur and can have serious impacts on individuals and their well-being. Major Depressive Disorder (MDD) is a complex and multifaceted mental health condition that is prevalent among young adults. It is a significant public health concern that affects individuals, families and society as a whole, contributing to considerable social, economic, and health-related costs. Despite the high prevalence of depression in young adults, there is a lack of understanding of its etiology, risk factors, and optimal treatment strategies. Self-harm behavior is a concerning manifestation of MDD that can have serious consequences, including injury, infection, or even death.
Methods: In this article, we report a case of an MDD patient with self-harm behavior and discuss the assessment method and treatment options. Our aim is to raise awareness of these pathologies among psychiatrists and the general population and to highlight the importance of early diagnosis and effective treatment in reducing the risk of self-harm behavior and suicide.
Conclusion: In light of the case presented, it is evident that early detection and targeted intervention are crucial in mitigating the risk of self-injurious behavior in MDD patients. The utilization of a comprehensive assessment methodology, inclusive of a thorough review of the patient’s clinical history and utilization of standardized rating scales, proved indispensable in the tailoring of an individualized treatment regimen. The amalgamation of pharmacotherapy and psychotherapy proved to be a successful strategy in the amelioration of depressive symptoms and consequent self-harm behavior. As such, we trust that this case report will serve to sensitize clinicians to the importance of early identification and prompt management of these pathologies, in the quest for enhanced mental health outcomes.

Read Full Article HTML DOI: 10.29328/journal.apmh.1001046 Cite this Article Read Full Article PDF


Self-harm; Depression; Risk; Abortion; Diagnosis; Treatment; Psychotherapy; Aggression


  1. Ennis J, Barnes R, Kennedy S, Trachtenberg D. Depression in Self-Harm Patients. The British Journal of Psychiatry. 1989; 154(1): 41-47. doi:10.1192/bjp.154.1.41
  2. Lundh LG, Wångby-Lundh M, Paaske M, Ingesson S, Bjärehed J. Depressive symptoms and deliberate self-harm in a community sample of adolescents: a prospective study. Depress Res Treat. 2011;2011:935871. doi: 10.1155/2011/935871. Epub 2010 Dec 27. PMID: 21234107; PMCID: PMC3014680.
  3. Singhal A, Ross J, Seminog O, Hawton K, Goldacre MJ. Risk of self-harm and suicide in people with specific psychiatric and physical disorders: comparisons between disorders using English national record linkage. J R Soc Med. 2014 May;107(5):194-204. doi: 10.1177/0141076814522033. PMID: 24526464; PMCID: PMC4023515.
  4. Klonsky ED. The functions of deliberate self-injury: a review of the evidence. Clin Psychol Rev. 2007 Mar;27(2):226-39. doi: 10.1016/j.cpr.2006.08.002. Epub 2006 Oct 2. PMID: 17014942.
  5. Nock MK, Favazza AR. Nonsuicidal self-injury: definition and classification. Lancet. 2009; 373(9672):1178-1187. doi: 10.1016/S0140-6736(09)60237-5
  6. Plener PL, Schumacher TS, Munz LM, Groschwitz RC. The longitudinal course of non-suicidal self-injury and deliberate self-harm: a systematic review of the literature. Borderline Personality Disorder and Emotion Dysregulation. 2015; 2:2.


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