Archived data was utilized for the present study which examined knowledge about non-suicidal self-injury, or NSSI, in individuals who engage in various degrees of the behavior and those who do not self-injure. Knowledge about NSSI was measured in three groups of respondents: those with no history of self-injurious behavior (no NSSI group), those with more limited experience with NSSI who reported 1-30 incidences of NSSI (limited NSSI group), and those with an extensive history (extensive NSSI group) who reported over 30 incidences of NSSI. To measure knowledge, participants were asked level of agreement with myths and facts about NSSI using Jeffery and Warm’s (2002) knowledge measure. It was hypothesized that the knowledge base would be higher in individuals with more extensive histories of NSSI. Further, individuals with limited histories of NSSI were predicted to have more knowledge than those who have never self-injured. Additionally, this study also hypothesized that the individual item response will vary; depending on extent of NSSI behavior. Group mean scores on the measure were analyzed for differences using a one-way analysis of covariance (ANCOVA) while controlling for the differing group demographic variables of age, sexual orientation, and education level. Results indicated that individuals who have more extensive histories of NSSI evidenced higher mean scores on the measure when controlling for age, sexual orientation and educational level. Individuals with limited histories of NSSI evidenced lower mean scores, and those with no history of NSSI evidenced the lowest scores. In regard to individual item response, items were correlated with seven levels of NSSI (no NSSI, one incident of NSSI, 2-4 incidences, 5-10 incidences, 11-20 incidences, 21-30 incidences and more than 30 incidences). It was found that accuracy was significantly correlated with degree of self-injurious behaviors, with the exception of one item. This item and three additional items also produced weak correlations with other items on the measure. Each item is discussed with regard to group item performance and possible deletions in order to strengthen the measure. Overall, the results of this investigation supported the reliability and validity of the Jeffery and Warm (2002) knowledge measure for use with individuals who self-injure. Results are discussed in relation to the need for accurate knowledge about NSSI, the importance of refining and strengthen the measure for this use, and additional research directions.

Background: Since the end of the 1990`s the self-harm among adolescents have increased. Research is needed on how to improve the ability to care for these patients. That is why it is important to investigate how patients who self-harm and the next of kin are encountered by the caregivers. Aim: The aim of this study was to illuminate the experiences of encounters with caregivers at self-harm. Method: The study was based on narratives, which in this case means analysis of autobiographies. Five autobiographies were analyzed in accordance with a description by Dahlborg-Lyckhage. Four of these were written by self-harmers and one by a next of kin. Results: Three themes and twelve subthemes emerged which describe both negative and positive experiences of encounters with caregivers. The themes were resignation, impotence and consideration. Negative attitudes and unprofessional manners were often experienced by both the self-harmers and the next of kin. This led to experiences of disappointment, disrespect and powerlessness. When the caregivers confirmed and displayed understanding, the self-harmers and next of kin experienced consideration in the encounter. Conclusion: As a caregiver it is very important to keep in mind that all patients and their next of kin are individuals. The caregivers need to be professional, display understanding and support. More research increase knowledge and understanding and results hopefully in caring encounters. Keywords: adolescents, autobiography, next of kin, nursing staff, self-injury.

No description available.

The aim of this study was to examine self-harming women’s own experiences. To try and raise understanding and awareness about how they themselves create their identity and meaning round the self-harming behaviour. Our three questions were; how do the young women conceive society’s reactions on their self-harming behaviour? Do the young women express an imposed or self-elected alienation? If so, in what way? In what way do the young self-harming women construe their own identity in relation to the self-harming behaviour? We have used a narrative approach when we have examined the blogs as life stories in the sense that all our lives and everything in them is a story by definition. We have examined the parts of the blogs we selected as whole units to begin with, we separated the different parts from each other first when we were familiar with the material. The analysis then had an interpersonal aim to find out the function and relation in what was written. That does not exclude the use of both form analysis or the analysis of content with we also have used side by side throughout our analysis.    Our results show that this subject matter has several layers and so is a complex area that would benefit from more research with the young women´s perspective at hand. The young women describe several interesting interpretations on how their society comprehends them. They often feel judged and have to struggle with deciding if and when to show who they really are, both in regards to their bodies and inner self’s. This stigmatisation is apparent throughout all of our material. The young women also express that they feel forced into roles that they on the one hand have chosen but on the other hand don’t want to stay in. The women also express a desire to belong in the normal society like an equal. In addition the women express that they construct their identity both within themselves to make sense of their chaotic emotions, but they also experience that their society is a big part in their identity making process. Society’s expectations on them force them to take one of a few available routes in their identity making. In our results a few of these are visible the two most apparent is a dichotomy between victim and antagonist, these two positions don’t appear separately but is often visible in the same segments of the texts.

