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Intrapersonal and Interpersonal Underpinnings:
Kealagh RobinsonYouth Wellbeing Study
Understanding the Psychological Functions of Non-Suicidal Self Injury in Young Adolescents
Non-Suicidal Self-Injury
Self-inflicted and deliberate destruction of bodily tissue
- absence of suicidal intent- not part of cultural practise (e.g. tattooing)
• Internationally, 18% of adolescents will engage in NSSI at least once
• Linked with depression, anxiety and increased risk of suicide
(Nock & Prinstein, 2004; Muehlenkamp, Claes, Havertape, & Plener, 2012; Tuisku et al., 2009)
Psychological Functions
(YWS: Interviews with Guidance Counsellors [working paper]; Muelenkamp 2006; Klonsky & Olino, 2008)
“…what on earth are they doing this for why would they want to hurt themselves …. [sic] I just don’t get it…”
Understanding of the functions that NSSI serves may aid in:
- understanding the development and trajectory - effective assessment and treatment strategies
- assisting support networks
Inventory of Statements About Self-
Injury (ISAS)
39 items: When I self-harm, I am…
… calming myself down
… showing that I am separate from other people
(Klonsky & Glenn, 2009)
0Not relevant
1Somewhat relevant
2Very relevant
Functions identified through literature review and consultation: Affect Regulation Sensation Seeking Marking Distress
Self-Care Autonomy Self-
Punishment
Feeling Generation Toughness Anti-Suicide
Peer Bonding Interpersonal Boundaries Revenge
Interpersonal Influence
Intrapersonal Functions
Affect Regulation
Marking Distress
Self-Punishment
Feeling Generation
Anti-Suicide
(Klonsky & Glenn, 2009; Illustrations by Ant Sang)
Interpersonal Functions
Peer Bonding
Sensation Seeking
Toughness
Interpersonal Boundaries
Self-Care
Autonomy
Interpersonal Influence
Revenge
(Klonsky & Glenn, 2009; Illustrations by Ant Sang)
Previous LiteratureFunctions established in:University undergrads (M age = 18.5)Members of an international self-injury peer support group (M age = 23.8)
Intrapersonal functions rated higher than Interpersonal functions- Affect Regulation & Self Punishment endorsed most strongly
However...Onset of NSSI begins at 13 to 14 years old
(Klonsky & Olino, 2008; Klonsky & Glenn, 2009; Kortge, Meade & Tennant , 2013)
15 schools; N = 1006
N = 178
DepressionAnxietyEmotion RegulationSelf EsteemParental Attachment
Deliberate Self-Harm InventoryISAS
M age = 13.4577% ♀ ; 23% ♂
Youth Wellbeing Study
M age = 13.4057% ♀ ; 43% ♂
Wave 1
NSSI Topography Behaviour Percentage of sample who
report engagement
Cutting 71%
Scratching 51%
Carving designs 44%
Stuck sharp objects in skin 35%
Punched or banged 35%
Prevented wounds from healing
34%
Biting 18%
Burning 15%
Rubbed glass 13%
Broken bones 7%
Sandpapered skin 6%
Dripped acid >1%
Used bleach/oven cleaner >1%
M frequency = 3.27
Function EndorsementFunction Mean (SD)
Affect Regulation 1.11 (0.66)
Self-Punishment 0.93 (0.70)
Anti-Dissociation 0.60 (0.60)
Anti-Suicide 0.51 (0.63)
Marking Distress 0.51 (0.54)
Interpersonal Boundaries 0.36 (0.49)
Toughness 0.35 (0.49)
Self-Care 0.29 (0.40)
Interpersonal Influence 0.24 (0.37)
Autonomy 0.22 (0.41)
Sensation Seeking 0.20 (0.36)
Revenge 0.16 (0.40)
Peer Bonding 0.16 (0.40)
Relationship with Gender
Male Female0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8Intrapersonal
Interpersonal
Gender
Mean
Fu
ncti
on
Rati
ng
Function: p > .001, ηp2 = .34
Sex: ns
Function by Sex:p > .001, ηp
2 = .12
Overall Wellbeing
Intrapersonal Functions
Interpersonal Functions
Depression .67 .31
Anxiety .51 .31
Self-Esteem -.56 ns
Emotion Regulation -.49 -.22
Resilience -.29 ns
Chronic NSSI
Never Once A Few Times
Many Times
0
0.2
0.4
0.6
0.8
1
1.2
Intrapersonal
Interpersonal
NSSI Frequency in Last Year
Mean
Fu
ncti
on
Rati
ng
Function: p < .001, ηp2 = .57
Frequency: p < .001, ηp2
= .17
Function by Frequency:p < .001, ηp
2 = .27
Conclusions • Young people report many different reasons for
why hurt themselves • Intrapersonal reasons much more likely,
particularly amongst girls• Intrapersonal functions more strongly predicts
both positive and negative outcomes, as well as chronic NSSI
Next: How do these functions develop over time?