Self-injury more about coping than a cry for help

Authored by manchester.ac.uk and submitted by mvea
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New research has revealed that most people who harm themselves do it as a way to deal with their emotional pain, rather than a cry for help.

While people do harm themselves as a way to communicate with, or to influence the behaviour of, others, only about 23% to 33% of people who self-injure say they do this.

Clinical Psychologist Dr Peter Taylor, from The University of Manchester found that between 63% and 78% of non-suicidal people who self-injure do it as a short-term strategy to ease their emotional distress.

However, though self-injuring may work for short periods, the effect can be short lived, and make matters worse in the long term.

Non suicidal self-injury affects around 13%–17% of adolescents and young adults. Studies say it is associated with a range of psychological difficulties including depression, anxiety and post-traumatic stress disorder. Though many use it as a way to cope, it is also a risk factor for later suicide.

The study was carried out by researchers from The University of Manchester, University of Liverpool, Leeds Beckett University, and Edith Cowan University in Australia.

c1b4 on December 31st, 2017 at 14:23 UTC »

Everyone says therapy, but what sort of therapy do people suggest? Because no matter what sort of professional I see they always ask me what I want to do and I have no clue

xavec on December 31st, 2017 at 14:15 UTC »

It's worth acknowledging there is a difference between self-injury and self-harm as well. Sometimes it is a coping strategy, sometimes it is punitive and sometimes it is through a lack of other ways to communicate distress to the outside world ("seeking attention"). All are valid. Nice to see more up-to-date psychiatric research being brought out for the public as well.

mvea on December 31st, 2017 at 11:12 UTC »

Journal reference:

A meta-analysis of the prevalence of different functions of non-suicidal self-injury

Peter J. Taylor, Khowla Jomar, Katie Dhingra, Rebecca Forrester, Ujala Shahmalak, Joanne M. Dickson

Journal of Affective Disorders, Volume 227, February 2018, Pages 759-769

DOI: https://doi.org/10.1016/j.jad.2017.11.073

Link: http://www.sciencedirect.com/science/article/pii/S0165032717315227?via%3Dihub

Highlights

• NSSI can have a wide range of underlying functions for the individual.

• This is the first meta-analysis of the prevalence of the functions of NSSI.

• Intrapersonal functions are more prevalent than interpersonal,

• Functions concerning an escape/avoidance of internal states are particularly common.

• Interpersonal functions are also endorsed by a substantial proportion of people.

Abstract

Background

A broad variety of different functions can underlie acts of Non-suicidal self-injury (NSSI). Whilst research so far has identified many of the commonly reported functions, no reliable estimates of prevalence currently exist for these different NSSI functions. Understanding the prevalence of NSSI functions represents a key to better understanding the phenomenology of NSSI and addressing the differing needs of the NSSI population. We conducted a systematic review and meta-analysis of the prevalence of NSSI functions in community and clinical samples.

Method

A literature search of electronic databases PsycINFO, Medline, and Web of Science from date of inception to March 2017 was undertaken. A pre-specified framework for categorising different functions of NSSI was used to collate data from across studies. A random-effects meta-analysis of prevalence was then undertaken on these data.

Results

Intrapersonal functions (66–81%), and especially those concerning emotion regulation were most commonly reported by individuals who engage in NSSI (63–78%). Interpersonal functions (e.g., expressing distress) were less common (33–56%).

Limitations

The review was limited to English-language articles. Reviewed articles were inconsistent in their measurement of NSSI. Inconsistency within pooled prevalence estimates was high when moderators were not accounted for.

Conclusions

Findings indicate that intrapersonal functions of NSSI are most common and are present for the majority of participants. This finding supports dominant emotion-regulation models of NSSI, and the use of interventions that work to improve emotion-regulation ability. However, interpersonal functions remain endorsed by a substantial portion of participants.