00151 Automutilation

Domain 11: security/protection
Class 3: violence
Diagnostic Code: 00151
Nanda label: automutilation
Diagnostic focus: automutilation
approved 2000 • Revised 2017

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « automutilation » is defined as: deliberately autolesive behavior that causes tissue damage with the intention of causing a non -lethal lesion that relieves tension.

Definite characteristics

  • Abrasions
  • Bite
  • Limit a part of the body
  • Cortes in the body
  • Hit
  • Ingestion of harmful substances
  • Inhalation of harmful substances
  • Insertion of objects into bodily holes
  • Hour the wounds
  • scratch the body
  • Auto -inflicted burns
  • Amputation of a part of the body

Related factors

  • Absence of a family confidant
  • Body image alteration
  • Dissociation
  • Deterioration of interpersonal relationships
  • Eating disorder
  • Excessive emotional alteration
  • Feeling threatened by the loss of significant relationships
  • Inability to express verbally
  • Insufficient communication between parents and adolescents
  • Ineffective coping strategies
  • Inephic impulse control
  • Irresistible urgency of self -directed violence
  • Irresistible urgency of cutting oneself
  • labile behavior
  • Loss of control over problem solving situations
  • Low self -esteem
  • Increasing tension that is intolerable
  • Negative feelings
  • Inability pattern to plan solutions
  • Inability pattern to visualize the long -term consequences
  • Perfectionism
  • Requires rapid stress reduction
  • Social isolation
  • Inappropriate use of substances
  • Use of manipulation to obtain significant relationships with others

Risk population

  • teenagers
  • Child abuse
  • Encrehensive people
  • People who experience family divorce
  • People who experience inappropriate use of substances in the family
  • People who experience loss of significant interpersonal relationships
  • People who experience sexual identity crisis
  • People who live in a non -traditional environment
  • People with colleagues who automate
  • People with family history of self -destructive behavior
  • People with a history of child abuse
  • People with a history of child affection
  • People with a history of child surgery
  • People with a history of self -directed violence
  • People who presence violence between parental figures

Associated problems

  • Autism
  • Personality limit disorder
  • Character disorder
  • Intersonalization
  • Disabilities of development
  • Psychotic disorder

Suggestions of use

The diagnosis of self -ilation should be used in the case of a patient who has already been previously self -colored. The automutilation risk label should be used when risk factors are detected, although the individual has not exhibited self -collection behavior.

Suggested alternative diagnostics