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  • DSM-5 & Nonsuicidal Self-Injury Disorder

    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

  • Self-Injury and the Internet

    Stephen Lewis, PhD, from the University of Guelph in Canada and Immediate Past President of the International Society for the Study of Self-Injury (ISSS) discusses the state of health information about self-injury on the internet and addresses the risks and benefits of seeking self-injury and self-harm content online. Season 1 | Episode 5 Podcast/ Season 1 | Episode 5 Self-Injury and the Internet Jan 29, 2021 with Dr. Stephen Lewis Self-Injury and the Internet with Dr. Stephen Lewis 00:00 / 01:04 What is the quality of online health information related to self-injury and self-harm? What are some of the risks and benefits related to seeking self-injury content on the internet? In this episode, Dr. Lewis details 3 overarching risks and 4 overarching benefits of accessing self-injury content online. He also discusses his research related to the effects of hopeless vs. hopeful comments on YouTube videos about self-injury. To watch Dr. Lewis' TEDx talk about his own lived experience of self-injury on YouTube, visit https://youtu.be/G17iMOw0ar8 . Learn more about self-injury and Dr. Lewis' work at Self-injury Outreach & Support (SiOS) ( http://sioutreach.org/ ). Follow SiOS on Facebook ( https://www.facebook.com/sioutreach ) and Twitter ( https://twitter.com/sioutreach ). Below are links to his research and resources referenced in this episode: Non-suicidal self-injury, youth, and the Internet: What mental health professionals need to know Googling self-injury: The state of health Information obtained through online searches for self-injury The Scope of Nonsuicidal Self-Injury on YouTube Self-Injury Resources: Self-injury Outreach & Support (SiOS) ( http://sioutreach.org/ ) Shedding Light on Self-Injury ( https://www.self-injury.org.au/ ) Self-Injury & Recovery Resources (SIRR) ( www.selfinjury.bctr.cornell.edu ) The International Society for the Study of Self-Injury (ISSS) ( https://itriples.org/ ) Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). Previous Next

  • Help-Seeking for Self-Injury

    Nani Kim, RN, at the University of Texas at Austin shares a review of research on help-seeking behaviors for self-injury and self-harm. Season 5 | Episode 63 Podcast/ Season 5 | Episode 63 Help-Seeking for Self-Injury Jul 25, 2025 with Nani Kim, RN Help-Seeking for Self-Injury with Nani Kim, RN 00:00 / 01:04 In this episode, Nani Kim, RN from the University of Texas at Austin talks all things help-seeking for nonsuicidal self-injury (NSSI). This includes common reasons people give for choosing to seek help for self-harm, common forms of help-seeking behavior for NSSI, how often individuals who self-injure seek help for their self-injury, why they choose to seek help, what types of help they receive, and what happens when they seek help for self-injury. Below are a few references from this episode: Kim, N., Young, C. C., Kim, B. R., Rew, L., & Westers, N. J. (in press). Help-seeking behaviors in adolescents and young adults who engage in nonsuicidal self-injury: An integrative review . Journal of Adolescent Health . Advance online publication (free to access through August 7, 2025). Nadler, A. (1987). Determinants of help seeking behaviour: The effects of helper’s similarity, task centrality and recipient’s self esteem . European Journal of Social Psychology, 17 (1), 57-67. Mackesy, C. (2019). The boy, the mole, the fox and the horse: Inspiring conversations on hope, love and personal growth . HarperOne. Previous Next

  • Self-Harm in Older Adults

    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

  • 2023

    Vienna, Austria 2023 Conferences / 18th Annual Conference | Vienna, Austria 24th - 25th June, 2023 In 2023, we hosted our 18th Annual International Conference in Vienna, Austria. Conference Schedule Information for Presenters Details Register for the conference Additional registration information NOTE: If you are from a low or low-middle income nation , please email ISSS2026@akademikonferens.se for a 20% discount. In 2023, we hosted our 18th Annual International Conference in Vienna, Austria. Our first in-person meeting for three years, it was a splendid week of Viennese sights, reconnection, and reinvigorated passion for research, support, and advocacy. Program ISSS 2023 Conference Program .pdf Download PDF • 427KB Abstract Book ISSS 2023 Conference Abstract Book .pdf Download PDF • 1.59MB Presentation Slides Invited Fellow, Prof. Laurence Claes ISSS 2023 Conference Invited Fellows Slides - LC .pdf Download PDF • 10.63MB

