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Resisting Urges to Self-Injure

  • E. David Klonsky (a1) and Catherine R. Glenn (a1)

The present study explored whether and how self-injurers attempt to resist urges to harm themselves. Participants were 39 young adults with a history of skin cutting and other non-suicidal self-injurious behaviors. A structured interview assessed the prevalence and perceived helpfulness of 48 methods for resisting self-injurious urges. Ninety percent of participants indicated that they had made efforts to resist urges to self-injure. These individuals had used an average of 16 different methods, and reported that they were successful in resisting the urges most of the time. “Keeping busy” and “Being around friends” were the most common methods used to resist self-injurious urges. However, “Doing sports or exercise” and “Removing the means/instruments typically used to self-harm from the home” were rated as being the most helpful for resisting self-injurious urges. Findings have implications for enhancing treatment and guiding future research.

Corresponding author
Reprint requests to E. David Klonsky, Department of Psychology, Stony Brook University, Stony Brook, New York 11794-2500, USA. E-mail:
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Andover, M. S., Pepper, C. M., Ryabchenko, K. A., Orrico, E. G. and Gibb, B. E. (2005). Self-mutilation and symptoms of depression, anxiety, and borderline personality disorder. Suicide and Life-Threatening Behavior, 35, 581591.
Briere, J. and Gil, E. (1998). Self-mutilation in clinical and general population samples: prevalence, correlates, and functions. American Journal of Orthopsychiatry, 68, 609620.
Brown, M. (1998). Self-Mutilation, Treatment Research Symposium: the behavioral treatment of self-mutilation. Proceedings of the XVI Congress of the World Association for Social Psychiatry, 1998, Vancouver B.C., Canada.
Brown, M., Comtois, K. A. and Linehan, M. M. (2002). Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder. Journal of Abnormal Psychology, 111, 198202.
Carroll, J., Schaffer, C., Spensley, J. and Abramowitz, S. I. (1980). Family experiences of self-mutilating patients. American Journal of Psychiatry, 137, 852853.
Claes, L., Vandereycken, W. and Vertommen, H. (2007). Self-injury in female versus male psychiatric patients: a comparison of characteristics, psychopathology and aggression regulation. Personality and Individual Differences, 42, 611621.
Darche, M. A. (1990). Psychological factors differentiating self-mutilating and non-self-mutilating adolescent inpatient females. The Psychiatric Hospital, 21, 3135.
DiClemente, R. J., Ponton, L. E. and Hartley, D. (1991). Prevalence and correlates of cutting behavior: risk for HIV transmission. Journal of the American Academy of Child and Adolescent Psychiatry, 151, 13051311.
Evren, C. and Evren, B. (2005). Self-mutilation in substance-dependent patients and relationship with childhood abuse and neglect, alexithymia, and temperament and character dimensions of personality. Drug and Alcohol Dependence, 80, 1522.
Favazza, A. R., DeRosear, L. and Conterio, K. (1989). Self-mutilation and eating disorders. Suicide and Life-Threatening Behavior, 19, 352361.
Gratz, K. L. (2001). Measurement of deliberate self-harm: preliminary data on the Deliberate Self-Harm Inventory. Journal of Psychopathology and Behavioral Assessment, 23, 253263.
Gratz, K. L. (2006). Risk factors for deliberate self-harm among female college students: the role and interaction of childhood maltreatment, emotional inexpressivity, and affect intensity/reactivity. American Journal of Orthopsychiatry, 76, 238250.
Gratz, K. L. and Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior Therapy, 37, 2535.
Hawton, K., Rodham, K., Evans, E. and Weatherall, R. (2002). Deliberate self harm in adolescents: self report survey in schools in England. British Medical Journal, 325, 12071211.
Herpertz, S. (1995). Self-injurious behavior: psychopathological and nosological characteristics in subtypes of self-injurers. Acta Psychiatrica Scandinavia, 91, 5768.
