2023 - 2024 Home / Collaborative Research Program / CANDI Validation in Youth Characteristics of nonsuicidal self-injury disorder in youth and psychometric evaluation of the Clinician-Administered Nonsuicidal Self-Injury Disorder Index Mentor/s: Johan Bjureberg 2024 - 2025 Project Overview Affiliation: Karolinska Institutet, Sweden Project description: Although NSSI usually debuts in adolescence, few studies have examined the full set of DSM-5 NSSID diagnostic criteria in youth. In this study, we will analyze the reliability and validity of the structured diagnostic interview Clinician-Administered NSSI Disorder Index (CANDI) and provide information on the clinical characteristics and features of DSM-5 NSSID in youth. Data on the internal consistency, factor structure, and construct validity of the CANDI and associated characteristics of NSSID will be analyzed in a clinical sample of youth (N = 166; (mean [SD] age, 15.0 [1.2] years; 154 [92.8%] female) with recent recurrent NSSI (≥5 days with NSSI the past year and ≥1 episode in the month). Participants and their caregivers completed self-report measures of NSSI characteristics, psychopathology, and emotion dysregulation, and clinicians assess diagnostic interviews of borderline personality disorder (SCID–II), common mental disorders (Mini International Neuropsychiatric Interview), global functioning, and clinical severity. Applicants should have the following skills: Interest in psychometric evaluations and experience conducting literature search Junior research responsibilities: Conducting literature search, drafting the manuscript, and assist in data analysis Anticipated outcome(s) for junior researcher: Co-authorship on an academic peer-reviewed paper Time commitment: Approximately 1 day per week for 6 months Application Deadline: June 1, 2024 Apply Now

Michael Kaess, MD, from the University of Bern in Switzerland explains the neurobiology of self-injury and self-harm. Season 3 | Episode 35 Podcast/ Season 3 | Episode 35 The Neurobiology of Self-Injury (in Layman's Terms) Mar 31, 2023 with Dr. Michael Kaess The Neurobiology of Self-Injury (in Layman's Terms) with Dr. Michael Kaess 00:00 / 01:04 What goes on at the neurobiological level that makes someone more vulnerable to self-injure or self-harm? What biological risk factors are at play? What roles do the vagus nerve, cortisol levels, and hypothalamic-pituitary-adrenal (HPA) axis have? We hope to discuss the psychology of self-injury pain in a future episode, but in this episode, Dr. Michael Kaess from the University of Bern in Switzerland explains the neurobiology of self-injury in simple terms, or what we hope can be considered simple layman's terms. Learn more about Dr. Kaess and his research team at the Universitäre Psychiatrische Dienste (UPD) in Bern here . To participate in Dr. Kaess' research study of an online intervention for self-injury (in German), visit the STAR (Self-injury Treatment Assessment Recovery) Project at https://star-projekt.de/ . Below are links to some of the research referenced in this episode: Kaess, M., Hooley, J. M., Klimes-Dougan, B., Koenig, J., Plener, P. L., Reichl, C., Robinson, K., Schmahl, C., Sicorello, M., Schreiner, M. W., & Cullen, K. R. (2021). Advancing a temporal framework for understanding the biology of nonsuicidal self-injury: An expert review . Neuroscience and Biobehavioral Reviews, 130 , 228-239. Reichl, C., Heyer, A., Brunner, R., Parzer, P., Völker, J. M., Resch, R., & Kaess, M. (2016). Hypothalamic-pituitary-adrenal axis, childhood adversity and adolescent nonsuicidal self-injury . Psychoneuroendocrinology, 74 , 203-211. Plener, P. L., Bubalo, N., Fladung, A. K., Ludolph, A. G., & Lulé, D. (2012). Prone to excitement: Adolescent females with non-suicidal self-injury (NSSI) show altered cortical pattern to emotional and NSS-related material . Psychiatry Research, 203 (2-3), 146-152. Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their " Best 20 Clinical Psychology Podcasts " and by Welp Magazine in their " 20 Best Injury Podcasts ." Previous Next

