Actualización en manejo clínico de la conducta auto-lesiva en adolescentes femeninas con antecedentes de violencia doméstica y disfuncionalidad familiar

Abstract

Introduction: Non-suicidal self-injurious behavior (CALNS) is defined as the act of directly and deliberately destroying the individual's own tissue with the sole purpose of overcoming strong emotions, ranging from 11.5% to 19.2% of the population. adolescent population and in patients with a psychiatric history, its frequency ranges between 40% and 80% of cases, with 4 women for every man. Objective: To describe an update on the clinical management of self-injurious behavior in female adolescents with a history of domestic violence and family dysfunction. Materials and methods: Descriptive, retrospective study obtained in databases such as: PubMed, Scopus, Scielo, Google Scholar and Cochrane, from the last 5 years that provide relevant and updated information for the proposed theme. Results: 31 studies were included, among which 25 belong to journals of the first quartile of scientific evidence and 6 belong to Latin American indexed journals, where the management of self-injurious behavior in adolescents was analyzed. Conclusions: Based on the reviewed literature; management of female adolescents with CALNS should be interdisciplinary, emphasizing psychological and clinical support throughout treatment to prevent relapse; domestic violence and family dysfunction are present in all cases; the use of fluoxetine presents fewer adverse effects in patients with a psychiatric basis; as well as clozapine, it is the antipsychotic with the best synergy in adolescents with CALNS.