Does the decision to disclose non-suicidal self-injury align with decision-making frameworks of personal information disclosure? A directed content analysis

Non-suicidal self-injury (NSSI) is the deliberate damage caused to one's own body tissue, without the intent to die. Voluntary disclosure of one's NSSI can catalyze help-seeking and provision of support, although what informs the decision to disclose NSSI is not yet well understood. There...

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Published inQualitative research in medicine & healthcare Vol. 8; no. Suppl 1; p. 12318
Main Authors Mirichlis, Sylvanna, Hasking, Penelope, Boyes, Mark, Lewis, Stephen P, Hon, Kassandra
Format Journal Article
LanguageEnglish
Published Italy PAGEPress Publications, Pavia, Italy 09.09.2024
Subjects
Special Issue “Lived Experience Views of Non-Suicidal Self-Injury”
self-injury
disclosure
NSSI
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Summary:Non-suicidal self-injury (NSSI) is the deliberate damage caused to one's own body tissue, without the intent to die. Voluntary disclosure of one's NSSI can catalyze help-seeking and provision of support, although what informs the decision to disclose NSSI is not yet well understood. There is currently no existing framework specific to the process of NSSI disclosure, and the aim of this study was to assess the fit between factors involved in the decision to disclose NSSI and two broader frameworks of disclosure: the Disclosure Decision-Making and Disclosure Processes models. A directed content analysis was used to code interview transcripts from 15 participants, all of whom were university students aged between 18 and 25 ( = 20.33, = 1.88), with 11 identifying as female. All participants had lived experience of NSSI which they had previously disclosed to at least one other person. All codes within the coding matrix, which were informed by the disclosure models, were identified as being present in the data. Of the 229 units of data, 95.63% were captured in the existing frameworks with only 10 instances being unique to NSSI disclosure. Though factors that inform the decision to disclose NSSI largely align with the aforementioned models of disclosure, there are aspects of disclosure decision-making that may be specific to NSSI.
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Ethics approval: The Ethics Committee of Curtin University approved this study (HRE2021-0241). The study conforms with the Helsinki Declaration of 1964, as revised in 2013, concerning human and animal rights.
Patient consent for publication: Written informed consent was obtained from a legally authorized representative(s) for anonymized patient information to be published in this article.
Informed consent: All patients participating in this study signed a written informed consent form for participating in this study.
Publisher’s note: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Conflict of interest: PH and SPL are co-editors for the Lived Experience Views of Non-Suicidal Self-Injury special issue. Mark Boyes is supported by the National Health and Medical Research Council, Australia (Investigator Grant 1173043).
ISSN:2532-2044
2532-2044
DOI:10.4081/qrmh.2024.12318