Background This study aimed to examine differences in nonsuicidal self-injury (NSSI) depending on the presence of suicidal self-injury, such as suicidal ideation or suicide attempts. It also explored patterns of change in self-harm motivation during the initiation and maintenance of NSSI, based on the Benefits and Barriers Model of NSSI.
Methods A total of 300 adults completed the Self-Injurious Thoughts and Behaviors Interview, Inventory of Statements about Self-Injury, Difficulties in Emotion Regulation Scale, Trait Meta-Mood Scale, Depressive Experiences Questionnaire, Capability for Suicide Questionnaire, and the Interpersonal Needs Questionnaire. Group differences were analyzed.
Results Individuals in the NSSI with suicide attempt group showed significantly higher motivations related to affect regulation, self-punishment, communication, and interpersonal needs. In contrast, the NSSI-only group exhibited significantly lower levels of emotion dysregulation, interpersonal needs, and self-criticism. Additionally, compared to the middle- and high-frequency NSSI groups, the low-frequency group reported stronger motivations related to peer bonding, interpersonal influence, and the toughness function.
Conclusions These findings suggest that the Benefits and Barriers Model of NSSI is useful for understanding the relationship between nonsuicidal and suicidal self-injury, as well as the motivational processes involved in the maintenance of NSSI.
Background This study examined the impact of adolescents’ daily life stress on non-suicidal self-injury among adolescents, focusing on the mediating role of anxiety and the moderated mediating effect of anxiety by household type (two-parent vs. single-parent households).
Methods This study utilized data from the Korean Teenagers’ Mental Health Study, conducted by the National Youth Policy Institute and applied the PROCESS macro method for analysis.
Results First, daily life stress significantly increased the likelihood of non-suicidal self-injury among adolescents. Second, anxiety played a full mediating role. Third, no significant difference was observed in the direct impact of daily life stress on non-suicidal self-injury between adolescents from two-parent and single-parent households. Fourth, the mediating effect of anxiety on the relationship between daily life stress and non-suicidal self-injury was more pronounced among adolescents in single-parent households than those in two-parent households.
Conclusions The findings highlight the need for tailored interventions to deal with non-suicidal self-injuries among adolescents, particularly in the context of household type.
Citations
Citations to this article as recorded by
The Influence of Attention-Deficit/Hyperactivity on School Adjustment among Adolescents: Focusing on the Moderated Mediation Effect of Depression by Household Economic Status RaeHyuck Lee STRESS.2025; 33(1): 13. CrossRef