2017
DOI: 10.1016/j.neubiorev.2017.05.026
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Characterizing the course of non-suicidal self-injury: A cognitive neuroscience perspective

Abstract: Non-suicidal self-injury (NSSI) has received increasing recognition as a clinically significant phenomenon. Although in most individuals who engage in NSSI, this behavior is short-lived, for a significant proportion of these individuals, NSSI follows a chronic course. There is a need for research advancing our understanding of the mechanisms of risk for NSSI, and how these mechanisms may change over time to account for the persistence of this behavior. In the current paper, a conceptual framework is proposed f… Show more

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Cited by 33 publications
(34 citation statements)
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References 79 publications
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“…Similarly, sensation‐seeking items refer to engaging in extreme actions or generating physiological arousal (e.g., “rush/excitement”). The physical and immediate nature of these effects is more likely to be achieved through NSSI acts because of the injuries produced and the subsequent physiological effects (Liu, ); whereas the physical effects of most ED behaviors are vague or accumulated over time. Similarly, NSSI behaviors hold a closer approximation to suicidal acts than do ED behaviors.…”
Section: Discussionmentioning
confidence: 99%
“…Similarly, sensation‐seeking items refer to engaging in extreme actions or generating physiological arousal (e.g., “rush/excitement”). The physical and immediate nature of these effects is more likely to be achieved through NSSI acts because of the injuries produced and the subsequent physiological effects (Liu, ); whereas the physical effects of most ED behaviors are vague or accumulated over time. Similarly, NSSI behaviors hold a closer approximation to suicidal acts than do ED behaviors.…”
Section: Discussionmentioning
confidence: 99%
“…Although SI and NSSI typically emerge during adolescence (2,5) and often co-occur (6,7), researchers and clinicians have long recognized that these phenomena are distinct (8,9) and likely have unique neurobiological substrates (10,11). Thus, elucidating the specific neurobiological patterns that characterize SI and NSSI in adolescents may shed insight into the diverse etiology of these behaviors, help to refine brain-based conceptual models (12,11), and identify neural circuits that are sufficiently sensitive to assess the efficacy of targeted interventions (13).…”
Section: Introductionmentioning
confidence: 99%
“…These findings illustrate the importance of integrating data from performance-based tasks with self-report data when assessing the complex processes that maintain NSSI (Bentley, Nock, & Barlow, 2014;Liu, 2017). Employing performance-based tasks to measure implicit cognitive processes, such as the NSSI attentional bias exhibited by participants in this sample, may help address the incongruence that can occur between self-reported versus behavioral measures of the contingencies reinforcing NSSI.…”
Section: Research Implicationsmentioning
confidence: 82%