What is important to the decision to disclose nonsuicidal self‐injury in formal and social contexts?

Objective Disclosure of nonsuicidal self‐injury (NSSI) is associated with a range of both positive (e.g., help‐seeking) and negative (e.g., discrimination) outcomes. The aim of this study was to assess the importance of a range of factors concerned with: NSSI experiences, self‐efficacy to disclose s...

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Bibliographic Details
Published in:Journal of clinical psychology Vol. 79; no. 8; pp. 1816 - 1825
Main Authors: Mirichlis, Sylvanna, Boyes, Mark, Hasking, Penelope, Lewis, Stephen P.
Format: Journal Article
Language:English
Published: United States Wiley Periodicals Inc 01.08.2023
John Wiley and Sons Inc
Subjects:
Decisions
Disclosure
Discrimination
Efficacy
Friends
Help seeking behavior
Humans
Injuries
Insight
Interpersonal factors
Interpersonal relations
Medical personnel
nonsuicidal self‐injury disclosure
Professionals
Quality
Relatives
Self destructive behavior
Self-Injurious Behavior
self‐injury disclosure
Significant others
Social Environment
Social Support
Variance analysis
voluntary self‐disclosure
self-injury disclosure
nonsuicidal self-injury disclosure
voluntary self-disclosure
ISSN:0021-9762, 1097-4679, 1097-4679
Online Access:Get full text
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Summary:Objective Disclosure of nonsuicidal self‐injury (NSSI) is associated with a range of both positive (e.g., help‐seeking) and negative (e.g., discrimination) outcomes. The aim of this study was to assess the importance of a range of factors concerned with: NSSI experiences, self‐efficacy to disclose self‐injury, interpersonal factors, and reasons for or expectations of disclosure, to the decision to disclose self‐injury to friends, family members, significant others, and health professionals. Methods Three hundred seventy‐one participants with lived experience of NSSI completed a survey in which they rated the importance of the aforementioned factors to the decision of whether to disclose NSSI to different people. A mixed‐model analysis of variance was conducted to investigate whether the factors differed in importance and if this importance differed across relationship types. Results All factors held importance, though to differing degrees, with those related to relationship quality being most important overall. Generally, factors relating to tangible aid were considered more important when considering disclosure to health professionals than to other people. Conversely, interpersonal factors, particularly trust, were more important when disclosing to individuals in social or personal relationships. Conclusion The findings provide preliminary insight into how different considerations may be prioritized when navigating NSSI disclosure, in a way that may be tailored to different contexts. For clinicians, the findings highlight that clients may expect tangible forms of support and nonjudgment in the event that they disclose their self‐injury in this formal setting.
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ISSN:0021-9762
1097-4679
1097-4679
DOI:10.1002/jclp.23503