Case Study: A Profile of Help-Seeking Adolescent Males and Females With Nonsuicidal Self-Injury

Abstract. Background: Rates of nonsuicidal self-injury (NSSI) are particularly high on college campuses. Commonly endorsed reasons for NSSI include interpersonal (e.g., seeking support) and intrapersonal (e.g., affect regulation) functions. Aims: This study compared college students with and without a history of NSSI on their views of NSSI functions in order to inform gatekeeper intervention/prevention programs targeting NSSI. Method: The Inventory of Statements About Self-Injury, which assessed NSSI behavior and functions of NSSI, was completed by 367 college students (73% female, 95% white). Results: Ninety-eight participants endorsed lifetime moderate/severe NSSI, 109 endorsed minor NSSI, and 160 denied any history of NSSI. Noninjuring participants' views of NSSI functions were compared with the views held by participants with histories of NSSI. The groups did not differ in their views of the relevance of intrapersonal functions, although noninjuring individuals appeared to stress some interpersonal factors (e.g., influence) slightly more than individuals with a history of NSSI did. Conclusion: These results suggest that college students generally hold similar perceptions of the functions of NSSI. Our findings suggest intervention/prevention efforts may consider broadening the selection of gatekeepers (e.g., peers with no history of NSSI) in schools and colleges to identify at-risk students and encourage help-seeking behaviors.

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Help-Seeking Behaviors for Adolescents Engaging in Nonsuicidal Self-Injury

PsycEXTRA Dataset ◽

10.1037/e619622013-001 ◽

2013 ◽

Author(s):

Kathleen S. Tillman ◽

Catherine A. Hickey

Keyword(s):

Help Seeking ◽

Help Seeking Behaviors ◽

Self Injury ◽

Nonsuicidal Self Injury

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Narratives of self-harm at school: Identifying trajectories of intervention in educational contexts

Europe’s Journal of Psychology ◽

10.5964/ejop.v16i1.1883 ◽

2020 ◽

Vol 16 (1) ◽

pp. 95-111

Author(s):

Anna Gargiulo

Keyword(s):

Gender Differences ◽

Help Seeking ◽

Educational Institutions ◽

Clinical Practices ◽

Cultural Contexts ◽

Shared Meanings ◽

Self Injury ◽

Self Harm ◽

Males And Females ◽

Meaningful Relationships

Recent studies have shown that self-harming behaviour is increasingly widespread among adolescents, in particular at school. However, educational institutions perceive themselves unable to cope with the phenomenon, searching for protocols and guidelines to improve its management. Considering schools as useful contexts for intercepting the young malaise, this study aims at exploring the main meanings of self-harming behaviours made within the educational cultural contexts starting from the student’s narrations, in order to understand the possible trajectories of practice. In two high schools we have collected 96 narratives of self-harm written by adolescents (mean age 14; 74% females), who have been engaged in non-suicidal self-injury once in their life. The analysis of the narratives, produced with the help of a software for the automatic qualitative analysis of texts, has allowed to identify four prevalent themes organized into three sense vectors. The findings highlighted significant gender differences in the representation of the experience of self-harm between males and females, as well as the importance of meaningful relationships developed in familiar and educational contexts, which may allow the help seeking process. The emerging of culturally-shared meanings among adolescents within the investigated contexts may allow to think about possible protocols of preventive and clinical practices in schools.

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Nonsuicidal Self-Injury

Crisis ◽

10.1027/0227-5910/a000155 ◽

2012 ◽

Vol 33 (3) ◽

pp. 182-182

Keyword(s):

Self Injury ◽

Nonsuicidal Self Injury

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Self-Injurious Behavior vs. Nonsuicidal Self-Injury

Crisis ◽

10.1027/0227-5910/a000127 ◽

2012 ◽

Vol 33 (2) ◽

pp. 106-112 ◽

Cited By ~ 3

Author(s):

Christopher M. Bloom ◽

Shareen Holly ◽

Adam M. P. Miller

Keyword(s):

Positive Reinforcement ◽

Empirical Investigation ◽

High Stress ◽

Animal Research ◽

Stress Conditions ◽

Human Populations ◽

Pharmacological Interventions ◽

Self Injury ◽

Cns Stimulant ◽

Nonsuicidal Self Injury

Background: Historically, the field of self-injury has distinguished between the behaviors exhibited among individuals with a developmental disability (self-injurious behaviors; SIB) and those present within a normative population (nonsuicidal self-injury; NSSI),which typically result as a response to perceived stress. More recently, however, conclusions about NSSI have been drawn from lines of animal research aimed at examining the neurobiological mechanisms of SIB. Despite some functional similarity between SIB and NSSI, no empirical investigation has provided precedent for the application of SIB-targeted animal research as justification for pharmacological interventions in populations demonstrating NSSI. Aims: The present study examined this question directly, by simulating an animal model of SIB in rodents injected with pemoline and systematically manipulating stress conditions in order to monitor rates of self-injury. Methods: Sham controls and experimental animals injected with pemoline (200 mg/kg) were assigned to either a low stress (discriminated positive reinforcement) or high stress (discriminated avoidance) group and compared on the dependent measures of self-inflicted injury prevalence and severity. Results: The manipulation of stress conditions did not impact the rate of self-injury demonstrated by the rats. The results do not support a model of stress-induced SIB in rodents. Conclusions: Current findings provide evidence for caution in the development of pharmacotherapies of NSSI in human populations based on CNS stimulant models. Theoretical implications are discussed with respect to antecedent factors such as preinjury arousal level and environmental stress.

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Exploring Particular Facets of Cognitive Emotion Regulation and Their Relationships With Nonsuicidal Self-Injury Among Adolescents

Crisis ◽

10.1027/0227-5910/a000566 ◽

2019 ◽

Vol 40 (4) ◽

pp. 280-286 ◽

Cited By ~ 1

Author(s):

Nir Madjar ◽

Nicole Segal ◽

Gilad Eger ◽

Gal Shoval

Keyword(s):

Emotion Regulation ◽

High School Students ◽

Analysis Of Covariance ◽

Depression Symptoms ◽

Emotion Regulation Strategies ◽

Cognitive Emotion Regulation ◽

School Students ◽

Self Injury ◽

Regulation Strategies ◽

Nonsuicidal Self Injury

Abstract. Background: Nonsuicidal self-injury (NSSI) has been found to be associated with poor emotion regulation. Aims: The goal of this study was to examine the association of multidimensional cognitive emotion regulation strategies with NSSI among adolescents and compare the different patterns of NSSI. Method: A sample of 594 high-school students (54.4% boys; mean age = 14.96 years), from five regional schools across Israel, were assessed for five facets of cognitive emotion regulation strategies (acceptance, refocus on planning, positive refocusing, putting into perspective, and positive reappraisal) and NSSI behaviors using validated scales. Participants were allocated into three groups: repetitive NSSI (more than six occasions of NSSI; 7.1%), occasional NSSI (at least one incident but less than six; 8.3%), and no NSSI (84.6%). Results: Analysis of covariance, controlling for gender and depression symptoms, revealed that students with NSSI reported higher levels of acceptance, but lower levels of refocus on planning and putting into perspective. Limitations: The study used a cross-sectional design, which was a limitation. Conclusion: These findings demonstrate that particular cognitive emotion regulation strategies differ substantially in their relationship with NSSI. Adolescents who focus on planning and putting stressful situations into perspective may have increased resilience, whereas adolescents who are accepting of negative events that have happened may be more prone to maladaptive coping behaviors.

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