Strong Fears, Weak Ties, and Nonsuicidal Self-Injury: Medical Inquiries About Injury, Wound, and Scar Care from a Self-Harm Subreddit

Health Communication, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 13

Published: Feb. 11, 2025

Through the theoretical lens of Strength Weak Ties Theory, this study examined medical advice sought within a self-harm subreddit. Using social constructionist epistemology and employing Reflexive Thematic Analysis, we explored 596 inquiries for about nonsuicidal self-injury-related injuries, wounds, scar care. Five overarching themes were identified: (a) pleading wound care help from weak-ties, (b) expressing fear hospitalization deterring requests to strong-ties, (c) seeking validation harm-reduction weak-ties (d) asking how navigate unexpected outcomes, (e) requesting conceal scars strong-ties. Our findings align with previous research by describing Reddit as valuable resource when strong-ties are inaccessible or unapproachable. They extend existing literature highlighting users' frequently asserted preference online due stigma involuntary fears often associated mental health providers. We discuss need injury best practices in accessible spaces while offering practical implications key stakeholders. Given frequent spread mis/disinformation on user-generated networks, also emphasize importance verifying accuracy received before implementing suggestions anonymous weak ties connections. Ultimately, highlights nuances between inquiries, support, barriers empathetic healthcare individuals engaging self-injury.

Language: Английский

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Unraveling the complexity of associations between a history of childhood trauma, psychotic-like experiences, depression and non-suicidal self-injury: A network analysis

Journal of Affective Disorders, Journal Year: 2023, Volume and Issue: 337, P. 11 - 17

Published: May 23, 2023

Several studies have reported the association of psychotic-like experiences (PLEs) with non-suicidal self-injury (NSSI). It has been hypothesized that both constructs might share overlapping backgrounds. This study aimed to investigate relationships between childhood trauma, depression, PLEs and lifetime characteristics NSSI. Participants included individuals aged 18–35 years who had a negative history psychiatric treatment. They were surveyed through computer-assisted web interview. A network analysis was performed. total 4203 non-clinical adults (63.8 % females) enrolled. The NSSI sexual abuse most central nodes in network. only category trauma directly connected (i.e., longer duration NSSI). shortest pathways from other categories (emotional abuse, emotional neglect bullying) effects abuse. However, also possible converged on representing persecutory thoughts, déjàvu experiences, psychomotor retardation/agitation suicidal ideation. These psychopathological symptoms severe main limitations include use sample cross-sectional design. Our findings do not support hypothesis be associated due shared correlates. In words, associations independent.

Language: Английский

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Measurement and stratification of nonsuicidal self-injury in adolescents

BMC Psychiatry, Journal Year: 2024, Volume and Issue: 24(1)

Published: Feb. 7, 2024

Abstract Background Nonsuicidal self-injury (NSSI) is highly prevalent in adolescents. In survey and interview studies assessing NSSI, methods of assessment have been shown to influence prevalence estimates. However, knowledge which groups adolescents that are identified with different measurement lacking, the characteristics yet be investigated. Further, only a handful carried out using exploratory identify subgroups among NSSI. Methods The performance two measures (single-item vs. behavioral checklist) same cross-sectional community sample ( n = 266, age M 14.21, 58.3% female) was compared regarding estimates also characterization lifetime NSSI prevalence. A cluster analysis sample. Identified clusters were defined measures. Results total 118 (44.4%) participants acknowledged having engaged at least once. Of these, group 55 (20.7%) confirmed on single item 63 (23.7%) checklist, while denying item. Groups differed significantly, single-item being more severely affected higher mean scores difficulties emotion regulation, self-criticism, number methods, frequency rates suicidal ideation behavior lower score health-related quality life. All cases severity not by question. Cluster three clusters, fit well checklist Conclusions When investigating adolescents, findings influenced researchers’ choice present study provides some directions toward what kind expect given type measure used, both regards size its composition. Implications for future research as clinical preventive work discussed.

Language: Английский

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Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis

Journal of Youth and Adolescence, Journal Year: 2024, Volume and Issue: 53(6), P. 1301 - 1322

Published: April 2, 2024

Abstract Suicide remains the second most common cause of death in young people aged 10–24 years and is a growing concern globally. The literature reports vast number factors that can predispose an adolescent to suicidality at individual, relational, community, or societal level. There limited high-level research identifying understanding these risk protective suicidality. present study used umbrella review meta-analysis synthesize evidence from past 20 on self-harm (behavior ideation) adolescents. included 33 quantitative reviews with 1149 individual studies self-harm. Based data synthesis, it compared public health impact exposure population identified exposure. Bullying victimization was attributed environmental for other significant school were sleeping disturbance, absenteeism, antidepressants. Several vulnerable populations significantly higher prevalence suicidality, including lesbian, gay, bisexual, transgender, queer (or questioning) youth those mental disorders, problem behaviors, previous self-harm, gender (female). A person-centered approach emphasizing connectedness bully-free environments should be priority focus schools, professionals, policymakers.

