Non-suicidal reasons for self-harm: A systematic review of self-reported accounts

Edmondson, Amanda; Brennan, Cathy; House, Allan

doi:10.1016/j.jad.2015.11.043

Cited by 210 publications

(166 citation statements)

References 62 publications

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“…Joiner et al, 2009) where repeated self-harm dampens any fear associated with lethal acts. Further research on this issue is crucial given the recent systematic review by Edmondson et al (2016) highlighting self-harm as a ‘positive’ experience (from first-hand accounts). Our findings also indicate that it is important to acknowledge that self-harmful behaviour is not static, instead it develops and evolves over time.…”

Section: Discussionmentioning

confidence: 99%

Uncovering key patterns in self-harm in adolescents: Sequence analysis using the Card Sort Task for Self-harm (CaTS)

Townsend

Wadman

Sayal

et al. 2016

Journal of Affective Disorders

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BackgroundSelf-harm is a significant clinical issue in adolescence. There is little research on the interplay of key factors in the months, weeks, days and hours leading to self-harm. We developed the Card Sort Task for Self-harm (CaTS) to investigate the pattern of thoughts, feelings, events and behaviours leading to self-harm.MethodsForty-five young people (aged 13–21 years) with recent repeated self-harm completed the CaTS to describe their first ever/most recent self-harm episode. Lag sequential analysis determined significant transitions in factors leading to self-harm (presented in state transition diagrams).ResultsA significant sequential structure to the card sequences produced was observed demonstrating similarities and important differences in antecedents to first and most recent self-harm. Life-events were distal in the self-harm pathway and more heterogeneous. Of significant clinical concern was that the wish to die and hopelessness emerged as important antecedents in the most recent episode. First ever self-harm was associated with feeling better afterward, but this disappeared for the most recent episode.LimitationsLarger sample sizes are necessary to examine longer chains of sequences and differences in genders, age and type of self-harm. The sample was self-selected with 53% having experience of living in care.ConclusionsThe CaTs offers a systematic approach to understanding the dynamic interplay of factors that lead to self-harm in young people. It offers a method to target key points for intervention in the self-harm pathway. Crucially the factors most proximal to self-harm (negative emotions, impulsivity and access to means) are modifiable with existing clinical interventions.

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Section: Discussionmentioning

confidence: 99%

Uncovering key patterns in self-harm in adolescents: Sequence analysis using the Card Sort Task for Self-harm (CaTS)

Townsend

Wadman

Sayal

et al. 2016

Journal of Affective Disorders

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show abstract

“…Over tid styrkes denne forbindelsen, slik at selvskadingen utføres naermest som en automatisk respons på den emosjonelle tilstanden . Modellens gyldighet understøttes av kvalitative og kvantitative studier (Edmondson et al, 2016). I en systematisk gjennomgang av forskningslitteraturen fant Edmondson et al (2016) at VE oftest benyttes for å redusere stress og emosjonell smerte, etterfulgt av et ønske om å påvirke andre, straffe seg selv og håndtere dissosiasjon.…”

Section: Sammendragunclassified

“…Modellens gyldighet understøttes av kvalitative og kvantitative studier (Edmondson et al, 2016). I en systematisk gjennomgang av forskningslitteraturen fant Edmondson et al (2016) at VE oftest benyttes for å redusere stress og emosjonell smerte, etterfulgt av et ønske om å påvirke andre, straffe seg selv og håndtere dissosiasjon. I en spørreundersøkelse av ungdommer fant Howe-Martin et al (2012) en sterk sammenheng mellom gjentatt VE og EA.…”

Section: Sammendragunclassified

Reduksjon av unngåelsesatferd og innleggelser grunnet villet egenskade etter Basal Eksponeringsterapi

Hammer¹,

Ludvigsen²,

Heggdal³

et al. 2017

Suicid.

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“…Whilst not necessarily independent nor mutually exclusive (Kapur et al 2013), these are arguably two functionally different behaviours (Klonsky 2007;Edmondson et al 2016). Therefore, failure to differentiate between them may miss important differences in meanings and intentions.…”

Section: Know It Sounds Weird For a Self-harmer To Be Like So Worrimentioning

confidence: 99%

Non-suicidal self-harm amongst incarcerated men: a qualitative study

Marzano

Ciclitira

Adler

2016

JCP

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Purpose: To further understand the needs and motivations of incarcerated men who self-harm with no apparent suicidal intent. These have received little attention in research and policy, despite men accounting for a high and increasing proportion of self-harm in prisons.Design/methodology/approach: Semi-structured interviews were conducted with 20 adult male prisoners with a recent history or thoughts of non-suicidal selfharm. The interviews were analysed drawing on principles of thematic analysis and discourse analysis.Findings: Against a backdrop of early traumatic experiences and more recent adverse events (including prison-related ones), self-harm was described by many as a desperate -but meaningful -coping strategy; both a means of releasing tension, sadness and frustration, and of being heard in an unresponsive system. Originality/value: These findings echo those of research conducted with women (including women prisoners) who self-harm, but challenge some of the more negative ways in which non-suicidal male prisoner self-harm has been portrayed in the (scant) previous literature. As well as pointing to the need for greater awareness of the complex needs of men in prisons, they underscore the importance of (also) exploring -and perhaps addressing -the issue of self-harm separately from suicide, and of striving to make prisons, as well as prisoners, 'healthier' and better able to cope with pressure.

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Non-suicidal reasons for self-harm: A systematic review of self-reported accounts

Cited by 210 publications

References 62 publications

Uncovering key patterns in self-harm in adolescents: Sequence analysis using the Card Sort Task for Self-harm (CaTS)

Uncovering key patterns in self-harm in adolescents: Sequence analysis using the Card Sort Task for Self-harm (CaTS)

Reduksjon av unngåelsesatferd og innleggelser grunnet villet egenskade etter Basal Eksponeringsterapi

Non-suicidal self-harm amongst incarcerated men: a qualitative study

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