H. Andersson, L. Korhonen, K. Holmqvist Larsson, B. M. Gustafsson, M. Zetterqvist
{"title":"探索具有非自杀性自我伤害生活经历的个体从青春期到青年期的戒断过程：一项定性研究。","authors":"H. Andersson, L. Korhonen, K. Holmqvist Larsson, B. M. Gustafsson, M. Zetterqvist","doi":"10.1002/jad.12417","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Nonsuicidal self-injury (NSSI) is a common and concerning behavior in adolescents. However, most adolescents cease NSSI as they transition into adulthood. Increased knowledge of the cessation process is needed. This study aimed to qualitatively explore the factors contributing to NSSI cessation in individuals with lived experience of NSSI, providing valuable insights for treatment strategies.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Twenty-six individuals assigned female sex at birth, between ages 20–22 years, from Sweden were interviewed between 2021 and 2023 in Linköping, Sweden. Of these, 21 individuals perceived themselves as having ceased NSSI and were included in the analysis. Thematic analysis and Hooley and Franklins' Benefits and Barriers Model of NSSI were used to analyze the transcripts.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Three overarching themes were generated: “Something inside me changed”, “Something in my close relationships changed”, and “Something in my life context changed”. The cessation of NSSI was associated with several key factors. Improved well-being and envisioning a different future were pivotal in initiating the cessation process. Additionally, interpersonal relationships and support from others were interpreted as powerful motivators for change. Transitioning to a new social context and leaving behind a destructive environment provided opportunities for personal growth and enhanced well-being, interpreted as initiators in the participants' broader life context.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>This study underscores the complexity of the NSSI cessation process and highlights the need for a comprehensive understanding of the underlying factors. Access to emotion regulation skills was perceived as a significant barrier to NSSI engagement. Clinical implications and different interventions to support NSSI cessation are discussed.</p>\n </section>\n </div>","PeriodicalId":48397,"journal":{"name":"Journal of Adolescence","volume":"97 1","pages":"263-277"},"PeriodicalIF":3.0000,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jad.12417","citationCount":"0","resultStr":"{\"title\":\"Exploring the cessation process from adolescence to young adulthood in individuals with lived experience of nonsuicidal self-injury: a qualitative study\",\"authors\":\"H. Andersson, L. Korhonen, K. Holmqvist Larsson, B. M. Gustafsson, M. Zetterqvist\",\"doi\":\"10.1002/jad.12417\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>Nonsuicidal self-injury (NSSI) is a common and concerning behavior in adolescents. 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Exploring the cessation process from adolescence to young adulthood in individuals with lived experience of nonsuicidal self-injury: a qualitative study
Introduction
Nonsuicidal self-injury (NSSI) is a common and concerning behavior in adolescents. However, most adolescents cease NSSI as they transition into adulthood. Increased knowledge of the cessation process is needed. This study aimed to qualitatively explore the factors contributing to NSSI cessation in individuals with lived experience of NSSI, providing valuable insights for treatment strategies.
Methods
Twenty-six individuals assigned female sex at birth, between ages 20–22 years, from Sweden were interviewed between 2021 and 2023 in Linköping, Sweden. Of these, 21 individuals perceived themselves as having ceased NSSI and were included in the analysis. Thematic analysis and Hooley and Franklins' Benefits and Barriers Model of NSSI were used to analyze the transcripts.
Results
Three overarching themes were generated: “Something inside me changed”, “Something in my close relationships changed”, and “Something in my life context changed”. The cessation of NSSI was associated with several key factors. Improved well-being and envisioning a different future were pivotal in initiating the cessation process. Additionally, interpersonal relationships and support from others were interpreted as powerful motivators for change. Transitioning to a new social context and leaving behind a destructive environment provided opportunities for personal growth and enhanced well-being, interpreted as initiators in the participants' broader life context.
Conclusion
This study underscores the complexity of the NSSI cessation process and highlights the need for a comprehensive understanding of the underlying factors. Access to emotion regulation skills was perceived as a significant barrier to NSSI engagement. Clinical implications and different interventions to support NSSI cessation are discussed.
期刊介绍：
The Journal of Adolescence is an international, broad based, cross-disciplinary journal that addresses issues of professional and academic importance concerning development between puberty and the attainment of adult status within society. It provides a forum for all who are concerned with the nature of adolescence, whether involved in teaching, research, guidance, counseling, treatment, or other services. The aim of the journal is to encourage research and foster good practice through publishing both empirical and clinical studies as well as integrative reviews and theoretical advances.
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