Awards Home / About / Awards Celebrating Achievement, Potential, & Excellence ISSS is proud to recognize excellence in the field through various awards. Read more about each below. Celebrating Excellence Invited Fellows of ISSS are esteemed members who have made outstanding contributions to the field. Through their research, clinical, and/or advocacy work, ISSS Fellows have advanced science and improved the lives of people with lived experience. View More Recognizing Potential ISSS Rising Stars are dedicated early-career researchers, clinicians, or advocates whose work demonstrates potential and commitment to make a significant contribution to the field and to the lives of people with lived experience. View More

Brooke Ammerman, PhD, from the University of Notre Dame provides insight into how individuals who self-injure come to decide to disclose their self-injury and self-harm and suggests helpful ways to respond to self-injury disclosures. Season 1 | Episode 7 Podcast/ Season 1 | Episode 7 Disclosures of Self-Injury Feb 26, 2021 with Dr. Brooke Ammerman Disclosures of Self-Injury with Dr. Brooke Ammerman 00:00 / 01:04 What are some common reasons people give for choosing to disclose their self-injury? How do positive and negative reactions affect someone’s willingness to disclose their self-injury or self-harm in the future and their likelihood of discontinuing their self-injury? In this episode, Dr. Ammerman shares findings from her research in which individuals who self-injure share their answers to these questions. She also explains why only providing "tangible aid" such as offering to help someone who self-injures get medical help or referring them to a mental health professional may not always be all that helpful. Learn more about Dr. Ammerman and her work in the Affect, Suicide, Self-Injury, and Social Triggers (ASSIST) Lab at https://assistlab.nd.edu/ . Below are links to some of her research referenced in this episode: The development of a measure to assess social reactions to self-injury disclosure How should we respond to non-suicidal self-injury disclosures?: An examination of perceived reactions to disclosure, depression, and suicide risk Characterizing the choice to disclose nonsuicidal self‐injury Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). Previous Next

Who We Are Home / About It is a direct expression of thusness or this-moment-as-it-is - Seo, 2007 "Enso" is a Japanese word meaning circular form and is a symbol from Zen Buddhism that represents enlightenment, strength, connection, and imperfection (Seo, 2007). The enso was chosen as the symbol for ISSS because it reflects the imperfect, cyclical nature of life. Our Mission The mission of the International Society for the Study of Self-Injury (ISSS) and its members is to promote the understanding, prevention, and treatment of nonsuicidal self-injury (NSSI) and foster well-being among those with lived NSSI experience and those impacted by NSSI. To accomplish these aims, ISSS focuses its efforts on the following goals: Research Conduct and disseminate state-of-the art research to advance the understanding, assessment, treatment, and prevention of NSSI. Care & Support Develop, evaluate, and promote, and provide evidence-based care to advance clinical understanding of NSSI and its treatment across diverse settings. Outreach Engage in public outreach to improve knowledge of evidence-based prevention, assessment, and treatment options for NSSI. Connection Enhance networking, collaboration, and resource sharing among all stakeholders with an interest in improving the lives of people who engage in NSSI. Membership in ISSS is open to researchers, clinicians, students, people with lived experience with NSSI, advocates, and other stakeholders with an interest in improving the lives of people who engage in NSSI. Executive Board Meet the Leadership ISSS is led by a team of experts in the field and comprises researchers, clinicians, students, advocates, and most importantly, individuals with lived experience of self-injury. All members of the Executive Board are democratically elected by the ISSS Membership, with positions holding varying terms. Find open appointments and meet the team below! A/Prof. Nicholas Westers President Glenn Kiekens, PhD President Elect Lisa Van Hove, PhD Secretary Jason Washburn, PhD Founding Treasurer Professor Stephen Lewis Chair of Strategic Planning Ruth Tatnell, PhD International Member at Large Professor Marc Wilson International Member at Large Brooke Ammermann, PhD Representative at Large Kaylee Kruzan, PhD Representative at Large Greg Lengel, PhD