2020
DOI: 10.2147/ndt.s198806
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<p>Nonsuicidal Self-Injury: Diagnostic Challenges And Current Perspectives</p>

Abstract: Nonsuicidal self-injury (NSSI) involves deliberate and intentional injury to body tissue that occurs in the absence of suicidal intent. Typical examples here might include selfcutting, burning, or self-hitting. Behavior of this kind is fundamentally unsettling as well as perplexing. It is also the case that self-harming behavior of any kind runs counter to a fundamental survival instinct. In the past, behaviors such as these were viewed as selfmutilation and considered to be a form of attenuated suicide. Much … Show more

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Cited by 59 publications
(39 citation statements)
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“…Based on the proposed DSM criteria, recovery would be operationalised as self‐injuring on fewer than 5 days in the last year, no longer self‐injuring for a purpose (e.g., to gain relief from painful emotion), no longer experiencing urges or preoccupation with NSSI, and no longer experiencing interference with daily functioning attributed to NSSI. There has been extensive focus on Criteria A, which stipulates the frequency with which NSSI must be engaged to meet diagnostic criteria (on 5 days in the last year; Hooley et al, 2020). While other criteria are provided, this focus on frequency suggests that a reduction in the frequency of NSSI may be the primary treatment goal.…”
Section: Recovery Frameworkmentioning
confidence: 99%
“…Based on the proposed DSM criteria, recovery would be operationalised as self‐injuring on fewer than 5 days in the last year, no longer self‐injuring for a purpose (e.g., to gain relief from painful emotion), no longer experiencing urges or preoccupation with NSSI, and no longer experiencing interference with daily functioning attributed to NSSI. There has been extensive focus on Criteria A, which stipulates the frequency with which NSSI must be engaged to meet diagnostic criteria (on 5 days in the last year; Hooley et al, 2020). While other criteria are provided, this focus on frequency suggests that a reduction in the frequency of NSSI may be the primary treatment goal.…”
Section: Recovery Frameworkmentioning
confidence: 99%
“…Others note that NSSI is associated with many different personality disorders and more importantly, it can also occur in nonclinical populations. These arguments support the development of NSSID as a new diagnostic category (for example, see Hooley et al, 2020). This controversy highlights the heterogeneous nature of NSSI, a condition with many potential causes, risk factors, associations, and comorbidities.…”
Section: Introductionmentioning
confidence: 96%
“…Self-harm is a significant issue in adolescence, and it is strongly related to attempts (Hooley et al, 2020) and death by suicide (Hawton et al, 2013). Approximately 40-60% of people who die by suicide have performed self-harm previously, meaning that the risk of suicide is higher for those who exhibit self-harm behavior (Geulayov et al, 2019;Owens et al, 2002).…”
Section: Introductionmentioning
confidence: 99%
“…It is noteworthy that monitoring self-harm assists in detecting behavioral aspects that are important for suicide prevention and for planning and implementing alternative treatments (Hawton et al, 2015). It is complemented that only a limited number of studies have been published in Brazil investigating self-harm in adolescence (Fonseca et al, 2018) and it is a condition that warrants further studies to be carried out to be better understood (Hooley et al, 2020).…”
Section: Introductionmentioning
confidence: 99%