“…A further aim of the study was to consider possible cognitive mechanisms underlying any cultural differences. Research has identified associations between self-harming behaviour and the use of avoidance and emotion-focussed coping styles, rather than active coping (Biggam & Power, 1999;Dear et al, 2006;Haines & Williams, 1997;Hawton & Rodham, 2006;Kirchner & Mohino, 2003). Chapman, Gratz, and Brown (2006) have further proposed that self-harmers have a particularly strong tendency towards avoidant behaviour, linked to impulsivity, low tolerance of emotional arousal and distress, and poor skills in expressing and managing emotions.…”