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- Monitoring Self-Injury in Real Time
Glenn Kiekens, PhD, from KU Leuven University in Belgium discusses how researchers measure self-injury and self-harm in real time using advances in technology. Season 1 | Episode 11 Podcast/ Season 1 | Episode 11 Monitoring Self-Injury in Real Time Apr 23, 2021 with Dr. Glenn Kiekens Monitoring Self-Injury in Real Time with Dr. Glenn Kiekens 00:00 / 01:04 How do we assess self-injury differently than 20-30 years ago? Rather than asking someone to remember how they were thinking and feeling when they last self-injured days, weeks, and even months ago, advances in technology allow researchers and clinicians to monitor self-injury and self-harm in real time, as it occurs. In this episode, Dr. Glenn Kiekens discusses the advantages of adapting real-time monitoring (also known as experience sampling or ecological momentary assessment [EMA]) in researching nonsuicidal self-injury as well as the ethical concerns to consider when doing research in real time. Learn more about Dr. Kiekens and his work in the Center for Contextual Psychiatry at KU Leuven by clicking here . Follow Dr. Kiekens on Twitter @GKiekens . Below are links to some of his research and the resources referenced in this episode: Opening the black box of daily life in non-suicidal self-injury research: With great opportunity comes great responsibility (preprint available at https://psyarxiv.com/yp86x ) Fluctuations in affective states and self-efficacy to resist non-suicidal self-injury as real-time predictors of non-suicidal self-injurious thoughts and behaviors (2020) Consensus statement on ethical & safety practices for conducting digital monitoring studies with people at risk of suicide and related behaviors (Nock et al., 2020) Revealing the form and function of self-injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults (Nock, Prinstein, & Sterba, 2009) Changes in ecological momentary assessment reported affect associated with episodes of nonsuicidal self-Injury (Armey, Crowther, & Miller, 2011) Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). Previous Next
- Did Self-Injury Increase During the COVID-19 Lockdown?
Ruth Tatnell, PhD, from Deakin University in Melbourne, Australia describes how the COVID-19 pandemic and first lockdown affected rates of self-injury and self-harm. Season 3 | Episode 33 Podcast/ Season 3 | Episode 33 Did Self-Injury Increase During the COVID-19 Lockdown? Jan 27, 2023 with Dr. Ruth Tatnell Did Self-Injury Increase During the COVID-19 Lockdown? with Dr. Ruth Tatnell 00:00 / 01:04 Early in the pandemic there was a lot of talk about how the initial lockdown and stay-at-home orders would affect people’s mental health, including risk for suicide and nonsuicidal self-injury (NSSI). In this episode, Dr. Ruth Tatnell answers questions about the pandemic's effects on rates of self-injury: Did the initial lockdown of the COVID-19 pandemic increase self-injury urges and behaviors like many people thought would happen? And do we know if self-harm has increased, decreased, or stayed the same since the first lockdown of the pandemic? Learn more about Dr. Tatnell and her work at Deakin University here , and connect with her on LinkedIn here . Below is her publication discussed in this month's episode as well as additional articles referenced in our interview: Tatnell, R., Terhaag, S., & Melvin, G. (2023). Covid-19 lockdown and non-suicidal self-injury: A Mixed methods analysis of NSSI during Australia's national lockdown . Archives of Suicide Research . Online ahead of print. Tanaka, T., & Okamoto, S. (2021). Increase in suicide following an initial decline during the COVID-19 pandemic in Japan . Nature Human Behaviour, 5 (2), 229–238. Read about the Harvard Happiness Study published in The Atlantic here . Read about the Cigna loneliness study here and their tips for addressing loneliness here . 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
- Navigating Self-Injury During Routine Doctor Visits
Brittany Tinsley of @brittanytinsleywrites Instagram explains how she navigates talking about her wounds and scars of self-injury and self-harm with her medical providers during routine doctor visits. Season 1 | Episode 18 Podcast/ Season 1 | Episode 18 Navigating Self-Injury During Routine Doctor Visits Oct 1, 2021 with Brittany Tinsley Navigating Self-Injury During Routine Doctor Visits with Brittany Tinsley 00:00 / 01:04 If you’ve never engaged in self-injury or self-harm, then you may have never considered the anxieties related to something as seemingly simple as a routine doctor visit. In this episode, Brittany Tinsley explains what questions she asks herself prior to attending routine doctor visits in order to ease her anxiety about medical providers seeing her self-injury wounds and scars. We take a unique peek into what doctor visits can be like for those who self-injure or have self-injured, as well as discuss tips on navigating those visits, whether as a treatment provider or someone with lived experience. Follow Brittany on Instagram at @brittanytinsleywrites and read her blog at https://brittanytinsley.com/ . 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 " Top 15 Clinical Psychology Podcasts You Must Follow in 2021 " and by Welp Magazine in their " 20 Best Injury Podcasts of 2021 ." Previous Next