Chair of Media & Communications Michelle Hiner, MSc Webmaster Lizzie Hoelscher, MSc Student Representative Sarah Brecht Lived Experience Representative Treasurer The Treasurer fulfils a crucial administrative role and is responsible for the receipt, custody, and disbursement of all funds and securities of ISSS. They are also responsible for all financial and security related records and communications. Representative at Large: Membership The Rep. at Large (Membership) ensures the growth, satisfaction, and active involvement of ISSS members. Through collaboration and outreach, the Membership RAL fosters and maintains a vibrant, engaged, and expanding community of members. Representative at Large: Social Media The Rep. at Large (Social Media) is responsible for the online presence of ISSS, promoting its mission, activities, and initiatives to stakeholders through consistent and creative engagement across social media platforms. Student Representative Student Representatives are critical members of the ISSS Executive Board. They serve as a liaison between student Members and the Board, advocating for student interests and cultivating community and connection among the student body. Open Positions Ready to join our leadership team? Click on each position to learn more and apply! Our History From list-serve to leaders The International Society for the Study of Self-Injury was esta blished in 2006 by a group of passionate and curious researchers led by Janis Whitlo ck and Nancy Heath. Today, ISSS boasts more than100 members dedicated to our mission. Learn more below about how ISSS came to be the leading international organisation for the study of self-injury. Pre-ISSS In January of 2005, a year before the first ISSS meeting, the findings of the Adolescent Mental Health Initiative were disseminated in a book titled, Treating and Preventing Adolescent Mental Health Disorders: What We Know and What We Don’t Know . Although intended to summarize the state of the field in adolescent mental health disorders, the volume included no more than half of a page on nonsuicidal self-Injury (NSSI). The absence of NSSI in this volume largely r eflected its nominal presence in academic journals prior to this point. Despite its absence in the literature however, its growing presence in clinical and non-clinical settings had begun to command the attention of a small but increasing group of scholars from diverse disciplines. Although acquainted with each others’ work, there were few forums through which these scholars regularly, if ever, came together as a group. The First Meeting In response to this growing gap between the literature and field experience, Nancy Heath’s Research Team at McGill University initiated a list-serve for professionals interested in the study of self-injury. This was a means of encouraging communication among NSSI scholars within and outside of the US. Shortly after this, in 2006, Janis Whitlock and several colleagues from Cornell University invited a small group of NSSI researchers and treatment specialists to attend a meeting devoted to discussion of what we knew, what we needed to know, and strategies for building a larger field of research and collaboration. The opportunity for exchange created by the gathering was well received and very productive. By the end of the second day, the group had identified a name for the association and plans for continuing ISSS were set. By the group’s second meeting the following year, hosted by Nancy Heath at McGill, over 20 new collaborations had been formed and the group’s membership had swelled considerably. During the third year’s meeting, hosted by Matt Nock at Harvard University, the group collectively decided to begin the process of developing a formal charter and membership. By the fifth year, hosted by David Klonsky at Stony Brook University, we had appointed our first round of officers. The Organisation Today Today, we comprise over 200 members and are in our 20th year of research, care, outreach, and connection. ISSS hosts vibrant and intellectually stimulating annual meetings and fosters meaningful and productive collaborations. Although ISSS continues to expand, our commitment to improving the field of NSSI remains unchanged. Be part of an organisation dedicated to improving wellbeing and reducing stigma, join u s today .

