The Dynamics of Pain During Nonsuicidal Self-Injury

The experience of pain during nonsuicidal self-injury (NSSI) remains enigmatic. Ultimately, there is a dearth of evidence regarding whether pain is actually experienced during NSSI behavior and, if it is, to what extent that pain offsets following cessation of the NSSI episode. Using a smartphone ap...

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Published inClinical psychological science Vol. 7; no. 2; pp. 302 - 320
Main Authors Selby, Edward A., Kranzler, Amy, Lindqvist, Janne, Fehling, Kara B., Brillante, Julia, Yuan, Fengpeng, Gao, Xianyi, Miller, Alec L.
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.03.2019
Subjects
emotion regulation
self-injury
adolescent
pain
self-harm
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Summary:The experience of pain during nonsuicidal self-injury (NSSI) remains enigmatic. Ultimately, there is a dearth of evidence regarding whether pain is actually experienced during NSSI behavior and, if it is, to what extent that pain offsets following cessation of the NSSI episode. Using a smartphone app to collect information on self-injury episodes reported by adolescents and young adults in their daily lives, we found that across 143 NSSI episodes comprising 442 NSSI behaviors, most participants reported feeling significant and substantial pain onset during most NSSI episodes. A small effect was established for pain offset, with pain diminishing somewhat for most at NSSI completion. Furthermore, those who had higher negative emotion at the start of NSSI episodes but experienced less pain onset reported more NSSI behaviors during such episodes. The evidence supports a dynamic experience of pain during self-injury that can vary between people and episodes.
ISSN:2167-7026
2167-7034
DOI:10.1177/2167702618807147