The functions of nonsuicidal self-injury: Converging evidence for a two-factor structure
Genre
Journal ArticleDate
2015-09-28Author
Klonsky, EDGlenn, CR
Styer, DM
Olino, TM
Washburn, JJ
Subject
1117 Public Health and Health ServicesPopulation & Society
Injury (total) Accidents/Adverse Effects
Behavioral and Social Science
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http://hdl.handle.net/20.500.12613/5191
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Show full item recordDOI
10.1186/s13034-015-0073-4Abstract
© 2015 Klonsky et al. Research has identified more than a dozen functions of non-suicidal self-injury (NSI), but the conceptual and empirical overlap among these functions remains unclear. The present study examined the structure of NSI functions in two large samples of patients receiving acute-care treatment for NSI. Two different measures of NSI functions were utilized to maximize generalizability of findings: one sample (n = 946) was administered the Inventory of Statements About Self-injury (ISAS; Klonsky and Glenn in J Psychopathol Behav Assess 31:215-219, 2009), and a second sample (n = 211) was administered the Functional Assessment of Self-Mutilation (FASM; Lloyd et al. in Self-mutilation in a community sample of adolescents: descriptive characteristics and provisional prevalence rates. Poster session at the annual meeting of the Society for Behavioral Medicine, New Orleans, LA, 1997). Exploratory factor analyses revealed that both measures exhibited a robust two-factor structure: one factor represented Intrapersonal functions, such as affect regulation and anti-dissociation, and a second factor represented Social functions, such as interpersonal influence and peer bonding. In support of the two-factor structure's construct validity, the factors exhibited a pattern of correlations with indicators of NSI severity that was consistent with past research and theory. Findings have important implications for theory, research, and treatment. In particular, the two-factor framework should guide clinical assessment, as well as future research on the implications of NSI functions for course, prognosis, treatment, and suicide risk.Citation to related work
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