Site References Resources / Site References Our Sources Plener, P. L., Schumachers, T. S., Munz, L., & Groschwitz, R. C. (2015). The longitudinal course of non-suicidal self-injury and deliberate self-harm: A systematic review of the literature. Borderline Personality Disorder and Emotion Dysregulation, 2, Article 2. https://doi.org/10.1186%2Fs40479-014-0024-3 Miller, A. L., Rathaus, J. H., & Linehan, M. M. (2007). Dialectical behavior therapy with suicidal adolescents. Guilford. Liu, R. R. (2021). The epidemiology of non-suicidal self-injury: Lifetime prevalence, sociodemographic and clinical correlates, and treatment use in a nationally representative sample of adults in England. Psychological Medicine, 53, 274-282. https://doi.org/10.1017/S003329172100146X Bjureberg, J., Sahlin, H., Hedman-Lagerlöf, E., Gratz, K. L., Tull, M. T., Jokinen, J., Hellner, C., & Ljótsson, B. (2018). Extending research on Emotion Regulation Individual Therapy for Adolescents (ERITA) with nonsuicidal self-injury disorder: Open pilot trial and mediation analysis of a novel online version. BMC Psychiatry, 18, Article 326. https://doi.org/10.1186/s12888-018-1885-6 Katz, L. Y., Cox, B. J., Gunasekara, S., & Miller, A. L. (2004). Feasibility of dialectical behavior therapy for suicidal adolescent inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 276-282. https://doi.org/10.1097/00004583-200403000-00008 Hasking, P., & Boyes, M. (2018). Cutting words: A commentary on language and stigma in the context of nonsuicidal self-injury. Journal of Nervous and Mental Disease, 206, 829-833. https://psycnet.apa.org/doi/10.1097/NMD.0000000000000899 Liu, R. T., Scopelliti, K. M., Pittman, S. K., & Zamora, A. S. (2018). Childhood maltreatment and non-suicidal self-injury: A systematic review and meta-analysis. The Lancet - Psychiatry, 5, 51-64. https://doi.org/10.1016/S2215-0366(17)30469-8 Turner, B. J., Austin, S. B., & Chapman, A. L. (2014). Treating nonsuicidal self-injury: A systematic review of psychological and pharmacological interventions. The Canadian Journal of Psychiatry, 59, 576-585. https://doi.org/10.1177/070674371405901103 Stanley, B., Brodsky, B., Nelson, J. D., & Dulit, R. (2007). Brief dialectical behavior therapy (DBT-B) for suicidal behavior and non-suicidal self-injury. Archives of Suicide Research, 11, 337-341. https://doi.org/10.1080/13811110701542069 Smith, N. B., Kouros, C. D., & Meuret, A. E. (2014). The role of trauma symptoms in nonsuicidal self-injury. Trauma, Violence, and Abuse, 15, 41-56. https://doi.org/10.1177/1524838013496332 Calvo, N., Sara García-González, S., Perez-Galbarro, C., Regales-Peco, C., Lugo-Marin, J., Ramos-Quiroga, J.- A., & Ferrer, M. (2022). Psychotherapeutic interventions specifically developed for NSSI in adolescence: A systematic review. European Neuropsychopharmacology, 58, 86-98. https://doi.org/10.1016/j.euroneuro.2022.02.009 Zetterqvist, M. (2015). The DSM-5 diagnosis of nonsuicidal self-injury disorder: A review of the empirical literature. Child and Adolescent Psychiatry and Mental Health, 9, Article 31. https://doi.org/10.1186/s13034-015-0062-7 Pistorello, J., Fruzzetti, A. E., Maclane, C., Gallop, R., & Iverson, K. M. (2012). Dialectical behavior therapy (DBT) applied to college students: A randomized clinical trial. Journal of Consulting and Clinical Psychology. https://doi.org/10.1037/a0029096 Lewis, S. P. (2017). I cut therefore I am? Avoiding labels in the context of self-injury. Medical Humanities, 43, Article 204. http://dx.doi.org/10.1136/medhum-2017-011221 Fox, K. R., Huang, X., Guzmán, E. M., Funsch, K. M., Cha, C. B., Ribeiro, J. D., & Franklin, J. C. (2020). Interventions for suicide and self-injury: A meta-analysis of randomized controlled trials across nearly 50 years of research. Psychological Bulletin, 146, 1117-1145. https://doi.org/10.1037/bul0000305 Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford. Gholamrezaei, M., De Stefano, J., & Heath, N. (2015). Nonsuicidal self-injury across cultures and ethnic and racial minorities: A review. International Journal of Psychology, 52, 316-326. https://doi.org/10.1002/ijop.12230 Andover, M. S., Schatten, H. T., Morris, B. W., Holman, C. S., & Miller, I. W. (2017). An intervention for nonsuicidal self-injury in young adults: A pilot randomized controlled trial. Journal of Consulting and Clinical Psychology, 85, 620–631. https://doi.org/10.1037/ccp0000206 Ribeiro, J. D., Franklin, J. C., Fox, K. R., Bentley, K. H., Kleiman, E. M., Chang, B. P., & Nock, M. K. (2015). Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: A meta-analysis of longitudinal studies. Psychological Medicine, 46, 225-236. https://doi.org/10.1017/S0033291715001804 Fleischhaker, C., Böhme, R., Sixt, B., Brück, C., Schneider, C., & Schulz, E. (2011). Dialectical behavioral therapy for adolescents (DBT-A): A clinical trial for patients with suicidal and self-injurious behavior and borderline symptoms with a one-year follow-up. Child and Adolescent Psychiatry and Mental Health, 5, Article 3. https://doi.org/10.1186/1753-2000-5-3 Kiekens, G., Hasking, P., Boyes, M., Claes, L., Mortier, P., Auerbach, R. P., Cuijpers, P., Demyttenaere, K., Greene, J. G., Kessler, R. C., Myin-Germeys, I., Nock, M. K., & Bruffaerts, R. (2018). The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors. Journal of Affective Disorders, 239, 171-179. https://doi.org/10.1016/j.jad.2018.06.033 Taylor, P. J., Jomar, K., Dhingra, K., Forrester, R., Shahmalak, U., & Dickson, J. M. (2018). A meta-analysis of the prevalence of different functions of non-suicidal self-injury. Journal of Affective Disorders, 227, 759-769. https://doi.org/10.1016/j.jad.2017.11.073 Nock, M. K., Teper, R., & Hollander, M. (2007). Psychological treatment of self-injury among adolescents. Journal of Clinical Psychology, 63, 1081-1089. https://doi.org/10.1002/jclp.20415 Fox, K. R., Franklin, J. C., Ribeiro, J. D., Kleiman, E. M., Bentley, K. H., & Nock, M. K. (2015). Meta-analysis of risk factors for nonsuicidal self-injury. Clinical psychology review, 42, 156–167. https://doi.org/10.1016/j.cpr.2015.09.002 Gandhi, A., Luyckx, K., Baetens, I., Kiekens, G., Sleuwaegen, E., Berens, A., Maitra, S., & Claes, L. (2018). Age of onset of non-suicidal self-injury in Dutch-speaking adolescents and emerging adults: An event history analysis of pooled data. Comprehensive Psychiatry, 80, 170-178. https://doi.org/10.1016/j.comppsych.2017.10.007 Hasking, P., Lewis, S. P., & Boyes, M. E. (2019). When language is maladaptive: Recommendations for discussing self-injury. Journal of Public Mental Health, 18, 148-152. https://doi.org/10.1108/JPMH-01-2019-0014 Liu, R. T., Sheehan, A. E., Walsh, R. F. L., Sanzari, C. M., Cheek, S. M., & Hernandez, E. M. (2019). Prevalence and correlates of non-suicidal self-injury among lesbian, gay, bisexual, and transgender individuals: A systematic review and meta-analysis. Clinical Psychology Review, 74, Article 101783. https://doi.org/10.1016/j.cpr.2019.101783 Muehlenkamp, J. J., Xhunga, N., & Brausch, A. M. (2019). Self-injury age of onset: A risk factor for NSSI severity and suicidal behavior. Archives of Suicide Research, 23, 551-563. https://doi.org/10.1080/13811118.2018.1486252 Bjureberg, J., Sahlin, H., Hellner, C., Hedman-Lagerlöf, E., Gratz, K. L., Bjärehed, J., Jokinen, J., Tull, M. T., & Ljótsson, B. (2017). Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: A feasibility study. BMC Psychiatry, 17, Article 411. https://doi.org/10.1186/s12888-017-1527-4 Griep, S. K., & MacKinnon, D. F. (2020). Does nonsuicidal self-injury predict later suicidal attempts? A review of studies. Archives of Suicide Research, 26, 428-446. https://doi.org/10.1080/13811118.2020.1822244 Klonsky, E. D., Victor, S., & Saffer, B. Y. (2014). Nonsuicidal self-injury: What we know, and what we need to know. Canadian Journal of Psychiatry. https://doi.org/10.1177%2F070674371405901101 Seo. (2007). Ensō: Zen circles of enlightenment. Shambhala Publications.

