Abstract
We examined the correspondence between reported reasons and consequences for a specific act of non-suicidal self-injury (NSSI), and their relationship with lifetime NSSI frequency. College students with a history of NSSI (n = 52) indicated reasons for and consequences from their most recent NSSI episode. A match was coded when a reason and its corresponding consequence(s) were both endorsed by the participant. Reasons and consequences were significantly correlated, but their correspondence was not related to lifetime NSSI frequency. Automatic negative reasons explained lifetime NSSI frequency, but consequences and match between reasons and consequences did not. Reported reasons for NSSI may be more important in understanding maintenance of NSSI than either consequences or match.
Similar content being viewed by others
References
Klonsky ED: Non-suicidal self-injury in United States adults: Prevalence, sociodemographics, topography and functions. Psychological Medicine 41:1981–1986, 2011.
Jacobson CM, Gould M: The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: A critical review of the literature. Archives of Suicide Research 11:129–147, 2007.
Klonsky ED, Olino TM: Identifying clinically distinct subgroups of self injurers among young adults: A latent class analysis. Journal of Consulting and Clinical Psychology 76:22–27, 2008.
Walsh BW: Treating self-injury: A practical guide. 2nd ed. New York, Guilford Press, 2012.
Laye-Gindhu A, Schonert-Reichl KA: Nonsuicidal self-harm among community adolescents: Understanding the “whats” and “whys” of self-harm. Journal of Youth and Adolescence 34:447–457, 2005.
Claes L, Klonsky DE, Muehlenkamp J, Kuppens P, VandereyckenW: The affect-regulation function of nonsuicidal self-injury in eating-disordered patients: Which affect states are regulated? Comprehensive Psychiatry 51:386–392, 2010.
Kreitman N, Casey P: Repetition of parasuicide: An epidemiological and clinical study. The British Journal of Psychiatry 153:792–800, 1988.
You J, Leung F, Fu K, Lai CM: The prevalence of nonsuicidal self-injury and different subgroups of self-injurers in Chinese adolescents. The Archives of Suicide Research 15:75–86, 2011.
Andover MS, Gibb BE: Non-suicidal self-injury, attempted suicide, and suicidal intent among psychiatric inpatients. Psychiatry Research 178:101–105, 2010.
Schaefer HH: Self-injurious behavior: Shaping “head-banging” in monkeys. Journal of Applied Behavior Analysis 3:111–116, 1970.
Skinner BF: The operant side of behavior therapy. Journal of Behavior Therapy and Experimental Psychiatry 19:171–179, 1988.
Nock MK, Prinstein MJ: A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology 2004. doi:10.1037/0022-006X.72.5.885.
Chapman AL, Dixon-Gordon K: Emotional antecedents and consequences of deliberate self- harm and suicide attempts. Suicide and Life Threatening 37:543–552, 2007.
Chapman AL, Gratz KL, Brown MZ: Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behaviour Research and Therapy 2006. doi:10.1016/j.brat.2005.03.005.
Nock MK, Prinstein MJ: Contextual features and behavioral functions of self-mutilation among adolescents. Journal of Abnormal Child Psychology 2005. doi:10.1037/0021-843X.114.1.140.
Klonsky ED: The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review 2007. doi:10.1016/j.cpr.2006.08.002.
Klonsky ED: The functions of self-injury in young adults who cut themselves: Clarifying the evidence for affect-regulation. Psychiatric Research 2009. doi:10.1016/j.psychres.2008.02.008.
Saraff PD, Pepper CM: Functions, lifetime frequency, and variety of methods of non-suicidal self-injury among college students. Psychiatry Research 219:298–304, 2014.
Glenn CR, Klonsky ED: One-year test-retest reliability of the Inventory of Statements about Self-Injury (ISAS). Assessment 18:375–378, 2011. doi:10.1177/1073191111411669.
Zanarini MC, Vujanovic A, Parachini EA, Boulanger JL, Frankenburg FR, Hennen J: A screening measure for BPD: The McLean screening instrument for borderline personality disorder. Journal of Personality Disorders 17:568–573, 2003.
Linehan MM, Comtois K, Brown MZ, Heard HL, Wagner A: Suicide Attempt Self-Injury Interview (SASII): Development, reliability, and validity of a scale to assess suicide attempts and intentional self-injury. Psychological Assessment 2006. doi:10.1037/1040-3590.18.3.303.
Pasieczny N, Connor JP: The effectiveness of dialectical behaviour therapy in routine public mental health settings: An Australian controlled trial. Behaviour Research and Therapy 49:4–10, 2011.
Acknowledgments
The authors wish to acknowledge Zackie Salmon and Susan Stoddard from the University of Wyoming McNair Scholars program for their assistance on this project.
Conflict of interest
Pooja Saraff, Natasha Trujillo, and Carolyn Pepper declare they have no conflict of interest.
Ethical Standards
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Saraff, P.D., Trujillo, N. & Pepper, C.M. Functions, Consequences, and Frequency of Non-suicidal Self-Injury. Psychiatr Q 86, 385–393 (2015). https://doi.org/10.1007/s11126-015-9338-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11126-015-9338-6