Investigating the role of the intensity and duration of self-injury thoughts in self-injury with ecological momentary assessment

PSYCHIATRY RESEARCH

卷:284

Article

Fitzpatrick, Skye¹  Kranzler, Amy²  Fehling, Kara²  Lindqvist, Janne³  Selby, Edward A.⁴ 

[1] York Univ, Dept Psychol, 4700 Keele St, N York, ON M3J 1P3, Canada

[2] Montefiore Med Ctr, Albert Einstein Coll Med, 260 E 193rd St, Bronx, NY 10467 USA

[3] Aalto Univ, Dept Comp Sci, POB 15400, FI-00076 Aalto, Finland

[4] Rutgers State Univ, Dept Psychol, Tillett 101,53 Ave E, Piscataway, NJ 08854 USA

关键词: Self-harm;    Self-injury;    Suicide;    Ecological monetary assessment;    Experience sampling;    Ambulatory monitoring;   

DOI  :  10.1016/j.psychres.2020.112761

来源: Elsevier

【 摘 要 】

This study utilized ecological momentary assessment (EMA) to sharpen understanding of whether non-suicidal self-injury (NSSI) thought intensity and duration impacts NSSI behavior and potential alternative behaviors to NSSI. Self-injuring adolescents and young adults (N = 47) were randomly prompted using EMA to complete measures of NSSI thoughts (i.e., occurrence, intensity, duration) and behavior (i.e., engagement, frequency, duration, and methods) for two weeks. The most common NSSI thought duration was 1-30 min. Individuals with higher NSSI thought intensity were more likely to self-injure. NSSI thought intensity and duration interacted to predict NSSI frequency, duration, the number of NSSI methods, and the likelihood of cutting such that the positive relationship between NSSI thought intensity and these outcomes became stronger at longer NSSI thought durations. The most commonly endorsed non-NSSI behaviors following NSSI thoughts were pushing thoughts away, talking to others, and distraction (e.g., going out). Participants rarely endorsed using social media or online NSSI support groups in lieu of NSSI. Resisting intense NSSI thoughts over prolonged time periods may deplete the self-regulatory resources required to terminate NSSI episodes once they have begun, leading to greater NSSI frequency, longer NSSI duration, and more NSSI methods. Bolstering social support may help to reduce NSSI.

【 授权许可】

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