Ammerman Brooke A, Wilcox Kenneth T, O'Loughlin Caitlin M, McCloskey Michael S
Department of Psychology, University of Notre Dame, Notre Dame, Indiana, USA.
Department of Psychology, Temple University, Philadelphia, Pennsylvania, USA.
J Clin Psychol. 2021 Mar;77(3):683-700. doi: 10.1002/jclp.23045. Epub 2020 Sep 1.
Despite nonsuicidal self-injury (NSSI) being a prevalent and problematic behavior, only approximately half of those who engage in NSSI disclose their behavior. Yet, limited research has explored the choice to disclose. This study sought to identify if NSSI characteristics, emotional distress, and perceived interpersonal obstacles discriminated between NSSI disclosure status. Exploratory aims also investigated reasons for one's disclosure decision and disclosure contextual factors.
Participants included 977 undergraduate students (83% female) with a lifetime history of NSSI.
Greater NSSI intrapersonal functions, suicide risk, and significant other support, and lower depression symptoms were associated with NSSI disclosure. Exploratory results highlight perceptions of one's NSSI severity and desire to receive support in disclosure choice; intrapersonal functions and peer support were associated with the timing of disclosure.
Findings underscore the potential importance of individual attitudes toward NSSI, in addition to traditionally measured risk factors, as potential drivers in NSSI disclosure.
尽管非自杀性自伤行为（NSSI）普遍存在且成问题，但仅有约一半有此行为的人会透露自己的行为。然而，对透露行为选择的研究有限。本研究旨在确定非自杀性自伤行为的特征、情绪困扰和感知到的人际障碍是否能区分非自杀性自伤行为的透露状态。探索性目标还调查了透露决定的原因和透露的背景因素。
参与者包括977名有非自杀性自伤行为终生史的本科生（83%为女性）。
更高的非自杀性自伤行为的个人功能、自杀风险、重要他人支持以及更低的抑郁症状与非自杀性自伤行为的透露有关。探索性结果突出了对自身非自杀性自伤行为严重程度的认知以及在透露选择中获得支持的愿望；个人功能和同伴支持与透露的时机有关。
研究结果强调了除传统测量的风险因素外，个人对非自杀性自伤行为的态度作为非自杀性自伤行为透露潜在驱动因素的潜在重要性。
