Dr. William E. Shiels II

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  www.portlandtribune.com/us_world_news/story.php?story_i - [Cached Version]
  Published on: 2/15/2009    Last Visited: 2/15/2009  

  "We identified a group of 10 patients over a three-year period of time that have this pattern of self-inflicted injury," said Dr. William Shiels, chief of radiology at Nationwide Children's Hospital in Columbus, Ohio. He presented his findings at the Radiological Society of North America meeting in Chicago.
  
  "It's cutting gone to the next level," Shiels said in a telephone interview.
  
  Shiels, who is developing a minimally invasive surgical technique for removing objects accidentally embedded in the skin, saw his first case of what he called self-embedding in 2005, and recently has seen a cluster of cases.
  ...
  Shiels said nine of the patients were female and one was male, all were between 15 and 18 and most had significant psychiatric problems, including depression.
  
  He said the teens described being in an agitated state and said embedding offered a measure of comfort.
  
  "The consistent theme is one of being angry and upset. Some of the patients have had very recent sexual abuse encounters, and they feel no one is taking them seriously," Shiels said.
  
  "Patients will usually have reported behavior that includes cutting and even ingesting things like battery acid and Drano (drain cleaner) before they engage in self-embedding," he said.

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  buchanan.mo.networkofcare.org/mh/news/detail.cfm?articl - [Cached Version]
  Published on: 12/8/2008    Last Visited: 12/24/2008  

  "This is not a local phenomenon," said William Shiels II, a radiologist at Nationwide Children’s Hospital in Columbus, Ohio, and lead author of a paper on the disorder.
  
  Since the disorder was identified two months ago, at least six other hospitals have reported similar cases, Shiels said, and a national registry is being set up to monitor the cases.

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  www.jsonline.com/features/health/35482489.html - [Cached Version]
  Published on: 12/3/2008    Last Visited: 12/3/2008  

  "This is not a local phenomenon," said lead author William Shiels II, a radiologist at Nationwide Children's Hospital in Columbus, Ohio.
  
  Since the disorder was identified two months ago, at least six other hospitals have reported similar cases, Shiels said, and a national registry is being set up to monitor the cases.
  
  Self-embedding disorder was defined as using objects to puncture the skin or inserting them into a wound after cutting.
  
  "Our children have progressed to the point where cutting doesn't work," he said.
  ...
  A 17-year-old girl had embedded 11 objects, including two unfolded paperclips about 6 inches long that were inserted into each bicep, said Shiels, chairman of the department of radiology at the hospital.
  
  "Every time she flexed her muscle, she would feel a twinge of pain," Shiels said.
  
  Another patient came back to the hospital 10 days ago, this time with four more objects that she had embedded, he said.
  
  Parents and even emergency room doctors often are unaware of the injuries, he said. Often the girls will lie and say the objects got embedded when they fell down.
  
  Using ultrasound or fluoroscopy, a type of X-ray that provides moving images, doctors were able to detect both metallic and non-metallic objects, which then could be removed by through small incisions in the skin. The approach left little scarring and did not cause the objects to fragment.
  
  Ultrasound proved especially useful because it could detect non-metal objects that did not show up on X-ray, Shiels said.
  
  Sharing on Internet
  
  In recent years, hundreds of messages boards, blogs and other Internet sites have sprouted up, allowing adolescents to solicit and share information about self-injury, sometimes glorifying it. Most of the sites are used by girls between the ages of 12 and 20, according to a study in Developmental Psychology.
  
  Shiels said he is concerned that children will use the Internet to coach other kids on self-embedding. Because of that, he said, it is important that doctors recognize the problem.
  
  "This is the most severe form of self-injury," he said.
  
  While none of the self-embedding episodes was part of a suicide attempt, about 90% of the girls had suicidal thoughts, he said.

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  derrenbrownart.com/blog/?cat=10 - [Cached Version]
  Published on: 1/4/2009    Last Visited: 1/6/2009  

  Dr. William E. Shiels II, chief of radiology at Nationwide ChildrenÂÂ's Hospital in Columbus, Ohio, shows an X-ray of a girl who has a straightened paper clip embedded in her arm.