Studien handlar om självskadebeteende. Syftet med undersökningen var att få reda på vilka yttre faktorer som påverkade tre unga tjejer att börja skada sig själva. Forskningen på området anser att personer börjar skada sig själva pågrund av sexuella övergrepp i ung ålder, men det framgår tydligt i resultatet att sexuella övergrepp i detta fall inte påverkade tjejerna i studien. Till grund för tjejernas destruktiva beteende ligger traumatiska händelser i deras uppväxt både i lågstadieålder samt högstadieålder. Metoden som användes i studien var semistrukturerade intervjuer eftersom intervjuaren då kan rikta sin fulla uppmärksamhet mot respondenten. Resultatet är utformat på ett narrativt sätt vilket gjorde att resultatet kunde presenteras i berättelseform. I resultatet framkom vilka yttre påverkansfaktorer som påverkade tjejerna att börja skada sig, som till exempel föräldrars skilsmässa, eller plötslig död i deras nära omgivning.

In this study we investigated the effects of birth order and gender on nonsuicidalself-injury and perceived parental support. This study’s main purposewas to challenge the current use of birth order in psychology. The studyincluded a short questionnaire assessing birth order, gender, perceived parentalsupport and non-suicidal self-injury. The questionnaire was distributed throughan online survey among young adults attending a university in a medium sizedcity in Sweden (N = 202). To explore the perceived parental support, we usedThe Social Provisions scale and non-suicidal self-injury was assessed by theDeliberate Self-harm Inventory, short 9-item scale. The results of these studiesshowed that birth order had no significant effect on non-suicidal self-injury orperceived parental support. On the other hand, the results suggested that genderhad a significant effect on non-suicidal self-injury, with females engaging onnon-suicidal injury more frequently than men. This contradicts earlier studieswhere no effect of gender has been present in young adults. Gender had noapparent effect on perceived parental support. / I denna studie undersökte vi effekten av placering i syskonskaran och kön påicke-suicidalt självskadebeteende och upplevt föräldrastöd. Denna studieshuvudsyfte var att utmana hur placeringen i syskonskaran används i psykologi.Studien inkluderade ett kortare frågeformulär som mätte placering isyskonskaran, kön, upplevt föräldrastöd och icke-suicidalt självskadebeteende.Frågeformuläret delades ut genom en online-baserad undersökning för ungavuxna som studerar på ett universitet i en medelstor svensk stad (N = 202). Föratt undersöka upplevt föräldrastöd använde vi oss av The Social Provisionsscale och icke-suicidalt självskadebeteende undersöktes av Deliberate SelfharmInventory, short 9-item scale. Resultatet av denna studie visade attplacering i syskonskaran inte hade några signifikanta effekter på varken ickesuicidaltsjälvskadebeteende eller upplevt föräldrastöd. Dock visade det sig attkön hade en effekt på icke-suicidalt självskadebeteende, då kvinnor hade enhögre prevalens att praktisera än män. Kön hade ingen uppenbar effekt påupplevt föräldrastöd.

Repetitive self-mutilation (RSM) has become increasingly prevalent among adolescents. Empirical research has pinpointed several correlates of this behavior, but the initiation and maintenance of RSM among adolescents are not well understood. The experiential avoidance model (EAM) proposes that self-mutilation is a behavior that allows for the avoidance or alteration of unwanted internal experiences, and that it is negatively reinforced with repetition. The current study explored the usefulness of the EAM as an explanatory theory for adolescent RSM, with the additional incorporation of issues of social context. Adolescents (N = 211) from three school-based samples completed self-report questionnaires. One-third of students reported at least one incident of purposeful, non-suicidal self-mutilation and 16% had engaged in self-mutilation repeatedly within the past 6 months. Both regression and group analyses indicated that adolescents who engage in RSM report greater psychological distress, a greater incidence of functionally equivalent behaviors, and greater exposure to self-mutilation among peers and/or in the media, when compared to their counterparts who have not engaged in RSM. Suicidal ideation/behaviors were consistently the strongest predictors of current self-mutilation behaviors. Clinical implications, limitations, and suggestions for future research are discussed.

