Mindless Suffering: the Relationship Between Mindfulness and Non-Suicidal Self-Injury
Non-suicidal self-injury is a complex behaviour, disturbingly prevalent, difficult to treat and with possible adverse outcomes in the long term. Previous research has shown individuals most commonly self-injure to cope with overwhelming negative emotions. Mindfulness has been shown to be associated with emotion regulation, and mindfulness-based interventions have shown effectiveness in a wide range of psychological disorders. This research explored whether lack of mindfulness or problems in mindfulness are involved in self-injury. A non-clinical sample of 263 participants (17–65 years) completed an online survey measuring self-injurious behaviours and mindfulness. Differences in levels of mindfulness between individuals with and without a history of self-injury were investigated. Analysis of variance indicated mindfulness (overall and in terms of specific facets “act with awareness”, “non-judge” and “non-react”) was significantly lower in individuals with a history of self-injury compared to those without. Pairwise comparisons revealed current self-injurers reported significantly lower mindfulness than past self-injurers and non-self-injurers, with medium effect sizes of d = 0.51 and d = 0.77, respectively. In logistic regression, low mindfulness significantly predicted self-injury (B = 0.04, p < .001). These findings have clinical implications, suggesting that mindfulness-based interventions may assist individuals to give up self-injurious behaviours and may be an important part of prevention strategies.
KeywordsNon-suicidal self-injury NSSI Self-injurious behaviour Mindfulness Mindfulness-based interventions
Compliance with Ethical Standards
Ethics approval was through the University of Queensland School of Psychology and Behavioural and Social Sciences Ethical Review Committee.
- Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S. J., & Williams, J. M. G. (2008). Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. doi: 10.1177/1073191107313003.PubMedCrossRefGoogle Scholar
- Binks, C. A., Fenton, M., McCarthy, L., Lee, T., Adams, C. E., & Duggan, C. (2006). Pharmacological interventions for people with borderline personality disorder. Cochrane Database of Systemic Reviews.Google Scholar
- Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. doi: 10.1023/B:JOBA.0000007455.08539.94.CrossRefGoogle Scholar
- Herbert, J. D., & Forman, E. M. (2012). Dialectical behavior therapy. In C. J. Robins & M. Z. Rosenthal (Eds.), Acceptance and mindfulness in cognitive behavior therapy: understanding and applying the new therapies. New York: Wiley and Sons, Inc. Published Online: 16 MAR 2012. doi: 10.1002/9781118001851.ch7.Google Scholar
- Kabat-Zinn, J. (1990). Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditiation. New York: Hyperion.Google Scholar
- Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.Google Scholar
- Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.Google Scholar
- Linehan, M., Korslund, K., Harned, M., Gallop, R., Lungu, A., Neacsiu, A., et al. (2015). (2015). Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: a randomized clinical trial and component analysis. JAMA Psychiatry., 72(5), 475–482. doi: 10.1001/jamapsychiatry.2014.3039.PubMedCrossRefGoogle Scholar
- Newman, C. G. (Ed.) (2009). Cognitive therapy for nonsuicidal self-injury. Washington, DC: American Psychological Association.Google Scholar
- Nock, M. K., & Favazza, A. R. (Eds.) (2009). Nonsuicidal self-injury: definition and classification (Vol. xiii). Washington, DC: American Psychological Association.Google Scholar
- Ospina, M. B., Bond, T. K., Karkhaneh, M., Tjosvold, L., Vandermeer, B., Liang, Y., et al. (2007). Meditation practices for health: state of the research. Evidence Report/Technology Assessment, 155, 1–263 http://archive.ahrq.gov/downloads/pub/evidence/pdf/meditation/medit.pdf.Google Scholar
- Penrose-Wall, J., Farris, Z., & Berkery, P. (2009). Self-harm: Australian treatment guide for consumers and carers from https://www.ranzcp.org/Files/ranzcp-attachments/Resources/Publications/CPG/Australian_Versions/AUS_Self_harm-pdf.aspx.
- Ryle, A. (2004). The contribution of cognitive analytic therapy to the treatment of borderline personality disorder. Journal of Personality Disorders, 18, 3–35. doi: 10.1521/pedi.220.127.116.11773.
- Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York, NY: Guildford Press.Google Scholar
- Tan, L. & Martin, G. (2014). Taming the adolescent mind: a randomised controlled trial examining clinical efficacy of an adolescent mindfulness-based group program. Child and Adolescent Mental Health, 19. DOI: 10.1111/camh.12057.
- Townsend, E., Hawton, K., Altman, G., Arensman, E., Gunnell, D., Hazel, P., et al. (2001). The efficacy of problem-solving treatments after deliberate self-harm: meta-analysis of randomized controlled trials with respect to depression, hopelessness and improvement in problems. Psychological Medicine, 31(6), 979–988.PubMedCrossRefGoogle Scholar