Amy Lucas, PhD, from Speek Health in the United Kingdom talks about how we can support siblings of those who self-injure and self-harm. Season 4 | Episode 46 Podcast/ Season 4 | Episode 46 Supporting Siblings of Individuals Who Self-Harm Feb 23, 2024 with Dr. Amy Lucas Supporting Siblings of Individuals Who Self-Harm with Dr. Amy Lucas 00:00 / 01:04 In this episode, Dr. Amy Lucas from Speek Health in the United Kingdom talks about supporting siblings of those who engage in nonsuicidal self-injury (NSSI). How can parents and caregivers of those who self-injure determine if they should share that information with siblings? What should parents do or say if they learn that the one self-injuring has made their siblings promise not to tell their parents about their self-injury? How might the sibling’s age influence these decisions and conversations, and what if parents are worried that a sibling will pick up the same behavior from their brother or sister who self-injures? Connect with Dr. Lucas on LinkedIn at www.linkedin.com/in/amyhlucas, and learn more about her work at Speek Health, a resource for parents and caregivers of individuals who self-harm, at lets-speek.com. Below is one of the few (and free) research articles about siblings of those who engage in NSSI: Tschan, T., Lüdtke, J., Schmid, M., & In-Albon, T. (2019). Sibling relationships of female adolescents with nonsuicidal self-injury disorder in comparison to a clinical and a nonclinical control group. Child and Adolescent Psychiatry and Mental Health, 13, 15. https://doi.org/10.1186/s13034-019-0275-2 Previous Next

Wendy Lader, PhD, author of "Bodily Harm: the Breakthrough Healing Program for Self-Injurers" and Co-Founder and retired Clinical Director of the S.A.F.E. Alternatives Program in St. Louis, MO, describes how the treatment for self-injury and self-harm has evolved over the years. Season 2 | Episode 32 Podcast/ Season 2 | Episode 32 The Evolution of Self-Injury Treatment Dec 30, 2022 with Dr. Wendy Lader The Evolution of Self-Injury Treatment with Dr. Wendy Lader 00:00 / 01:04 In 1986, the first treatment program in the United States specifically for nonsuicidal self-injury (NSSI) opened its doors. Self Abuse Finally Ends, better known as S.A.F.E. Alternatives, was a 30-day inpatient program for the treatment of self-injury and self-harm. In this episode, Dr. Wendy Lader, the Co-Founder and retired Clinical Director of S.A.F.E. Alternatives talks about what treatment looked like back then and how treatment has evolved over time. Learn more about Dr. Lader on her website www.drlader.com , and find her book Bodily Harm: the Breakthrough Healing Program for Self-Injurers on Amazon here . To learn more about S.A.F.E. Alternatives, visit selfinjury.com or call 1-800-DONTCUT (1-800-366-8288). If you are seeking treatment options with them, let them know you heard about the program on The Psychology of Self-Injury podcast with Dr. Lader. Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their " Best 20 Clinical Psychology Podcasts " and by Welp Magazine in their " 20 Best Injury Podcasts ." Previous Next

Greg Lengel, PhD, from Drake University in Iowa walks us through self-harm in the DSM-5 and the six criteria for the proposed diagnosis of Nonsuicidal Self-Injury Disorder. Season 4 | Episode 45 Podcast/ Season 4 | Episode 45 DSM-5 & Nonsuicidal Self-Injury Disorder Jan 26, 2024 with Dr. Greg Lengel DSM-5 & Nonsuicidal Self-Injury Disorder with Dr. Greg Lengel 00:00 / 01:04 In 2013, the 5th edition of the Diagnostic & Statistical Manual of Mental Disorders (DSM-5) was released, and for the first time it included Nonsuicidal Self-Injury Disorder as a Condition for Further Study. It is not an actual diagnosis at this time, but there are currently six criteria listed (see below, bottom of page). In this episode, Dr. Greg Lengel from Drake University in Iowa walks us through what research says about each