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Is ceasing self-injury enough? Differences in psychological health between people reporting behavioral cessation of non-suicidal self-injury and those who consider themselves to have stopped self-injuring

Claréus, Benjamin LU ; Hasking, Penelope A. ; Gray, Nicole and Boyes, Mark E. (2023) In Journal of Clinical Psychology 79(1). p.255-269
Abstract

Objective: This study examined the overlap between considering oneself to have stopped nonsuicidal self-injury (NSSI) and the actual cessation of the behavior in terms of days self-injured in the last month and last year, and how these operationalizations are associated with constructs related to NSSI recovery. Methods: A cross-sectional survey including measures of coping, emotion dysregulation, psychological distress, general self-efficacy, and self-efficacy in resisting NSSI was answered by 144 adults aged 17–81 years (Mage [SD] = 21.43 [7.32]). Results: Having self-injured for ≥5 days in the last year was overly inclusive of individuals who currently considered themselves as having stopped NSSI (39.02%). Considering... (More)

Objective: This study examined the overlap between considering oneself to have stopped nonsuicidal self-injury (NSSI) and the actual cessation of the behavior in terms of days self-injured in the last month and last year, and how these operationalizations are associated with constructs related to NSSI recovery. Methods: A cross-sectional survey including measures of coping, emotion dysregulation, psychological distress, general self-efficacy, and self-efficacy in resisting NSSI was answered by 144 adults aged 17–81 years (Mage [SD] = 21.43 [7.32]). Results: Having self-injured for ≥5 days in the last year was overly inclusive of individuals who currently considered themselves as having stopped NSSI (39.02%). Considering oneself to have stopped NSSI was associated with better emotion regulation (Cohen's d = 0.45), and higher general self-efficacy and higher self-efficacy to resist NSSI (d = 0.59‒0.64) than behavioral cessation. Not actually engaging in NSSI was only associated with self-efficacy to resist NSSI in risk contexts, such that fewer days self-injured in the last year increased confidence (partial η2 = 0.085). Conclusion: Accounting for whether an individual considers themselves as having stopped NSSI or not may complement estimates of behavioral cessation, and strengthen outcomes associated with NSSI recovery.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cessation, DSM-5, recovery, self-harm, self-injury
in
Journal of Clinical Psychology
volume
79
issue
1
pages
255 - 269
publisher
John Wiley & Sons Inc.
external identifiers
  • pmid:35802511
  • scopus:85133638858
ISSN
0021-9762
DOI
10.1002/jclp.23409
language
English
LU publication?
yes
id
0dc15fb2-5f74-4f8c-8cd5-f3e1a9fc3d1c
date added to LUP
2022-09-06 13:59:05
date last changed
2024-04-18 13:53:26
@article{0dc15fb2-5f74-4f8c-8cd5-f3e1a9fc3d1c,
  abstract     = {{<p>Objective: This study examined the overlap between considering oneself to have stopped nonsuicidal self-injury (NSSI) and the actual cessation of the behavior in terms of days self-injured in the last month and last year, and how these operationalizations are associated with constructs related to NSSI recovery. Methods: A cross-sectional survey including measures of coping, emotion dysregulation, psychological distress, general self-efficacy, and self-efficacy in resisting NSSI was answered by 144 adults aged 17–81 years (M<sub>age</sub> [SD] = 21.43 [7.32]). Results: Having self-injured for ≥5 days in the last year was overly inclusive of individuals who currently considered themselves as having stopped NSSI (39.02%). Considering oneself to have stopped NSSI was associated with better emotion regulation (Cohen's d = 0.45), and higher general self-efficacy and higher self-efficacy to resist NSSI (d = 0.59‒0.64) than behavioral cessation. Not actually engaging in NSSI was only associated with self-efficacy to resist NSSI in risk contexts, such that fewer days self-injured in the last year increased confidence (partial η<sup>2</sup> = 0.085). Conclusion: Accounting for whether an individual considers themselves as having stopped NSSI or not may complement estimates of behavioral cessation, and strengthen outcomes associated with NSSI recovery.</p>}},
  author       = {{Claréus, Benjamin and Hasking, Penelope A. and Gray, Nicole and Boyes, Mark E.}},
  issn         = {{0021-9762}},
  keywords     = {{cessation; DSM-5; recovery; self-harm; self-injury}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{255--269}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Journal of Clinical Psychology}},
  title        = {{Is ceasing self-injury enough? Differences in psychological health between people reporting behavioral cessation of non-suicidal self-injury and those who consider themselves to have stopped self-injuring}},
  url          = {{http://dx.doi.org/10.1002/jclp.23409}},
  doi          = {{10.1002/jclp.23409}},
  volume       = {{79}},
  year         = {{2023}},
}