Non-suicidal reasons for self-harm: a systematic review of self-reported accounts

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

1322400_a674_Edmondson.pdf - Post-print

Download (826kB) | Preview


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
S0165032715307485Publisher Item Identifier
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

Actions (login required)

Edit View Edit View


Views per month over past year


Downloads per month over past year