of the six criteria, and he discusses the pros and cons of formalizing NSSI Disorder as a diagnosis. Listen to his interview with Dr. Brooke Ammerman from Season 3 ("How Should Self-Harm Be Defined?") here . Learn more about Dr. Lengel at his faculty profile at Drake University here and follow him on Twitter/X at @DrGregLengel . Below are links to many of the papers discussed in this episode as well as other important papers on NSSI as a disorder in the DSM-5: Shaffer, D., & Jacobson, C. (2009). Proposal to the DSM-V childhood disorder and mood disorder work groups to include non-suicidal self-injury (NSSI) as a DSM-V disorder . American Psychiatric Association , 1-21. Lengel, G. J., Ammerman, B. A., & Washburn, J. J. (2023). NSSI in the DSM-5 . In E. E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Vol. Eds.), The Oxford Handbook of Nonsuicidal Self-Injury . New York: Oxford University Press . Lengel, G. J., Ammerman, B. A., & Washburn, J. J. (2022). Clarifying the definition of nonsuicidal self-injury: Clinician and researcher perspectives . Crisis: The Journal of Crisis Intervention and Suicide Prevention, 43 , 119-126. Lengel, G. J. & Mullins-Sweatt, S. N. (2013). Nonsuicidal self-injury disorder: Clinician and expert ratings . Psychiatry Research , 210 , 940-944. Ammerman, B. A., Jacobucci, R., Kleiman, E. M., Muehlenkamp, J. J., & McCloskey, M. S. (2017). Development and validation of empirically derived frequency criteria for NSSI disorder using exploratory data mining . Psychological Assessment , 29 , 221-231. Ammerman, B. A., Jacobucci, R., & McCloskey, M. S. (2019). Reconsidering important outcomes of the nonsuicidal self‐injury disorder diagnostic criterion A . Journal of Clinical Psychology , 75 , 1084-1097. Ammerman, B. A., Lengel, G. J, & Washburn J. J. (2021). Consideration of clinician and researcher opinions on the parameters of nonsuicidal self-injury disorder diagnostic criteria . Psychiatry Research, 296 , 113642. Ghinea, D., Edinger, A., Parzer, P., Koenig, J., Resch, F., & Kaess, M. (2020). Non-suicidal self-injury disorder as a stand-alone diagnosis in a consecutive help-seeking sample of adolescents . Journal of Affective Disorders, 274 , 1122-1125. Muehlenkamp, J. J. (2005). Self-injurious behavior as a separate clinical syndrome . American Journal of Orthopsychiatry , 75 , 324–333. Muehlenkamp, J. J., Brausch, A. M., & Washburn, J. J. (2017). How much is enough? Examining frequency criteria for NSSI disorder in adolescent inpatients . Journal of Consulting and Clinical Psychology , 85 , 611619. Washburn, J. J., Potthoff, L. M., Juzwin, K. R., & Styer, D. M. (2015). Assessing DSM-5 nonsuicidal self-injury disorder in a clinical sample . Psychological Assessment, 27 , 31-41. Zetterqvist, M. (2015). The DSM-5 diagnosis of nonsuicidal self-injury disorder: A review of the empirical literature . Child and Adolescent Psychiatry and Mental Health, 9 , 31. Follow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS). The Psychology of Self-Injury podcast has been rated #1 by Feedspot in their list of " 10 Best Self Harm Podcasts " and #5 in their " 20 Best Clinical Psychology Podcasts ." It has also been featured in Audible's " Best Mental Health Podcasts to Defy Stigma and Begin to Heal ." If you or someone you know should be interviewed on the podcast, we want to know! Please fill out this form, and we will be in touch with more details if it’s a good fit. NONSUICIDAL SELF-INJURY DISORDER (PROPOSED DIAGNOSIS): A. In the last year, the individual has, on 5 or more days, engaged in intentional self-inflicted damage to the surface of his or her body of a sort likely to induce bleeding, bruising, or pain (e.g., cutting, burning, stabbing, hitting, excessive rubbing), with the expectation that the injury will lead to only minor or moderate physical harm (i.e., there is no suicidal intent). Note: The absence of suicidal intent has either