  • Nonsuicidal Self-Injury vs. Suicide

    Jennifer Muehlenkamp, PhD, from the University of Wisconsin-Eau Claire describes the difference between suicidal and nonsuicidal self-harm and explains how we came to use the term “nonsuicidal self-injury” (NSSI). She also discusses what characteristics of self-injury place someone at greater risk for attempting suicide. Season 1 | Episode 2 Podcast/ Season 1 | Episode 2 Nonsuicidal Self-Injury vs. Suicide Jan 1, 2021 with Dr. Jennifer Muehlenkamp Nonsuicidal Self-Injury vs. Suicide with Dr. Jennifer Muehlenkamp 00:00 / 01:04 Today there is still confusion among a lot people about the differences between suicide and nonsuicidal self-injury. Although nonsuicidal self-injury (NSSI) is a form of self-harm and a risk factor for attempting suicide, the two behaviors should not be confused and those who self-injure should not be assumed to be “suicidal.” In this episode, we discuss how the onset, frequency, method, and function of self-injury are related to risk for suicide attempt. Previous Next

  • Self-Harm OCD vs. Nonsuicidal Self-Injury

    Nathan Peterson, LCSW, from OCD and Anxiety Counseling in Allen, Texas, explains the difference between Self-Harm OCD and nonsuicidal self-injury as well as Exposure and Response Prevention (ERP) for harm OCD. Season 3 | Episode 38 Podcast/ Season 3 | Episode 38 Self-Harm OCD vs. Nonsuicidal Self-Injury Jun 30, 2023 with Nathan Peterson Self-Harm OCD vs. Nonsuicidal Self-Injury with Nathan Peterson 00:00 / 01:04 Approximately 1-4% of people throughout the world experience obsessive-compulsive disorder (OCD). Individuals with OCD are more likely than those without OCD to engage in nonsuicidal self-injury (NSSI), and recent research has shown that, among those who self-injure, having a diagnosis of OCD predicts more severe self-injury. In this episode, licensed clinical social worker and OCD expert Nathan Peterson explains how he differentiates nonsuicidal self-injury (NSSI) from Self-Harm OCD, which is just one of many subtypes of OCD and one in which a person experiences intrusive thoughts or mental images of violence toward oneself. He then walks us through how he uses Exposure and Response Prevention (ERP) for Self-Harm OCD in therapy. Learn more about Nathan and his therapy practice OCD and Anxiety Counseling here . He has nearly 100k subscribers on YouTube ( @ocdandanxiety ) where his videos receive thousands and thousands of views. You can also follow him on Instagram ( @ocdandanxietyonline ), Twitter ( @ocdandanxiety1 ), and Facebook . Click here to take his online "Do I Have Harm OCD? Test." Below are additional resources about OCD and/or NSSI: Browning, M. E., Lloyd-Richardson, E. E., Schneider, R. L., Faro, A. L., Muehlenkamp, J. J., & Claudio-Hernandez, A. (2022). Obsessive compulsive disorder and co-occurring nonsuicidal self-injury: Evidence-based treatments and future research directions . The Behavior Therapist, 45(6), 199-208. International OCD Foundation at https://iocdf.org/ . Winston, S. M., & Seif, M. N. ( 2017). Overcoming unwanted intrusive thoughts: A CBT-based guide to getting over frightening, obsessive, or disturbing thoughts . New Harbinger. Baer, L. (2012). Getting control: Overcoming your obsessions and compulsions (3rd ed.) . Plume. To learn more about how medication can help address OCD (most often in tandem with ERP but not discussed in this episode), click 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 " 20 Best Clinical Psychology Podcasts " and also featured in Audible's " Best Mental Health Podcasts to Defy Stigma and Begin to Heal ." 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

  • Lived Experience of Self-Injury & Stigma: Lexy's Story

    Lexy from Australia shares her story of lived experience of self-injury and stigma and how it has influenced her work in researching self-injury and self-harm. Season 1 | Episode 13 Podcast/ Season 1 | Episode 13 Lived Experience of Self-Injury & Stigma: Lexy's Story May 21, 2021 Lived Experience of Self-Injury & Stigma: Lexy's Story 00:00 / 01:04 In this episode, Lexy details her experience of engaging in nonsuicidal self-injury (NSSI) and the stigma she has encountered as a result of self-injury and self-harm. Lexy is the current Student Representative of the International Society for the Study of Self-Injury (ISSS) and a PhD candidate working in the area of self-injury stigma. She is currently working on multiple projects looking at how self-injury stigma is experienced and how it is portrayed in the media. She has recently published a paper outlining how researchers can better understand self-injury stigma: Stigma and nonsuicidal self-injury: Application of a conceptual framework (Staniland, Hasking, Boyes, & Lewis, 2021) Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). BIG NEWS! The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their " Top 15 Clinical Psychology Podcasts You Must Follow in 2021 ." Click here to see the full Top 15 list. Previous Next

