Janis Whitlock, PhD, from Cornell University and Senior Advisor for The JED Foundation explains how caregivers with lived experience of self-injury can navigate conversations with their children about their own history of self-harm, and how parents can manage heightened limits to confidentiality when their child who self-injures turns 18 while in therapy. Season 5 | Episode 65 Podcast/ Season 5 | Episode 65 Parenting with Lived Experience of Self-Injury Sep 26, 2025 with Dr. Janis Whitlock Parenting with Lived Experience of Self-Injury with Dr. Janis Whitlock 00:00 / 01:04 Two topics are covered in this episode: (1) how parents with lived experience of nonsuicidal self-injury (NSSI) can navigate conversations with their children about their own scarring and wounds, and (2) how parents (with or without lived experience) can navigate conversations about self-injury with their young adult children when they turn 18. Dr. Whitlock is emerita research faculty at Cornell University, a former Associate Director of the Bronfenbrenner Center for Translational Research, and the founder and director of the Self-Injury & Recovery Resources (SIRR) research program, which serves as one of the best and most comprehensive collations of online resources about self-injury: www.selfinjury.bctr.cornell.edu . It is a go-to resource for parents, therapists, friends, family members, schools, other caring adults, the media, and individuals with lived experience of self-injury. Dr. Whitlock is also Senior Advisor for The JED Foundation. To learn more about The JED Foundation, visit https://www.jedfoundation.org/ . Below is some of the work referenced in this episode: Whitlock, J., & Lloyd-Richardson, E. E. (2019). Healing self-injury: A compassionate guide for parents and other loved ones . Oxford University Press. Taliaferro, L. A., Jang, S. T., Westers, N. J., Muehlenkamp, J. J., Whitlock, J. L., & McMorris, B. J. (2020). Associations between connections to parents and friends and non-suicidal self-injury among adolescents: The mediating role of developmental assets . Clinical Child Psychology and Psychiatry, 25 (2), 359-371. Kibitov, A. A., & Mazo, G. E. (2023). Genetics and epigenetics of nonsuicidal self-injury: A narrative review . Russian Journal of Genetics, 59 (12), 1265-1276. Dawkins, J., Hasking, P., & Boyes, M. (2021). Knowledge of parental nonsuicidal self-injury in young people who self-injure: The mediating role of outcome expectancies . Journal of Family Studies, 27 (4), 479–490. Previous Next

About Self-Injury Recovery and Ambivalence Resources / About Self-Injury / Recovery and Ambivalence "A non-linear push and pull" Recovery Recovery for self-injury can mean different things to different people. In recent years, there has been a greater focus both academically and clinically on the lived experience of self-injury. Part of this focus has drawn attention to the varied conceptualisations of recovery. Clinical conceptualisations According to the proposed diagnostic criteria for non-suicidal self-injury disorder (NSSI-D), an individual may be considered "recovered" after self-injury has been ceased for 12 months. As identified by Lewis and Hasking (2020), this may be unrealistic and does not reflect individuals' lived experience of recovery. Lived experience conceptualisations Not surprisingly, individuals' conceptualisations of NSSI recovery are vast and varied. Theoretical conceptualisations Recent developments in the research field have led to new theoretical conceptualisations of NSSI recovery, including that proposed by Lewis and Hasking (2021). Sourced from Lewis & Hasking (2021) In their framework, Lewis and Hasking capture the following in their person-centred model of self-injury recovery: Emphasis realistic expectations Recovery is non-linear and "relapses" are common Viewing recovery in absolute terms may be unrealistic and unhelpful Normalise thoughts and urges Continued thoughts about self-injury and urges to self-injure are common. These thoughts and urges may persist indefinitely Foster self-efficacy Recognition of times when urges have been overcome can strengthen self-efficacy to resist NSSI in the future Identify strengths Identifying and leveraging strengths can foster self-efficacy and support other coping strategies Find alternatives Finding strategies as effective as NSSI takes time and involves trial and error There is no one-size-fits all, and alternative strategies that work for one individual may not work for another Address underlying adversities There are many possible difficulties and adversities underlying self-injury; these need to be addressed to support NSSI recovery Address and accept scarring While not relevant to all individuals, scarring can be a significant concern Scarring may contribute to ongoing psychological distress/urges, but can also represent strength and resilience For individuals with scars, accepting scarring may be particularly important in their recovery Prepare for navigating disclosures Disclosure may be voluntary, unwanted, or unintentional Disclosure may be necessary to recovery (accessing support) Considering how to navigate these disclosures may be useful for recovery Foster self-acceptance Through the above, self-acceptance can be fostered Ambivalence Understanding ambivalence around self-injury and recovery is important for individuals who self-injure and their loved ones. References Lewis, L. P., & Hasking, P. A. (2020). Rethinking self-injury recovery: A comentary and conceptual reframing, BJ Psych Bulletin , 44 , 44-46. https://doi.org/10.1192/bjb.2019.51 Lewis, S. P., & Hasking, P. A. (2021). Self-injury recovery: A person-centred framework. Journal of Clinical Psychology , 77 , 884-895. https://doi.org/10.1002/jclp.23094