Language: Английский

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The relationship between major life events and non-suicidal self-injury among college students: the effect of rumination and body image

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 11

Published: Jan. 17, 2024

Background Non-suicidal self-injury (NSSI) poses a growing risk to public health worldwide. While numerous studies have identified major life events as key factors for NSSI, the mechanisms by which emotional and cognitive problems mediate or moderate this relationship remain unclear. To enhance understanding of field, we will draw upon cascade theory benefits barriers model, examine between well effect rumination body image. Methods A sample 2,717 college students (M age = 19.81 years; SD 1.09) participated in study anonymously completed questionnaires. The moderated mediation model were conducted using Model 4 15 Process macro program SPSS. Results results showed that mediated positive NSSI. Furthermore, image was found both Conclusion current findings suggest is an important mediator NSSI among students. Teachers, parents, researchers should recognize role self-perceptions actively promote healthy accurate

Language: Английский

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Childhood maltreatment and non-suicidal self-injury in adolescent population: A systematic review and meta-analysis

Child Abuse & Neglect, Journal Year: 2024, Volume and Issue: 157, P. 107048 - 107048

Published: Sept. 26, 2024

Language: Английский

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Prevalence of Adverse Childhood Experiences and Their Associations with Non-Suicidal Self-Injury Among Chinese Adolescents with Depression

Child Psychiatry & Human Development, Journal Year: 2023, Volume and Issue: 55(5), P. 1441 - 1451

Published: Feb. 22, 2023

Language: Английский

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Association between life events, anxiety, depression and non-suicidal self-injury behavior in Chinese psychiatric adolescent inpatients: a cross-sectional study

Frontiers in Psychiatry, Journal Year: 2023, Volume and Issue: 14

Published: July 3, 2023

Background Non-suicidal self-injury (NSSI) is a major public health concern among adolescents. Further research needed into contributors to this behavior, in particular adolescents with psychiatric disorders. The aim of the present study was explore impact life events and emotional stress on NSSI hospitalized Methods In cross-sectional study, 505 Chinese adolescent inpatients 10–19 years old completed questionnaires about sociodemographic characteristics as well Adolescent Self-Rating Life Events Checklist (ASLEC), State–Trait Anxiety Inventory Form Y, Center for Epidemiological Studies Depression Scale. Chi-square test used compare incidence patients different sociodemographic. T -test total scores dimension ASLEC, STAI-Y, CES-D between group non-NSSI group. A binary logistic regression model built relationships characteristics, questionnaire NSSI. Results Most (393, 77.8%) reported behavior. higher risk observed female (odds ratio [OR] 2.665, 95% confidence interval [CI] 1.575–4.510), younger (10–14 years; OR 2.021, CI 1.258–3.245), suicide history (OR 2.479, 1.549–3.967), or depression symptom 3.217, 1.572–6.582) those ASLEC 1.019, 1.010–1.029). Conclusion Our China one first apply diagnostic criteria latest edition Diagnostic Statistical Manual Mental Disorders . analysis suggests that prevalence disturbingly high mental illness China. better understanding contributing factors, especially negative emotions, may guide interventions can reduce its prevalence.

Language: Английский

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Borderline Personality Symptoms, Body Modification, and Emotional Regulation

International Journal of Environmental Research and Public Health, Journal Year: 2025, Volume and Issue: 22(1), P. 89 - 89

Published: Jan. 10, 2025

Many people with BPD (borderline personality disorder) experience emotional dysregulation and thus engage in NSSI (non-suicidal self-injury), potentially the pursuit of regulation. However, research is lacking on whether body modifications (piercings, tattoos, etc.) are linked to a similar way NSSI. In current study, we hypothesized (1) that associated symptoms, (2) regulation self-expression motivations for specifically account variance (3) craving correlates modification craving. Participants (N = 199, ages 18-67, located USA) were surveyed symptomatology, craving, abilities, presence modifications. The extent tattooing (number tattoos percentage surface covered) was not significantly but number piercings was. Individuals higher symptomatology more likely report as obtaining scores positively correlated scores. Body may be an alternative method individuals BPD, which clinicians want consider when treating those

Language: Английский

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Non-suicidal self-injury risk among left-behind children and adolescents in China: A systematic review and meta-analysis

World Journal of Psychiatry, Journal Year: 2025, Volume and Issue: 15(2)

Published: Jan. 14, 2025

Increasing evidence has shown an increased risk of non-suicidal self-injury (NSSI) in left-behind children and adolescents (LBCAs). However, a systematic summary studies comparing the NSSI between LBCAs non-LBCAs China is lacking. To investigate among China. We performed search Embase, PubMed, Web Science from initiation to October 25, 2024, for all relevant LBCAs. The effect sizes were reported as odds ratios (ORs) with 95% confidence intervals (CI). Sensitivity analyses conducted further confirm stability findings. A total 10 165276 included this study. had significantly higher rates compared (OR = 1.33, 95%CI: 1.19-1.49), high heterogeneity observed (I 2 77%, P < 0.001). Further sensitivity consistent primary analysis 1.29, 1.21-1.39, I 0%). are found be at non-migrants. More attention intervention urgently needed LBCAs, especially those living developing countries.

Language: Английский

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