- A Mother's Perspective of Her Daughter's Self-Injury
A mother shares her experience of when she learned about her daughter's self-injury and self-harm and how she responded as a parent. Season 1 | Episode 6 Podcast/ Season 1 | Episode 6 A Mother's Perspective of Her Daughter's Self-Injury Feb 12, 2021 A Mother's Perspective of Her Daughter's Self-Injury 00:00 / 01:04 Imagine receiving a phone call from your child's school expressing concern that your child might be suicidal. This is Dee's story. In this episode she shares about how she was able to differentiate between self-harm of suicide and nonsuicidal self-injury (NSSI), support her daughter through the process, connect her to therapy, and what advice she has for parents in similar circumstances. Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). Previous Next
- Lived Experience: Ben's Story of Self-Injury
Ben from California shares his story of lived experience of self-injury as a man, including how he views recovery and copes with significant scarring from self-harm wounds. Season 5 | Episode 59 Podcast/ Season 5 | Episode 59 Lived Experience: Ben's Story of Self-Injury Mar 28, 2025 Lived Experience: Ben's Story of Self-Injury 00:00 / 01:04 In this episode, Ben Moroski from Los Angeles, CA, shares his story of lived experience of self-injury that began at age 17 when he and his family found themselves in a religious cult. He articulately communicates therapeutic gems he has learned throughout his journey of recovery while remaining honest with how he manages persisting urges to self-harm. Watch his autobiographical solo one man play about his struggle with self-injury at https://vimeo.com/107909913 , and follow him on Instagram @bmoroski . Previous Next
- Self-Injury in Intellectual & Developmental Disabilities (IDD)
Caroline Roberts from the University of Minnesota bridges the conversation gap between self-injurious behavior (SIB) and nonsuicidal self-injury (NSSI), including self-harm among individuals with intellectual and developmental disabilities (IDD). Season 3 | Episode 41 Podcast/ Season 3 | Episode 41 Self-Injury in Intellectual & Developmental Disabilities (IDD) Sep 29, 2023 with Caroline Roberts Self-Injury in Intellectual & Developmental Disabilities (IDD) with Caroline Roberts 00:00 / 01:04 Up to 1 in 5 (20%) individuals with intellectual and developmental disabilities (IDD) and about 3 in 7 (42%) individuals with autism spectrum disorder (ASD) engage in self-injurious behavior (SIB). Common forms of SIB include repetitive head banging, head-hitting, self-biting, self-hitting, eye-poking, skin-picking, and trichotillomania (hair pulling), among other forms of self-harm. In this episode, Caroline Roberts from the University of Minnesota and Masonic Institute for the Developing Brain discusses the differences and similarities between SIB and nonsuicidal self-injury (NSSI) and how we can bridge the gap between NSSI research and clinical practice, and SIB among those with IDD. She also shares 4 key topics from her interviews with experts in SIB and NSSI: (1) case ascertainment, (2) perceptions of causal variables, (3) pathways to treatment, and (4) treatment goals and outcomes. Learn more about the Masonic Institute for the Developing Brain and their interdisciplinary approaches to understanding and improving SIB workgroup here . Follow Caroline on Twitter/X at @clrobz . Below are one of her papers and other research referenced in today's episode: Roberts, C. L., Avina, A. H., & Symons, F. J. (2023). A qualitative analysis of family caregiver experiences accessing treatment for self-injurious behavior in individuals with intellectual and developmental disabilities . Journal of Mental Health Research in Intellectual Disabilities . Dimian, A. F., & Symons, F. J. (2022). A systematic review of risk for the development and persistence of self-injurious behavior in intellectual and developmental disabilities. Clinical Psychology Review, 94 , 102158. Steenfeldt-Kristensen, C., Jones, C. A., & Richards, C. (2020). The prevalence of self-injurious behaviour in autism: A meta-analytic study . Journal of Autism and Developmental Disorders, 50 (11), 3857-3873. 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 ." Previous Next
- Do Youth Self-Injure More Now Than 15 Years Ago?