Lisa Van Hove, PhD, from Vrije Universiteit Brussel (Brussels University) in Belgium reveals the prevalence and characteristics of self-injury and self-harm among older adults (ages 60+). Season 5 | Episode 61 Podcast/ Season 5 | Episode 61 Self-Harm in Older Adults May 30, 2025 with Dr. Lisa Van Hove Self-Harm in Older Adults with Dr. Lisa Van Hove 00:00 / 01:04 Just how prevalent is self-injury among older adults, specifically those ages 60 and over? Do the types and methods they use differ from those who self-injure at other ages? What about the reasons they give for self-injuring? In this episode, Dr. Lisa Van Hove from Vrije Universiteit Brussel (Brussels University) is the first to reveal the prevalence of self-injury and self-harm among older adults. To read Dr. Van Hove's info brief on NSSI in older adults through the Cornell Research Program on Self-Injury and Recovery Resources (SIRR), visit https:// www.selfinjury.bctr.cornell.edu/perch/resources/older-adult-fact-sheet-1.pdf . To see Dr. Van Hove's publications, including those about self-injury among older adults, click here . Connect with Dr. Van Hove on LinkedIn here . Below is some of her research and that of others referenced in this episode: Van Hove, L., Baetens, I., Hamza, C., Dierckx, E., Haekens, A., Fieremans, L., & Vanderstichelen, S. (2023). NSSI in older adults . In E.E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Eds.), The Oxford handbook of nonsuicidal self-injury (pp. 572-592). Oxford University Press. Van Hove, L., Baetens, I., & Vanderstichelen, S. (2025). Psychogeriatric experts’ experiences with risk factors of suicidal and non-suicidal self-injury in older adults: A qualitative study . Qualitative Research in Medicine and Healthcare , 8 (1). Van Hove, L., Baetens, I., & Vanderstichelen, S. (2024). Conceptualizing self-harm through the experiences of psychogeriatric experts . Psychopathology , 57 (4), 277-285. Van Hove, L., Nieuwenhuijs, B. M., Vanderstichelen, S., De Witte, N., Gorus, E., Stas, L., & Baetens, I. (2025). Biopsychosocial profile of community-dwelling older adults at risk for direct and indirect self-harm . Clinical Gerontologist , 1–12. Van Hove, L., Facon M., Baetens, I., Vanderstichelen, S., Dierckx, E., Van Alphen, S.P.J., Stas, L., & Rossi, G. (2025). Development of an at-risk personality profile for (in)direct self-harm engagement in older age . Journal of Personality Disorders, 39 (3), 240-262. Murphy, E., Kapur, N., Webb, R., Purandare, N., Hawton, K., Bergen, H., Waters, K., & Cooper, J. (2012). Risk factors for repetition and suicide following self-harm in older adults: multicentre cohort study . British Journal of Psychiatry, 200 (5), 399-404. Martin, G., & Swannell, S. (2016). Non-suicidal self-injury in the over 40s: Results from a large national epidemiological survey . Epidemiology (Sunnyvale), 6 (5), 266. Choi, N. G., DiNitto, D. M., Marti, C. N., & Choi, B. Y. (2016). Nonsuicidal self-injury and suicide attempts among ED patients older than 50 years: comparison of risk factors and ED visit outcomes . The American Journal of Emergency Medicine, 34 (6), 1016-1021. Ose, S. O., Tveit, T., & Mehlum, L. (2021). Non-suicidal self-injury (NSSI) in adult psychiatric outpatients – A nationwide study . Journal of Psychiatric Research, 133 , 1-9. Wiktorsson, S., Strömsten, L., Renberg, E. S., Runeson, B., & Waern, M. (2022). Clinical characteristics in older, middle-aged and young adults who present with suicide attempts at psychiatric emergency departments: A multisite study . The American Journal of Geriatric Psychiatry, 30 (3), 342-351. Gratz, K. L., & Tull, M. T. (2025). Acceptance-based emotion regulation therapy: A clinician’s guide to treating emotion dysregulation & self-destructive behaviors using an evidence-based therapy drawn from ACT & DBT . Context Press. Previous Next

