Getting "clean" from nonsuicidal self-injury: Experiences of addiction on the subreddit r/selfharm.
addiction
language
reddit
self-harm
self-injury
social media
Journal
Journal of behavioral addictions
ISSN: 2063-5303
Titre abrégé: J Behav Addict
Pays: Hungary
ID NLM: 101602037
Informations de publication
Date de publication:
28 Mar 2022
28 Mar 2022
Historique:
received:
16
09
2021
revised:
21
01
2022
accepted:
27
02
2022
pubmed:
22
3
2022
medline:
31
3
2022
entrez:
21
3
2022
Statut:
epublish
Résumé
Previous studies have shown that nonsuicidal self-injury (NSSI) has addictive features, and an addiction model of NSSI has been considered. Addictive features have been associated with severity of NSSI and adverse psychological experiences. Yet, there is debate over the extent to which NSSI and substance use disorders (SUDs) are similar experientially. To evaluate the extent that people who self-injure experience NSSI like an addiction, we coded the posts of users of the subreddit r/selfharm (n = 500) for each of 11 DSM-5 SUD criteria adapted to NSSI. A majority (76.8%) of users endorsed at least two adapted SUD criteria in their posts, indicative of mild, moderate, or severe addiction. The most frequently endorsed criteria were urges or cravings (67.6%), escalating severity or tolerance (46.7%), and NSSI that is particularly hazardous. User-level addictive features positively predicted number of methods used for NSSI, number of psychiatric disorders, and particularly hazardous NSSI, but not suicidality. We also observed frequent use of language and concepts common in SUD recovery circles like Alcoholics Anonymous. Our findings support previous work describing the addiction potential of NSSI and associating addictive features with clinical severity. These results suggest that NSSI and SUD may share experiential similarities, which has implications for the treatment of NSSI. We also contribute to a growing body of work that uses social media as a window into the subjective experiences of stigmatized populations.
Sections du résumé
Background & Aims
UNASSIGNED
Previous studies have shown that nonsuicidal self-injury (NSSI) has addictive features, and an addiction model of NSSI has been considered. Addictive features have been associated with severity of NSSI and adverse psychological experiences. Yet, there is debate over the extent to which NSSI and substance use disorders (SUDs) are similar experientially.
Methods
UNASSIGNED
To evaluate the extent that people who self-injure experience NSSI like an addiction, we coded the posts of users of the subreddit r/selfharm (n = 500) for each of 11 DSM-5 SUD criteria adapted to NSSI.
Results
UNASSIGNED
A majority (76.8%) of users endorsed at least two adapted SUD criteria in their posts, indicative of mild, moderate, or severe addiction. The most frequently endorsed criteria were urges or cravings (67.6%), escalating severity or tolerance (46.7%), and NSSI that is particularly hazardous. User-level addictive features positively predicted number of methods used for NSSI, number of psychiatric disorders, and particularly hazardous NSSI, but not suicidality. We also observed frequent use of language and concepts common in SUD recovery circles like Alcoholics Anonymous.
Discussion & Conclusion
UNASSIGNED
Our findings support previous work describing the addiction potential of NSSI and associating addictive features with clinical severity. These results suggest that NSSI and SUD may share experiential similarities, which has implications for the treatment of NSSI. We also contribute to a growing body of work that uses social media as a window into the subjective experiences of stigmatized populations.
