A person-centred conceptualisation of non-suicidal self-injury recovery: a practical guide

Hasking, Penelope; Lewis, Stephen P.; Tonta, Kate E.

doi:10.1080/09515070.2023.2225045

Counselling Psychology Quarterly

2023

DOI: 10.1080/09515070.2023.2225045

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A person-centred conceptualisation of non-suicidal self-injury recovery: a practical guide

Penelope Hasking

Stephen P. Lewis

Kate E. Tonta

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2024

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Cited by 4 publications

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Exploring Unique Patterns of Self‐Injury Recovery: A Latent Profile Analysis

Hasking,

Lewis

2024

Clin Psychology and Psychoth

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BackgroundAs nonsuicidal self‐injury (NSSI) has become an increasing public health concern, the last few years have seen the emergence of efforts to address NSSI recovery. Although many recovery efforts adopt a medical view of self‐injury and focus on cessation of the behaviour, recovery can mean many different things to different people. In this study, we provide initial empirical validation of the self‐injury recovery framework, by assessing whether different recovery profiles exist.MethodsOur sample comprised 733 participants with lived experience of NSSI (M age = 24.54, sd = 6.39). Participants completed self‐report measures of constructs related to NSSI recovery and NSSI characteristics.ResultsUsing latent profile analysis, we identified six unique profiles reflecting differences in thoughts/urges to self‐injure, self‐efficacy, social support, optimism, coping, underlying adversities, perceptions of scarring, disclosure, resilience and self‐compassion. Multivariate analyses of variance confirmed these profiles differed according to NSSI characteristics such as frequency of NSSI, a self‐assessment of recovery, the desire to self‐injure or avoid self‐injury and the number of people disclosed to.LimitationsA homogenous sample and cross‐sectional design limit generalisability of our findings across populations and across time.ConclusionsOur findings reinforce that recovery can take many different forms, with different factors being relevant to different individuals. Adopting a person‐centred approach that centres an individual's lived experience and emphasises what is important to them in the recovery process offers opportunities for more empathic responses to self‐injury and better outcomes for individuals who self‐injure.

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Exploring Unique Patterns of Self‐Injury Recovery: A Latent Profile Analysis

Hasking,

Lewis

2024

Clin Psychology and Psychoth

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Exploring the cessation process from adolescence to young adulthood in individuals with lived experience of nonsuicidal self‐injury: a qualitative study

Andersson,

Korhonen,

Holmqvist Larsson

et al. 2024

Journal of Adolescence

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IntroductionNonsuicidal self‐injury (NSSI) is a common and concerning behavior in adolescents. However, most adolescents cease NSSI as they transition into adulthood. Increased knowledge of the cessation process is needed. This study aimed to qualitatively explore the factors contributing to NSSI cessation in individuals with lived experience of NSSI, providing valuable insights for treatment strategies.MethodsTwenty‐six individuals assigned female sex at birth, between ages 20–22 years, from Sweden were interviewed between 2021 and 2023 in Linköping, Sweden. Of these, 21 individuals perceived themselves as having ceased NSSI and were included in the analysis. Thematic analysis and Hooley and Franklins' Benefits and Barriers Model of NSSI were used to analyze the transcripts.ResultsThree overarching themes were generated: “Something inside me changed”, “Something in my close relationships changed”, and “Something in my life context changed”. The cessation of NSSI was associated with several key factors. Improved well‐being and envisioning a different future were pivotal in initiating the cessation process. Additionally, interpersonal relationships and support from others were interpreted as powerful motivators for change. Transitioning to a new social context and leaving behind a destructive environment provided opportunities for personal growth and enhanced well‐being, interpreted as initiators in the participants' broader life context.ConclusionThis study underscores the complexity of the NSSI cessation process and highlights the need for a comprehensive understanding of the underlying factors. Access to emotion regulation skills was perceived as a significant barrier to NSSI engagement. Clinical implications and different interventions to support NSSI cessation are discussed.

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Cultivating participatory processes in self‐harm app development: A case‐study and working methodology

Babbage,

Lockwood,

Roberts

et al. 2024

JCPP Advances

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BackgroundSelf‐harm and suicide related behaviours are increasing in young people, and clinical support is not adequately meeting needs. Improved approaches to assessment and the clinical management of self‐harm will result from codesign processes and include greater shared decision‐making between young people and practitioners. The CaTS‐App (an adapted digital version of the existing Card‐Sort Task for Self‐harm research tool) aims to facilitate a collaborative understanding of adolescent self‐harm and support decision‐making within clinical settings. The codevelopment of a digital, clinical tool which meets the needs of multiple stakeholders requires careful consideration.MethodsWe present a case‐study describing the participatory aspects of the development of the CaTS‐App, which included comprehensive patient involvement, research activities and coproduction with diverse young people aged 17–24 with lived experience of self‐harm. We share our processes and activities to deliver safe, engaging, sustainable, ethical and responsible participatory practice and co‐created knowledge, in the codevelopment of the CaTS‐App.ResultsActivities spanned a 48‐month period in both face‐to‐face and online settings. Example processes and activities are provided in narrative, tabular and diagrammatic form, alongside discussion of the rationale for choices made. A summary methodology is also shared to stimulate continued discussion and development of participatory approaches in digital mental health.ConclusionsThe paper contributes important insight and practical detail for the delivery of genuine participatory processes in digital mental health development when working with a population who may be considered vulnerable.

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A person-centred conceptualisation of non-suicidal self-injury recovery: a practical guide

Cited by 4 publications

References 56 publications

Exploring Unique Patterns of Self‐Injury Recovery: A Latent Profile Analysis

Exploring Unique Patterns of Self‐Injury Recovery: A Latent Profile Analysis

Exploring the cessation process from adolescence to young adulthood in individuals with lived experience of nonsuicidal self‐injury: a qualitative study

Cultivating participatory processes in self‐harm app development: A case‐study and working methodology

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