  • Emotion Regulation Group Therapy for Self-Harm

    Kim Gratz, PhD, and Matthew Tull, PhD, from the University of Toledo walk us through Emotion Regulation Group Therapy (ERGT) intervention for nonsuicidal self-injury and self-harm. Season 3 | Episode 34 Podcast/ Season 3 | Episode 34 Emotion Regulation Group Therapy for Self-Harm Feb 24, 2023 with Dr. Kim Gratz and Dr. Matthew Tull Emotion Regulation Group Therapy for Self-Harm with Dr. Kim Gratz and Dr. Matthew Tull 00:00 / 01:04 A lot of therapies address the context in which nonsuicidal self-injury (NSSI) and self-harm may occur, but only a few treatments have been designed to address NSSI specifically. In this episode, we dive into one of these treatments: Emotion Regulation Group Therapy (ERGT). Drs. Kim Gratz and Matthew Tull from the University of Toledo in Ohio walk us through in significant detail each of the 90-minute 14 sessions of ERGT. Learn more about Dr. Gratz here and reach her at klgratz28@gmail.com . Learn more about Dr. Tull here and follow him on Twitter @MTTull . Learn more about the Personality and Emotion Research and Treatment (PERT) Laboratory within the Department of Psychology at the University of Toledo here , and follow the PERT Lab on Twitter @LabPert . Below are links to their research on ERGT referenced in this episode: Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with Borderline Personality Disorder . Behavior Therapy, 37 (1), 25-35. Gratz, K. L., & Tull, M. T. (2011). Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology . Personality Disorders: Theory, Research, and Treatment, 2 (4), 316–326. Gratz, K. L., Tull, M. T., & Levy, R. (2014). Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorde r. Psychological Medicine, 44 , 2099–2112. Gratz, K. L., Bardeen, J. R., Levy, R., Dixon-Gordon, K., L., & Tull, M. T. (2015). Mechanisms of change in an emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder . Behaviour Research and Therapy, 65 , 29-35. Sahlin, H., Bjureberg, J., Gratz, K. L., Tull, M. T., Hedman, E., Bjarehed, J., Jokinen, J., Lundh, L., Ljotsson, B., & Hellner, C. (2017). Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design . BMJ Open, 7 (10), e016220. 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

  • Treatment for Self-Injurious Behaviors (T-SIB)

    Peggy Andover, PhD, from Fordham University talks us through the Treatment for Self-Injurious Behaviors (T-SIB) intervention for nonsuicidal self-injury and self-harm. Season 1 | Episode 10 Podcast/ Season 1 | Episode 10 Treatment for Self-Injurious Behaviors (T-SIB) Apr 9, 2021 with Dr. Peggy Andover Treatment for Self-Injurious Behaviors (T-SIB) with Dr. Peggy Andover 00:00 / 01:04 A lot of therapies address the context in which nonsuicidal self-injury (NSSI) and self-harm may occur, but only a few treatments have been designed to address NSSI specifically. In this episode, we dive into one of these treatments: Treatment for Self-Injurious Behaviors (T-SIB). Dr. Peggy Andover, its lead developer, walks us through the 9 sessions of T-SIB, including the personalized modules of sessions 7 & 8. Learn more about Dr. Andover and her work in the Mood and Behaviors Lab at https://www.fordham.edu/info/23638/mood_and_behaviors_lab and reach her at andover@fordham.edu . Follow her on Twitter @DrPeggyAndover . Below are links to some of her research and the resources referenced in this episode: Moderators of treatment response to an intervention for nonsuicidal self-injury in young adults (2020) An intervention for nonsuicidal self-injury in young adults: A pilot randomized controlled trial (2017) Development of an intervention for nonsuicidal self-injury in young adults: An open pilot trial (2015) Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). Previous Next

  • International Society for the Study of Self-Injury | ISSS

    We are an international collaboration of clinicians, researchers, students, and passionate community members dedicated to improving the lives of individuals impacted by non-suicidal self-injury (NSSI). Welcome The International Society for the Study of Self-Injury We are an international collaboration of experienced clinicians, exp ert researchers, students, and passionate community members dedicated to improving the lives of individuals impacted by nonsuicidal self-injury (NSSI). Through four primary goals, we aim to foster well-being and stamp out stigma: 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.

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© International Society for the Study of Self-Injury 2026

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