The primary interest of this investigation concerned the self-injurious thoughts and behaviors (SITBs) of inpatient adolescents. Previous researchers have provided descriptive information regarding either automatic (or intrinsic) and social components using the Self-Injurious Thoughts and Behaviors Interview (SITBI). However, the presence and trends of these components have not firmly been established, suggesting the need to explore this area further. Eighty-two adolescent inpatients were selected and interviewed using the SITBI to evaluate the predictive ability of self-reported self-injurious behavior with regard to social and automatic, negative and positive functions. Results showed that depending on the type of thought or behavior displayed one could discern the motivation behind their actions. Automatic-Negative was seen to have the strongest relationship across all SITB behaviors while Automatic-Negative was not found to be relatively low compared to other SITB behaviors. Both Social-Positive and Social-Negative were found to be present in moderate relationships compared to Automatic in general.

The current study is motivated by the relative lack of research on the contagion of deliberate self-harm, research on self-harm among adolescents in children's homes, as well as South African research on self-harm. In this study, I explore three aspects concerning deliberate self-harm in the South African context: The perceptions of adolescents in children's homes concerning the possible contagion of self-harm; the frequency, methods, duration and severity of self-harm among adolescents in children's homes; and lastly, the motivations of adolescent self-harm in children's homes. I make use of both quantitative measures, being the Deliberate Self-Harm Inventory (DSHI) developed by Gratz (2001) and the Functional Assessment of Self-Mutilation (FASM) developed by Lloyd (1997), and qualitative measures, being the logbooks completed by participants and three semi-structured interviews conducted, to address these questions. The current study uses both the functional approach to deliberate self-harm, that classifies self-harm according to the four functions that produce and maintain such behaviour, and the environmental model that emphasises the situational influences on the contagion of deliberate self-harm. The findings of the study indicate that 10 of the 12 adolescent participants have experienced either the acquisition or episodes of co-occurrence of self-harm through contagion, both outside the children's homes and within the children's homes. The contagion of self-harm is influenced by the desensitisation and growing prevalence of self-harm, frequent observations of self-harm, close personal relationships between individuals who selfharm, and the influence of the visual media. With regard to the findings of the DSHI, the methods most commonly employed for self-harm in the study include cutting, carving words into the skin, as well as the breaking of bones; the majority of the methods had been employed by the participants within the last year; and the emotions present immediately prior to the episode of self-harm include anger, depression, sadness, frustration, anxiety and disappointment. Findings from the FASM indicate that the motivation for the majority of the adolescent participants' self-harm is 'to stop bad feelings'. Furthermore, the findings of the study indicate that psychological intervention may be available to adolescents in several situations; that the personal histories of the adolescent participants include experiences of physical, emotional and sexual abuse, parental unavailability, the observation of parental alcoholism, as well as the experience of human trafficking; and suicide attempts have been made by the participants following instances of perceived ineffectiveness of self-harm. From the findings, it is evident that the contagion of self-harm is no longer a hypothetical phenomenon. Further implications of the study include the need for continued research on the methods reported by South African individuals who engage in self-harm that are not as prevalent in other research; and the influence of the study on the development and implementation of interventions to address self-harm in children's homes. Copyright / Dissertation (MA)--University of Pretoria, 2012. / Psychology / unrestricted

This paper aims to form a clear understanding of the counsellors work with self-harming at youth clinics. And to explore the counsellors approach to help the youth to change their behavior. And whether the counsellors follow a preventive and supportive way for mental health in relation to adolescent self-injurious behavior. The data collected for this study utilises a primary source of data. Counsellors working at different youth clinics around Sweden were interviewed using  semi-structured interviews. The gathered material was then analyzed using a thematic analysis method.  All the interviewed counsellors asserted on the importance of establishing a good relationship with patients, although each counsellor had their own methods and approaches.  The counsellors reported that young people engage in self-injurious behavior as a means to deal with stress. And that this behaviour seems to be increasing among adolescents due to a number of factors including lack of parental care, bullying at school, addiction issues at home, and many other factors. Upon asking youth caunsellors about their approach, they note that normalizing self-harming behavior during sessions is an essential key to allow patients to open up about their life. Counsellors are actively seeking to uplift the youth by empowerment. Which seems to be a means that helps the counsellors to change the youths coping mechanism. Through getting them to get in touch with their own emotions, change the way they think and deal with problems, as well as help them by motivating them to find social support from the people around them. However, it was also found that some counsellors did not use a preventive method in dealing with the self-harming youth. There is a number of reasons for not using a preventive method by the counsellors, some of which were lack of resources, time limits, and other reasons illustrated in the paper.