Lewis Stephen P, Bryant Lindsay A, Schaefer Brittany M, Grunberg Paul H
Department of Psychology, University of Guelph, Guelph, Ontario, Canada.
J Nerv Ment Dis. 2017 Oct;205(10):771-779. doi: 10.1097/NMD.0000000000000733.
Nonsuicidal self-injury (NSSI) is included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a condition warranting further study. Although potential advantages and disadvantages regarding this prospect have been documented, no study has examined the perspectives of those who self-injure. The goal of the current study was to give voice to these views. Seventy-six participants with an NSSI history completed quantitative and qualitative measures assessing perspectives about NSSI being included as a DSM disorder. Findings revealed mixed views overall. Thematic analysis of open-ended responses highlighted several unique advantages (i.e., enhanced understanding of NSSI, validation of the NSSI experience, facilitation of NSSI treatment, encouragement of NSSI help-seeking, reduction of NSSI stigma) and disadvantages (i.e., exacerbation of NSSI stigma, diminishment of underlying concerns). These findings speak to the need to consider the perceptions of those with lived NSSI experience; future directions and implications are discussed.
非自杀性自伤行为（NSSI）被纳入《精神疾病诊断与统计手册》（DSM - 5），作为一项有待进一步研究的病症。尽管关于这一前景的潜在利弊已有记载，但尚无研究探讨过自伤行为者的观点。本研究的目的是表达这些观点。76名有NSSI病史的参与者完成了定量和定性测量，以评估将NSSI纳入DSM疾病的观点。研究结果总体上显示出不同的观点。对开放式回答的主题分析突出了几个独特的优点（即增强对NSSI的理解、对NSSI经历的认可、促进NSSI治疗、鼓励寻求NSSI帮助、减少NSSI污名化）和缺点（即加剧NSSI污名化、减少潜在担忧）。这些发现表明有必要考虑有NSSI实际经历者的看法；文中还讨论了未来的方向和影响。
