Straight to the Source: e-Communities for Nonsuicidal Self-Injury and the Emerging Case for Harm Reduction in the Treatment of Nonsuicidal Self-Injury

Preston, Emma G.; West, Amy E.

doi:10.1177/21677026211049367

Cited by 6 publications

(2 citation statements)

References 86 publications

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“…The SHRM reconceptualises self‐harm recovery as being able to accommodate reduction, as well as cessation; this may be a legitimate option for those unable to completely desist engagement (Preston & West, 2021). In addition, the SHRM model notes that reengagement in times of distress can be a natural part of the recovery process (Kelada et al, 2018; Lewis & Hasking, 2019).…”

Section: Discussionmentioning

confidence: 99%

How do people conceptualize self‐harm recovery and what helps in adolescence, young and middle adulthood? A qualitative meta‐synthesis

Lewin,

Leamy,

Palmer

2023

J Clin Psychol

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ObjectiveSelf‐harm can be understood as any behavior individuals use to harm themselves, irrespective of motive. Evidence has extensively examined the epidemiology and function of self‐harm to the individual, but less is known about the subjective processes underpinning recovery. Such insights could inform therapeutic interventions to better support individuals. The present aim was to synthesize qualitative themes from eligible literature to identify how adolescents, young adults, and those in middle adulthood conceptualize self‐harm recovery and the factors impacting this process.MethodsEleven studies were identified from a systematic search of five electronic research databases: PsycINFO, Embase, Medline, Global Health, and CINAHL. Studies were critically appraised using an adapted Critical Appraisal Skills Program tool for qualitative research. A meta‐synthesis was conducted using reflexive thematic analysis to generate themes across the included studies.ResultsThemes depicted recovery as a multidimensional, nonlinear, and subjective process, characterized by a “push and pull” between states of (re‐)engagement and cessation/reduction. Transition between these states was influenced by intrapersonal and interpersonal factors which were embedded in a wider milieu of the meaning of self‐harm to the individual.ConclusionContemporary ideas of symptom eradication as the only marker of complete recovery may hinder individuals in the long‐term, presenting an obstacle both to quality of life and therapeutic progress. Movement away from self‐harm recovery as a uniform or singular phenomenon could enhance person‐centered care.

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Section: Discussionmentioning

confidence: 99%

How do people conceptualize self‐harm recovery and what helps in adolescence, young and middle adulthood? A qualitative meta‐synthesis

Lewin,

Leamy,

Palmer

2023

J Clin Psychol

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“…While some users create content that pathologizes NSSI (Pater & Mynatt, 2017), others may post content about harm reduction strategies (Preston & West, 2022; Woolley, 2015). Harm reduction is a public health intervention that assures all persons are given safer opportunities to engage in high-risk behaviors.…”

Section: Literature Reviewmentioning

confidence: 99%

“There’s Always a Way to Get Around the Guidelines”: Nonsuicidal Self-Injury and Content Moderation on TikTok

Lookingbill,

2024

Social Media + Society

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The stigmatized nature of nonsuicidal self-injury may render TikTok, a short-form, video-sharing social media platform, appealing to individuals who engage in this behavior. Since this community faces biased scrutiny based on stigmatization surrounding mental health, nonsuicidal self-injury users may turn to TikTok, which offers a space for users to engage in discussions of nonsuicidal self-injury, exchange social support, experience validation with little fear of stigmatization, and facilitate harm reduction strategies. While TikTok’s Community Guidelines permit users to share personal experiences with mental health topics, TikTok explicitly bans content that shows, promotes, or shares plans for self-harm. As such, TikTok may moderate user-generated content, leading to exclusion and marginalization in this digital space. Through semi-structured interviews with 8 TikTok users and a content analysis of 150 TikTok videos, we explore how users with a history of nonsuicidal self-injury experience TikTok’s algorithm to engage with content on nonsuicidal self-injury. Findings demonstrate that users understand how to circumnavigate TikTok’s algorithm through hashtags, signaling, and algospeak to maintain visibility while also circumnavigating algorithmic detection on the platform. Furthermore, findings emphasize that users actively engage in self-surveillance, self-censorship, and self-policing to create a safe online community of care. Content moderation, however, can ultimately hinder progress toward the destigmatization of nonsuicidal self-injury.

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Non-suicidal self-injury as a predictor of stress-related social network use

Corcoran

Andover

2022

Behaviour & Information Technology

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Straight to the Source: e-Communities for Nonsuicidal Self-Injury and the Emerging Case for Harm Reduction in the Treatment of Nonsuicidal Self-Injury

Cited by 6 publications

References 86 publications

How do people conceptualize self‐harm recovery and what helps in adolescence, young and middle adulthood? A qualitative meta‐synthesis

How do people conceptualize self‐harm recovery and what helps in adolescence, young and middle adulthood? A qualitative meta‐synthesis

“There’s Always a Way to Get Around the Guidelines”: Nonsuicidal Self-Injury and Content Moderation on TikTok

Non-suicidal self-injury as a predictor of stress-related social network use

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