been stated by the individual or can be inferred by the individual's repeated engagement in a behavior that the individual knows, or has learned, is not likely to result in death. B. The individual engages in the self-injurious behavior with one or more of the following expectations: To obtain relief from a negative feeling or cognitive state. To resolve an interpersonal difficulty. To induce a positive feeling state. Note: The desired relief or response is experienced during or shortly after the self-injury, and the individual may display patterns of behavior suggesting a dependence on repeatedly engaging in it. C. The intentional self-injury is associated with at least one of the following: Interpersonal difficulties or negative feelings or thoughts, such as depression, anxiety, tension, anger, generalized distress, or self-criticism, occurring in the period immediately prior to the self-injurious act. Prior to engaging in the act, a period of preoccupation with the intended behavior that is difficult to control. Thinking about self-injury that occurs frequently, even when it is not acted upon. D. The behavior is not socially sanctioned (e.g., body piercing, tattooing, part of a religious or cultural ritual) and is not restricted to picking a scab or nail biting. E. The behavior or its consequences cause clinically significant distress or interference in interpersonal, academic, or other important areas of functioning. F. The behavior does not occur exclusively during psychotic episodes, delirium, substance intoxication, or substance withdrawal. In individuals with a neurodevelopmental disorder, the behavior is not part of a pattern of repetitive stereotypies. The behavior is not better explained by another mental disorder or medical condition (e.g., psychotic disorder, autism spectrum disorder, intellectual disability, Lesch-Nyhan syndrome, stereotypic movement disorder with self-injury, trichotillomania [hair-pulling disorder], excoriation [skin-picking] disorder). Previous Next

Allison from Washington State shares her story of lived experience of self-injury, scarring, and shame as well as how she makes sense of her self-harm scars in the context of her faith. Season 3 | Episode 42 Podcast/ Season 3 | Episode 42 Lived Experience: Allison's Story of Self-Injury & Scarring Oct 27, 2023 Lived Experience: Allison's Story of Self-Injury & Scarring 00:00 / 01:04 In this episode, Allison details her experience of engaging in nonsuicidal self-injury (NSSI) beginning in 9th grade and into her 20's. She explains the complex relationship she and many others have with their self-harm scars and discusses how her husband has supported her when she has self-injured. She also shares about how she makes sense of her scars in the context of her faith as a Christian. Read her To Write Love On Her Arms (TWLOHA) blog, "You are so much more than your pain," at https://twloha.com/blog/more-than-your-pain/ . Follow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS). The Psychology of Self-Injury podcast has been rated as one of the " 10 Best Self Harm Podcasts " and " 20 Best Clinical Psychology Podcasts " by Feedspot and one of the Top 100 Psychology Podcasts by Goodpods. It has also been featured in Audible's " Best Mental Health Podcasts to Defy Stigma and Begin to Heal ." If you or someone you know should be interviewed on the podcast, we want to know! Please fill out this form, and we will be in touch with more details if it’s a good fit. Previous Next

Research on Self-Injury in Daily Life Home / Special Interest Groups / Research on Self-Injury in Daily Life / Outputs Example publication title Authors, A., Authors, B. Join SIDL Join SIDL to connect with individuals passionate about improving the lives of individuals who have self-injured and their supporters. You'll gain access to members-only content, including xyz... Enter your email here Sign Up Thanks for submitting!