Hilt, L. M., Nock, M. K., Lloyd-Richardson, E. E. and Prinstein, M. J. (in press). Longitudinal study of non-suicidal self-injury among young adolescents: rates, correlates, and preliminary test of an interpersonal model. Journal of Early Adolescence.
Klonsky, E. D. (2007). The functions of deliberate self-injury: a review of the evidence. Clinical Psychology Review, 27, 226239.
Klonsky, E. D. and Moyer, A. (in press). Childhood sexual abuse and non-suicidal self-injury: meta-analysis. British Journal of Psychiatry.
Klonsky, E. D. and Olino, T. M. (in press). Identifying clinically distinct subgroups of self-injurers among young adults: a latent class analysis. Journal of Consulting and Clinical Psychology.
Klonsky, E. D., Oltmanns, T. F. and Turkheimer, E. (2003). Deliberate self-harm in a nonclinical population: prevalence and psychological correlates. American Journal of Psychiatry, 160, 15011508.
Koerner, K. and Dimeff, L. A. (2000). Further data on dialectical behavior therapy. Clinical Psychology: Science and Practice, 7, 104112.
Laye-Gindhu, A. and Schonert-Reichl, K. A. (2005). Nonsuicidal self-harm among community adolescents: understanding the “whats” and “whys” of self-harm. Journal of Youth and Adolescence, 34, 447457.
Linehan, M. (1993). Cognitive-Behavioral Therapy for Borderline Personality Disorder. New York: Guilford Press.
Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D. and Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 10601064.
Linehan, M. M., Comtois, K. A., Murray, M. A., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K. and Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs. therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63, 757766.
Linehan, M. M., Heard, H. L. and Armstrong, H. E. (1993). Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients. Archives of General Psychiatry, 50, 971974.
Muehlenkamp, J. J. and Gutierrez, P. M. (2004). An investigation of differences between self-injurious behavior and suicide attempts in a sample of adolescents. Suicide and Life-Threatening Behavior, 34, 1223.
Nock, M. K. and Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72, 885890.
Nock, M. K. and Prinstein, M. J. (2005). Contextual features and behavioral functions of self-mutilation among adolescents. Journal of Abnormal Psychology, 114, 140146.
Rodham, K., Hawton, K. and Evans, E. (2004). Reasons for deliberate self-harm: comparison of self-poisoners and self-cutters in a community sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 8087.
Ross, S. and Heath, N. (2002). A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence, 31, 6777.
Scheel, K. R. (2000). The empirical basis of dialectical behavior therapy: summary, critique, and implications. Clinical Psychology: Science and Practice, 7, 6896.
Stanley, B., Gameroff, M. J., Michalsen, V. and Mann, J. J. (2001). Are suicide attempters who self-mutilate a unique population? American Journal of Psychiatry, 158, 427432.
Swenson, C. R., Torrey, W. C. and Koerner, K. (2002). Implementing dialectical behavior therapy. Psychiatric Services, 53, 171178.
Wallenstein, M. B. and Nock, M. K. (2007). Physical exercise for the treatment of non-suicidal self-injury: evidence from a single-case study. American Journal of Psychiatry, 164, 350351.
Whitlock, J., Eckenrode, J. and Silverman, D. (2006). Self-injurious behaviors in a college population. Pediatrics, 117, 19391948.
Zlotnick, C., Mattia, J. I. and Zimmerman, M. (1999). Clinical correlates of self-mutilation in a sample of general psychiatric patients. Journal of Nervous Mental Disease, 187, 296301.
Zoroglu, S. S., Tuzun, U., Sar, V., Tutkun, H., Savas, H. A., Ozturk, M., Alyanak, B. and Kora, M. E. (2003). Suicide attempt and self-mutilation among Turkish high school students in relation with abuse, neglect, and dissociation. Psychiatry and Clinical Neurosciences, 57, 119126.
Zweig-Frank, H., Paris, J. and Guzder, J. (1994). Psychological risk factors for dissociation and self-mutilation in female patients with borderline personality disorder. Canadian Journal of Psychiatry, 39, 259264.
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Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
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