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

Home / Awards / Invited Fellow / Dr. Laurence Claes Dr. Laurence Claes Previous Dr. Laurence Claes is a Professor at KU Leuven (Belgium) in the Faculty of Psychology and Educational Sciences, Head of Clinical Psychology, and Member of the KU Leuven Child & Youth Institute. She is a leading expert in self-injury, personality, and eating disorders whose work explores how identity, perfectionism, and emotional processes relate to self-injurious behaviors, with the goal of improving prevention and intervention. She is deeply respected for her precision, generosity in collaboration, and commitment to advancing global understanding of self-injury. Next ISSS Fellow | 2023

About Self-Injury What are the Impacts of Self-Injury? Resources / About Self-Injury / What are the Impacts of Self-Injury? "In the short and long term" Self-injury can have varied short- and long-term impacts on individuals, as well as their friends, partners, and families. Short-term In the short-term, many people report that they feel a sense of calm or relief right after they self-injure. However, some people also feel guilty or ashamed and may worry that others will judge them if they found out. Understandably, this can contribute to feelings of anxiety, shame, and isolation. These feelings can also make it hard to reach out for help. In addition to the emotional impacts, physical impacts include injury to the body that may are may not need medical intervention. Some methods of self-injury carry more risk than others when it comes to injuring more severely than intended. Proper wound care is essential to ensure that injuries do not become infected or cause death. Long-term Over the long-term, people who engage in self-injury may report worsening depression or anxiety, physical consequences such as scarring, and difficulties in their close relationships. Parents and caregivers, teachers, and mental health professionals often feel frightened or confused when they find out a young person is engaging in self-injury. Although self-injury is often associated with emotional and social strain, some studies show that the process of addressing, and healing from, self-injury can bring some relationships closer and enhance self-understanding, especially when the person feels well-supported.

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

ISSS Rising Stars About /Awards / ISSS Rising Stars 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. 2023 Rising Star Read more Dr Kathryn Fox Dr Fox is an Assistant Professor in the clinical child psychology Ph.D. Program at the University of Denver, where she also directs the Fox Lab in the Department of Psychology. Rising Stars of ISSS 2020 Dr. Brooke Ammerman Dr. Ammerman is a Professor at the University of Notre Dame (United States) where she is Director of the Affect, Suicide, Self-Injury, and Social Triggers (ASSIST) Lab and Co-Director of the Notre Dame Suicide Prevention Initiative. Read more...