Identifiants
pubmed: 35312631
doi: 10.1556/2006.2022.00005
pmc: PMC9109623
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
128-139Références
Suicide Life Threat Behav. 2014 Jun;44(3):273-303
pubmed: 24422986
J Child Adolesc Psychiatr Nurs. 2013 May;26(2):124-30
pubmed: 23607824
J Nerv Ment Dis. 2012 Jun;200(6):489-91
pubmed: 22652612
AMA J Ethics. 2020 Aug 1;22(1):E702-708
pubmed: 32880359
Drug Alcohol Depend. 2015 Aug 1;153:229-35
pubmed: 26048641
Qual Health Res. 2011 Jun;21(6):830-8
pubmed: 21393618
Cogn Emot. 2003 May;17(3):477-500
pubmed: 29715745
Clin Psychol Rev. 2007 Mar;27(2):226-39
pubmed: 17014942
Int J Environ Res Public Health. 2016 Dec 22;14(1):
pubmed: 28025516
Clin Psychol Rev. 2015 Dec;42:156-67
pubmed: 26416295
Child Adolesc Psychiatry Ment Health. 2015 Jul 08;9:26
pubmed: 26157482
Front Psychiatry. 2016 Feb 01;7:8
pubmed: 26869941
J Consult Clin Psychol. 2004 Oct;72(5):885-90
pubmed: 15482046
Nutrients. 2014 Sep 16;6(9):3653-71
pubmed: 25230209
Dev Psychol. 2006 May;42(3):407-17
pubmed: 16756433
Suicide Life Threat Behav. 2018 Dec;48(6):690-698
pubmed: 28846813
J Med Internet Res. 2013 Dec 20;15(12):e285
pubmed: 24362563
J Am Acad Child Adolesc Psychiatry. 2002 Nov;41(11):1333-41
pubmed: 12410076
Clin Psychol Rev. 2014 Jun;34(4):282-97
pubmed: 24742496
Behav Ther. 2011 Dec;42(4):751-62
pubmed: 22036002
J Consult Clin Psychol. 2020 Jun;88(6):554-569
pubmed: 32105092
Psychol Assess. 2013 Sep;25(3):1013-8
pubmed: 23647037
Eur Child Adolesc Psychiatry. 2009 May;18(5):309-20
pubmed: 19165533
Psychiatry Res. 2012 May 15;197(1-2):73-7
pubmed: 22401975
J Acad Ethics. 2020;18(1):55-70
pubmed: 32435166
Can J Psychiatry. 2014 Nov;59(11):576-85
pubmed: 25565473
BMC Rheumatol. 2020 Nov 26;4(1):62
pubmed: 33292866
J Adolesc Health. 2013 Jul;53(1):40-6
pubmed: 23608520
J Clin Psychol. 2016 Mar;72(3):249-62
pubmed: 26613372
Addiction. 2006 Sep;101 Suppl 1:142-51
pubmed: 16930171
Psychiatry Res. 2018 Jun;264:316-321
pubmed: 29665561
Am J Psychiatry. 2012 Jan;169(1):13-5
pubmed: 22223009
Soc Psychiatry Psychiatr Epidemiol. 2018 Jul;53(7):663-671
pubmed: 29721594
J Psychosoc Nurs Ment Health Serv. 1995 Jun;33(6):36-9
pubmed: 7666387
Subst Abuse Rehabil. 2018 Dec 27;10:1-12
pubmed: 30643480
Psychiatry Res. 2010 Aug 15;178(3):540-4
pubmed: 20580437
Suicide Life Threat Behav. 2007 Aug;37(4):422-30
pubmed: 17896882
Soc Psychiatry Psychiatr Epidemiol. 2015 Feb;50(2):171-82
pubmed: 25563838
Annu Rev Clin Psychol. 2018 May 7;14:399-423
pubmed: 29734827
Biometrics. 1977 Mar;33(1):159-74
pubmed: 843571
Arch Dermatol. 2005 Aug;141(8):963-6
pubmed: 16103324
Clin Psychol Rev. 2015 Apr;37:72-88
pubmed: 25771494
J Addict Dis. 1993;12(3):89-102
pubmed: 8251548
AJOB Neurosci. 2013;4(3):27-32
pubmed: 24693488
J Behav Addict. 2015 Sep;4(3):119-23
pubmed: 26014667
Behav Res Ther. 2006 Mar;44(3):371-94
pubmed: 16446150