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Processes of Change and Nonsuicidal Self-Injury: A Qualitative Interview Study With Individuals at Various Stages of Change
Nonsuicidal self-injury (NSSI) is a pervasive and potentially lethal behavior that affects many youth and adolescents. Effective treatment and prevention efforts are critical but often lack a nuanced understanding of the behavior change process. To address this gap, this research employs a stage of...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6558546/ https://www.ncbi.nlm.nih.gov/pubmed/31218241 http://dx.doi.org/10.1177/2333393619852935 |
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author | Kruzan, Kaylee Payne Whitlock, Janis |
author_facet | Kruzan, Kaylee Payne Whitlock, Janis |
author_sort | Kruzan, Kaylee Payne |
collection | PubMed |
description | Nonsuicidal self-injury (NSSI) is a pervasive and potentially lethal behavior that affects many youth and adolescents. Effective treatment and prevention efforts are critical but often lack a nuanced understanding of the behavior change process. To address this gap, this research employs a stage of change model to identify and understand the most salient and widespread processes that facilitate NSSI behavior change. Thirty-one semi-structured interviews were conducted with individuals with current or past self-injury. Individuals were recruited to represent all stages of change including those who have not thought about changing behavior to those who have been NSSI-free for years. We employ a directed content analysis to code for dimensions derived from the model and an inductive approach to surface more nuanced change levers. Four organizing dimensions emerged: relational, behavioral, self-knowledge, and barriers. Common change levers of value in clinical practice or in intervention modalities are discussed. |
format | Online Article Text |
id | pubmed-6558546 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-65585462019-06-19 Processes of Change and Nonsuicidal Self-Injury: A Qualitative Interview Study With Individuals at Various Stages of Change Kruzan, Kaylee Payne Whitlock, Janis Glob Qual Nurs Res Single-Method Research Article Nonsuicidal self-injury (NSSI) is a pervasive and potentially lethal behavior that affects many youth and adolescents. Effective treatment and prevention efforts are critical but often lack a nuanced understanding of the behavior change process. To address this gap, this research employs a stage of change model to identify and understand the most salient and widespread processes that facilitate NSSI behavior change. Thirty-one semi-structured interviews were conducted with individuals with current or past self-injury. Individuals were recruited to represent all stages of change including those who have not thought about changing behavior to those who have been NSSI-free for years. We employ a directed content analysis to code for dimensions derived from the model and an inductive approach to surface more nuanced change levers. Four organizing dimensions emerged: relational, behavioral, self-knowledge, and barriers. Common change levers of value in clinical practice or in intervention modalities are discussed. SAGE Publications 2019-06-10 /pmc/articles/PMC6558546/ /pubmed/31218241 http://dx.doi.org/10.1177/2333393619852935 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Single-Method Research Article Kruzan, Kaylee Payne Whitlock, Janis Processes of Change and Nonsuicidal Self-Injury: A Qualitative Interview Study With Individuals at Various Stages of Change |
title | Processes of Change and Nonsuicidal Self-Injury: A Qualitative
Interview Study With Individuals at Various Stages of Change |
title_full | Processes of Change and Nonsuicidal Self-Injury: A Qualitative
Interview Study With Individuals at Various Stages of Change |
title_fullStr | Processes of Change and Nonsuicidal Self-Injury: A Qualitative
Interview Study With Individuals at Various Stages of Change |
title_full_unstemmed | Processes of Change and Nonsuicidal Self-Injury: A Qualitative
Interview Study With Individuals at Various Stages of Change |
title_short | Processes of Change and Nonsuicidal Self-Injury: A Qualitative
Interview Study With Individuals at Various Stages of Change |
title_sort | processes of change and nonsuicidal self-injury: a qualitative
interview study with individuals at various stages of change |
topic | Single-Method Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6558546/ https://www.ncbi.nlm.nih.gov/pubmed/31218241 http://dx.doi.org/10.1177/2333393619852935 |
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