Jonas Bjärehed, PhD, from Lund University in Sweden compares rates of self-injury and self-harm among youth from 2007 to 2023. Season 4 | Episode 47 Podcast/ Season 4 | Episode 47 Do Youth Self-Injure More Now Than 15 Years Ago? Mar 29, 2024 with Dr. Jonas Bjärehed Do Youth Self-Injure More Now Than 15 Years Ago? with Dr. Jonas Bjärehed 00:00 / 01:04 In this episode, Dr. Jonas Bjärehed from Lund University in Sweden walks us through his research on nonsuicidal self-injury (NSSI) that he began in 2007 as part of his dissertation project. For example, he shares high prevalence rates of NSSI in Sweden (~40%) and discusses gender differences of NSSI among adolescents in 2007 compared to 2023. He also explains the results of a 10-year longitudinal study in which he surveyed individuals as adolescents about their self-harm and then surveyed the same group as adults 10 years later. Learn more about Dr. Bjärehed's research here and connect with him on LinkedIn at www.linkedin.com/in/jonasbjarehed . Below are a couple of his publications along with a couple papers on " phubbing ." Wångby-Lundh, M., Lundh L.-G., Claréus, B., Bjärehed, J.,& Daukantaitė, D. (2023). Developmental pathways of repetitive nonsuicidal self-injury: predictors in adolescence and psychological outcomes in young adulthood . Child and Adolescent Psychiatry and Mental Health, 17 (1), 116. Daukantaitė, D., Lundh, L.-G., Wångby-Lundh, M., Claréus, B., Bjärehed, J., Zhou, Y., & Liljedahl, S. I. (2021). What happens to young adults who have engaged in self-injurious behavior as adolescents? A 10-year follow-up . European Child & Adolescent Psychiatry, 30 (3), 475–492. Liu, S., Wu, P., Han, X., Wang, M., Kan, Y., Qin, K., & Lan, J. (2024). Mom, dad, put down your phone and talk to me: how parental phubbing influences problematic internet use among adolescents . BMC Psychology, 12 , 125. Lv, H., Ye, W., Chen, S., Zhang, H., & Wang, R. (2022). The effect of mother phubbing on young children’s emotional and behavioral problems: A moderated mediation model of mother–child attachment and parenting stress . International Journal of Environmental Research and Public Health, 19 , 16911. Previous Next
- The Psychology of Self-Injury Scarring
Taylor Burke, PhD, from Harvard Medical School and Massachusetts General Hospital discusses the psychological effects of scars resulting from self-injury and self-harm. Season 2 | Episode 31 Podcast/ Season 2 | Episode 31 The Psychology of Self-Injury Scarring Nov 25, 2022 with Dr. Taylor Burke The Psychology of Self-Injury Scarring with Dr. Taylor Burke 00:00 / 01:04 How are scars from nonsuicidal self-injury (NSSI) different than physical scars that are unintentional or result from non-self-inflicted wounds ? What psychological effects can result from daily reminders of one's own decision to self-harm? Is there an association between NSSI scars and suicidal thoughts and behaviors? In this episode, Dr. Burke discusses the mixed relationship that many people who self-injure have with the scars they bear from NSSI and how some may feel the need to hide their scars even from themselves. Learn more about Dr. Burke and her work by clicking here or visiting the Mood & Behavior Lab (MABL) at www.moodandbehaviorlab.org . Follow her on Twitter @TaylorABurkePhD . Below are some of her publications and papers referenced in this episode: Burke, T. A., Ammerman, B. A., Hamilton, J. L., Stange, J. P., & Piccirillo, M. (2020). Nonsuicidal self-injury scar concealment from the self and others . Journal of Psychiatric Research, 130 , 313-320. Burke, T. A., Olino, T. M., & Alloy, L. B. (2017). Initial psychometric validation of the nonsuicidal self-injury scar cognition scale . Journal of Psychopathology and Behavioral Assessment, 39 , 546–562. Burke, T. A., Hamilton, J. L., Cohen, J. N., Stange, J. P., & Alloy, L. B. (2016). Identifying a physical indicator of suicide risk: non-suicidal self-injury scars predict suicidal ideation and suicide attempts . Comprehensive Psychiatry, 65 , 79–87. Bachtelle, S. E., & Pepper, C. M. (2015). The physical results of nonsuicidal self-injury: The meaning behind the scars . The Journal of Nervous and Mental Disease, 203 (12), 927-933. 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