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  www.eurekalert.org/pub_releases/2008-12/rson-rda112508. - [Cached Version]
  Published on: 11/25/2008    Last Visited: 12/4/2008  

  "Radiologists are in a unique position to be the first to detect self-embedding disorder, make the appropriate diagnosis and mobilize the healthcare system for early and effective intervention and treatment," said the study's principal investigator, William E. Shiels II, D.O., chief of the Department of Radiology at Nationwide Children's Hospital in Columbus, Ohio.
  
  Self-injury, or self-harm, refers to a variety of behaviors in which a person intentionally inflicts harm to his or her body without suicidal intent. It is a disturbing trend among U.S. adolescents, particularly girls. Prevalence is unknown because many cases go unreported, but recent studies have reported that 13 to 24 percent of high school students in the U.S. and Canada have practiced deliberate self-injury at least once. More common forms of self-injury include cutting of the skin, burning, bruising, hair pulling, breaking bones or swallowing toxic substances. In cases of self-embedding disorder, objects are used to puncture the skin or are embedded into the wound after cutting.
  
  Dr. Shiels and colleagues studied 19 episodes of self-embedding injury in 10 adolescent girls, age 15 to 18.

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  www.jsonline.com/newswatch/35420309.html - [Cached Version]
  Published on: 12/2/2008    Last Visited: 12/3/2008  

  "This is not a local phenomenon," said lead author William Shiels II, a radiologist at Nationwide Children's Hospital in Columbus, Ohio.
  
  Since the disorder was identified two months ago, at least six other hospitals have reported similar cases, Shiels said, and a national registry is being set up to monitor the cases.

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  www.lakehighlandsymca.org/index.cfm?FuseAction=Page&Pag - [Cached Version]
  Published on: 12/3/2008    Last Visited: 1/2/2009  

  "Radiologists are in a unique position to be the first to detect self-embedding disorder, make the appropriate diagnosis, and mobilize the health-care system for early and effective intervention and treatment," principal investigator William E. Shiels II, chief of the department of radiology at Nationwide Children's Hospital in Columbus, Ohio, said in a news release issued by the conference organizer.

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  www.rt-image.com/News_from_RSNA_Making_headlines_in_rad - [Cached Version]
  Published on: 12/9/2008    Last Visited: 12/9/2008  

  "Radiologists are in a unique position to be the first to detect self-embedding disorder, make the appropriate diagnosis, and mobilize the healthcare system for early and effective intervention and treatment," says the study's principal investigator, William E. Shiels II, DO, chief of the radiology department at Nationwide Children's Hospital in Columbus, Ohio.
  
  Self-injury, or self-harm, refers to a variety of behaviors in which a person intentionally inflicts harm to his or her body without suicidal intent.
  ...
  Shiels and colleagues studied 19 episodes of self-embedding injury in 10 adolescent girls, ranging from ages 15 to 18.

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  www.newsmax.com/us/teens_scarring/2008/12/03/157903.htm - [Cached Version]
  Published on: 1/1/2008    Last Visited: 12/5/2008  

  "We identified a group of 10 patients over a three-year period of time that have this pattern of self-inflicted injury," said Dr. William Shiels, chief of radiology at Nationwide Children's Hospital in Columbus, Ohio. He presented his findings at the Radiological Society of North America meeting in Chicago.
  
  "It's cutting gone to the next level," Shiels said in a telephone interview.
  
  Shiels, who is developing a minimally invasive surgical technique for removing objects accidentally embedded in the skin, saw his first case of what he called self-embedding in 2005, and recently has seen a cluster of cases.
  
  "We had never seen this prior to 2005." he said.
  ...
  Shiels said nine of the patients were female and one was male, all were between 15 and 18 and most had significant psychiatric problems, including depression.
  
  He said the teens described being in an agitated state and said embedding offered a measure of comfort.
  
  "The consistent theme is one of being angry and upset. Some of the patients have had very recent sexual abuse encounters, and they feel no one is taking them seriously," Shiels said.
  
  "Patients will usually have reported behavior that includes cutting and even ingesting things like battery acid and Drano (drain cleaner) before they engage in self-embedding," he said.

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  www.upi.com/Science_News/2008/12/03/Radiologists_treat_ - [Cached Version]
  Published on: 12/3/2008    Last Visited: 12/4/2008  

  William E. Shiels II, chief of the Department of Radiology at Nationwide Children's Hospital in Columbus, Ohio, said self-embedded objects include needles, staples, paper clips, wood, stone, glass, pencil lead and crayons. The objects were embedded in the arms, ankles, feet, hands and neck.

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