Jason Washburn, PhD, ABPP, from Northwestern University Feinberg School of Medicine explains how self-injury and self-harm can effectively and compassionately be managed in inpatient settings. Season 1 | Episode 14 Podcast/ Season 1 | Episode 14 Managing Self-Injury in Inpatient Settings Jun 4, 2021 with Dr. Jason Washburn Managing Self-Injury in Inpatient Settings with Dr. Jason Washburn 00:00 / 01:04 When is it appropriate for someone who engages in nonsuicidal self-injury (NSSI) to be admitted to an acute psychiatric inpatient program? And how realistic is it to expect no self-injury or self-harm to occur at all while in the hospital? How should hospital staff respond and intervene when someone engages in self-injury while on an inpatient unit? In this episode, Dr. Jason Washburn addresses these questions and discusses how hospital staff can foster empathy and compassion for individuals who self-injure while respecting their autonomy and also keeping them safe. Learn more about Dr. Washburn and his work here . Below are links to some of his work, including his books as editor and new research. To learn more about AMITA Health and its treatment for self-injury, click here . Washburn, J. J. (2014). Self-injury: Simple answers to complex questions . Hoffman Estates, IL: Alexian Brothers Press. Washburn, J. J. (2019). Nonsuicidal self-injury: Advances in research and practice . New York: Routledge. Slesinger, N. C., Hayes, N. A., & Washburn, J. J. (2021). Understanding predictors of change in a day treatment setting for non-suicidal self-injury . Psychology and Psychotherapy: Theory, Research, and Practice, 94 , 517–535. 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

Home / Awards / Invited Fellow / Dr. Kim L. Gratz Dr. Kim L. Gratz Previous Dr. Kim L. Gratz is a Professor and Chair of the Department of Psychology at the University of Toledo (United States) who is an influential figure in the study of emotion regulation and self-injury. Her pioneering research on borderline personality disorder, emotion dysregulation, and the mechanisms underlying self-destructive behaviors has shaped modern understanding and treatment approaches. She is recognized for her exceptional clinical insight, innovative research, and her mentorship of emerging clinicians and scientists. Her compassion, intellect, and advocacy have made her a cornerstone of the self-injury research community. Next ISSS Fellow | 2024

Research on Self-Injury in Daily Life Collaboration / Special Interest Groups / Research on Self-Injury in Daily Life Advancing Tangible Benefits The Consortium for Research on Self-Injury in Daily Life (SIDL) is an interdisciplinary and international group of researchers, clinicians, and advocates who aim to build expertise and capacity to better understand, predict, and prevent key NSSI outcomes as they are experienced in individuals' everyday lives. Our Mission Promote person-centered care and the development and implementation of personalized prevention and novel digital interventions in the treatment of NSSI. Better understand the short-term course of NSSI thoughts, urges, and behaviors in daily life, the individual risk and protective factors, and the relationship with long-term change. Consider the responsibilities of studying NSSI in daily life and provide guidance to stakeholders across different cultural and intersectional contexts. Discover More NSSI occurs in interaction with real-world contexts and therefore is best understood in the natural environment . However, studying self-injury in people's daily lives can be challenging. To tackle this challenge, ISSS established a Consortium for Research on Self-Injury in Daily Life at the annual society meeting in 2019. We aim to build expertise and capacity to better understand, predict, and prevent key NSSI outcomes as they are experienced in individuals' everyday lives. Our group consists of graduate students, early-career, mid-career, and senior researchers committed to producing high-quality, ambitious, and scientifically rigorous work, which seeks to develop tangible benefits for people who self-injure. Making use of advances in real-time monitoring (also called experience sampling or ecological momentary assessment) and intensive longitudinal methods, we believe that research on NSSI in everyday life will advance more rapidly when all stakeholders' interests (i.e., individuals with lived experience, their families, researchers, and clinicians) are considered. NSSI is a behavior that occurs in interction with real-world context and therefore is best understood in the natural environment. To tackle this challenge, ISSS established a Consortium for Research on Self-Injury in Daily Life at the annual society meeting in 2019. Representative/s of Research on Self-Injury in Daily Life Glenn Kiekens | Brooke Ammerman glenn.kiekens@kuleuven.be | bammerm1@nd.edu

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