- Tips for Supporting Those Who Self-Harm
Nicholas J. Westers, Psy.D., ABPP from Children's Health and the University of Texas Southwestern Medical Center in Dallas, Texas provides practical tips and considerations for supporting individuals who engage in self-injury and self-harm. Season 4 | Episode 51 Podcast/ Season 4 | Episode 51 Tips for Supporting Those Who Self-Harm Jul 26, 2024 with Dr. Nicholas Westers Tips for Supporting Those Who Self-Harm with Dr. Nicholas Westers 00:00 / 01:04 In this episode, host and producer of The Psychology of Self-Injury podcast, Dr. Nicholas Westers, shares his own thoughts about what we should consider when supporting friends, families, clients, and patients who engage in nonsuicidal self-injury (NSSI). This marks the first solo episode of the podcast, and Dr. Westers offers ways for listeners to have a bigger role on the podcast, including: Should you or someone you know be interviewed on the podcast? We want to know! Please fill out this Google doc form, and we will be in touch with more details if it’s a good fit. Want to hear your question and have it answered on the podcast? Please send an audio clip of your question (60 seconds or less) to @DocWesters on Instagram or Twitter/X, or email us at thepsychologyofselfinjury@gmail.com Want to be involved in research? Send us a message at thepsychologyofselfinjury@gmail.com and we will see if we can match you to an active study. Want to interact with us through comments and polls? You can on Spotify! Below are a couple papers related to this episode with Dr. Westers: Westers, N. J., Rehfuss, M., Olson, L., & Biron, D. (2012). The role of forgiveness in adolescents who engage in nonsuicidal self-injury . The Journal of Nervous and Mental Disease, 200 (6), 535-541. Westers, N. J. , & Tinsley, B. (2023). Nonsuicidal self-injury risk assessment, intervention, and guidance for first responders and medical settings . In E. E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Eds.), The Oxford handbook of nonsuicidal self-injury (pp. 873–893). Oxford University Press. Previous Next
- Effects of Emotions on Self-Injury Pain Perception
Michelle Hiner, MS, from Rutgers University in New Jersey breaks down how high and low arousal emotions affect the perception of pain among those who engage in self-injury and self-harm. Season 4 | Episode 53 Podcast/ Season 4 | Episode 53 Effects of Emotions on Self-Injury Pain Perception Sep 27, 2024 with Michelle Hiner Effects of Emotions on Self-Injury Pain Perception with Michelle Hiner 00:00 / 01:04 Does the emotion someone experiences immediately preceding an episode of nonsuicidal self-injury (NSSI) influence how painful that episode of self-harm feels? In this episode, Michelle Hiner, MS, a Clinical Psychology PhD student in the Emotion and Psychopathology (EmP) Lab at Rutgers University in New Jersey talks about how individuals who self-harm after experiencing high arousal negative emotions (HANEs), like anger, experience pain differently than those who self-injure after experiencing low arousal negative emotions (LANEs), like sadness and dissociation. Connect with Michelle on LinkedIn here , and learn more about the Emotion and Psychopathology (EmP) Lab here . Below are some papers referenced in this episode: Drummond, P. D. (1995). Noradrenaline increases hyperalgesia to heat in skin sensitized by capsaicin . Pain, 60 (3), 311-315. Wiercioch-Kuzianik, K., & Bąbel, P. (2019). Color hurts. The effect of color on pain perception . Pain Medicine, 20 (10), 1955-1962. Paul, E., Tsypes, A., Eidlitz, L., Ernhout, C., & Whitlock, J. (2015). Frequency and functions of non-suicidal self-injury: Associations with suicidal thoughts and behaviors . Psychiatry Research, 225 (3), 276–282. Previous Next
