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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| Vydáno v: | Journal of clinical psychology Ročník 79; číslo 8; s. 1816 - 1825 |
|---|---|
| Hlavní autoři: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
Wiley Periodicals Inc
01.08.2023
John Wiley and Sons Inc |
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| ISSN: | 0021-9762, 1097-4679, 1097-4679 |
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| Abstract | 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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| AbstractList | 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.
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.
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.
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. 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. ObjectiveDisclosure 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.MethodsThree 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.ResultsAll 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.ConclusionThe 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. 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.OBJECTIVEDisclosure 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.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.METHODSThree 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.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.RESULTSAll 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.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.CONCLUSIONThe 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. |
| Author | Mirichlis, Sylvanna Lewis, Stephen P. Boyes, Mark Hasking, Penelope |
| AuthorAffiliation | 2 Curtin enAble Institute, Faculty of Health Sciences Curtin University Perth Australia 3 Department of Psychology University of Guelph Guelph Canada 1 Discipline of Psychology, School of Population Health Curtin University Perth Australia |
| AuthorAffiliation_xml | – name: 3 Department of Psychology University of Guelph Guelph Canada – name: 1 Discipline of Psychology, School of Population Health Curtin University Perth Australia – name: 2 Curtin enAble Institute, Faculty of Health Sciences Curtin University Perth Australia |
| Author_xml | – sequence: 1 givenname: Sylvanna orcidid: 0000-0002-8525-4872 surname: Mirichlis fullname: Mirichlis, Sylvanna organization: Curtin University – sequence: 2 givenname: Mark orcidid: 0000-0001-5420-8606 surname: Boyes fullname: Boyes, Mark email: Mark.Boyes@curtin.edu.au organization: Curtin University – sequence: 3 givenname: Penelope orcidid: 0000-0002-0172-9288 surname: Hasking fullname: Hasking, Penelope organization: Curtin University – sequence: 4 givenname: Stephen P. surname: Lewis fullname: Lewis, Stephen P. organization: University of Guelph |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36872900$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1007/s10862-008-9107-z 10.1176/appi.ps.201800488 10.1177/1073191120903081 10.1016/j.jadohealth.2012.09.010 10.1108/JPMH-07-2021-0089 10.1080/09515070.2018.1489220 10.1176/appi.ps.202000396 10.1111/sltb.12070 10.1017/S0033291721002245 10.1016/j.jad.2017.11.073 10.1027/0227-5910/a000346 10.1186/s12889-015-2383-0 10.1002/jclp.22713 10.1037/a0018193 10.1002/casp.2478 10.1002/casp.2190 10.3945/ajcn.115.113548 10.1016/j.cpr.2020.101907 10.1177/1073191111411669 10.1002/jclp.23277 10.1037/0022-006X.76.1.22 10.1177/070674371405901101 10.0180/14461242.2017.1375862 |
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| Keywords | self-injury disclosure nonsuicidal self-injury disclosure voluntary self-disclosure |
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Disclosure of nonsuicidal self‐injury (NSSI) is associated with a range of both positive (e.g., help‐seeking) and negative (e.g., discrimination)... 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... ObjectiveDisclosure of nonsuicidal self‐injury (NSSI) is associated with a range of both positive (e.g., help‐seeking) and negative (e.g., discrimination)... |
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| SubjectTerms | 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 |
| Title | What is important to the decision to disclose nonsuicidal self‐injury in formal and social contexts? |
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