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Edmondson, A.J. 
ORCID: 0000-0002-0224-1997, Brennan, C.A. and House, A.O.,
2016.
Non-suicidal reasons for self-harm: a systematic review of self-reported accounts.
Journal of Affective Disorders, 191, pp. 109-117.
ISSN 0165-0327
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Abstract
Background: Self-harm is a major public health problem yet current healthcare provision is widely regarded as inadequate. One of the barriers to effective healthcare is the lack of a clear understanding of the functions self-harm may serve for the individual. The aim of this review is to identify first-hand accounts of the reasons for self-harm from the individual's perspective.
Method: A systematic review of the literature reporting first-hand accounts of the reasons for self-harm other than intent to die. A thematic analysis and ‘best fit' framework synthesis was undertaken to classify the responses.
Results: The most widely researched non-suicidal reasons for self-harm were dealing with distress and exerting interpersonal influence. However, many first-hand accounts included reasons such as self-validation, and self-harm to achieve a personal sense of mastery, which suggests individuals thought there were positive or adaptive functions of the act not based only on its social effects.
Limitations: Associations with different sub-population characteristics or with the method of harm were not available from most studies included in the analysis.
Conclusions: Our review identified a number of themes that are relatively neglected in discussions about self-harm, which we summarised as self-harm as a positive experience and defining the self. These self-reported “positive” reasons may be important in understanding and responding especially to repeated acts of self-harm.
| Item Type: | Journal article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Publication Title: | Journal of Affective Disorders | ||||||||
| Creators: | Edmondson, A.J., Brennan, C.A. and House, A.O. | ||||||||
| Publisher: | Elsevier | ||||||||
| Date: | February 2016 | ||||||||
| Volume: | 191 | ||||||||
| ISSN: | 0165-0327 | ||||||||
| Identifiers: |
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| Divisions: | Schools > School of Social Sciences | ||||||||
| Record created by: | Linda Sullivan | ||||||||
| Date Added: | 10 Jun 2020 09:35 | ||||||||
| Last Modified: | 25 Jun 2020 13:35 | ||||||||
| URI: | https://irep.ntu.ac.uk/id/eprint/39964 |
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