- Digital Interventions for Self-Harm
Kaylee Kruzan, PhD, from Northwestern University in Chicago shares about digital apps and online interventions for self-injury and self-harm. Season 2 | Episode 29 Podcast/ Season 2 | Episode 29 Digital Interventions for Self-Harm Sep 30, 2022 with Dr. Kaylee Kruzan Digital Interventions for Self-Harm with Dr. Kaylee Kruzan 00:00 / 01:04 What digital interventions exist for addressing nonsuicidal self-injury (NSSI)? And do they and peer-support apps help in reducing NSSI urges and behaviors? What do individuals with lived experience of self-injury say that they look for in app-based technology to address self-injury? In this episode, Dr. Kruzan from Northwestern University Feinberg School of Medicine shares about what her research has revealed and discusses the potential utility of Virtual Reality in the treatment of self-injury and self-harm. Learn more about Dr. Kruzan and her research at https://www.kayleekruzan.com/ , and follow her on Twitter at @KayleeKruzan . Below is some of her research referenced in this episode: Kruzan, K. P., Whitlock, J., & Bazarova, N. N. (2021). Examining the relationship between the use of a mobile peer-support app and self-Injury outcomes: Longitudinal mixed methods study . JMIR Mental Health, 8 (1), e21854. Kruzan, K. P., & Whitlock, J. (2022). Digital media, suicide, and self-injury . In J. Nesi, E. H. Telzer, & M. J. Prinstein (Eds.), Handbook of adolescent digital media use and mental health (pp. 338-362). Cambridge University Press. Kruzan, K. P., Mohr, D., & Reddy, M. (2022). How technologies can support self-Injury self-management: Perspectives of young adults with lived experience of nonsuicidal self-injury . Frontiers in Digital Health, 4 , 913599. Kruzan, K. P., Bazarova, N. N., & Whitlock (2021). Investigating self-injury support solicitations and responses on a mobile peer support application . Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems, 5 , 1-14. Kruzan, K. P., & Whitlock, J. L. (in press). Digital interventions for nonsuicidal self-injury. In E. E. Lloyd-Richardson, I. Baetens & J. Whitlock (Eds.), The handbook of nonsuicidal self-injury . Oxford University Press. 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
- Self-Injury Location: Visible vs Concealed
Kathryn Gardner, PhD, from the University of Central Lancashire in the United Kingdom discusses the significance of where on the body individuals choose to engage in self-cutting behavior and the psychology of self-injury and self-harm location. Season 2 | Episode 25 Podcast/ Season 2 | Episode 25 Self-Injury Location: Visible vs Concealed May 27, 2022 with Dr. Kathryn Gardner Self-Injury Location: Visible vs Concealed with Dr. Kathryn Gardner 00:00 / 01:04 Does it matter where on the body someone cuts, whether on typically more visible sites such as the forearm and wrist, or in typically more concealed areas, such as the upper arm and torso? Is there a relationship between where someone cuts on their body and their likelihood of continuing to engage in the behavior? In this episode, Dr. Gardner discusses her research on the psychology of self-injury location and where on the body one chooses to self-injure as well as intrapersonal (emotional) reasons and interpersonal (social) reasons for engaging in self-injury and self-harm. Learn more about Dr. Gardner and her work at https://www.uclan.ac.uk/academics/dr-kathryn-gardner , and follow her on Twitter @KathrynJGardner . Below are links to some of her research referenced in this episode: Gardner, K. J., Bickley, H., Turnbull, P., Kapur, N., Taylor, P., & Clements, C. (2020). The significance of site of cut in self-harm in young people . Journal of Affective Disorders, 266 , 603-609. Gardner, K. J., Paul, E., Selby, E. A., Klonsky, E. D., Mars, B. (2021). Intrapersonal and interpersonal functions as pathways to future self-harm repetition and suicide attempts . Frontiers in Psychology, 12 , 688472. 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
