PURPOSE: Despite agreement across disciplines regarding the significance of deliberate self-harm (DSH), there continues to be a lack of consensus regarding what DSH is and is not. The purpose of this literature review was to determine the current state of understanding of this complex phenomenon. CONCLUSIONS: There remains a problem of definitional ambiguity regarding DSH, and a definition derived from the literature is offered. Using Rodger's framework for the evolutionary approach to concept analysis, the attributes, antecedents, and consequences of DSH are developed. PRACTICE IMPLICATIONS: Therapeutic approaches that are based on open-minded, non-judgmental listening and on harm minimization rather than abstinence may be more effective than current treatment approaches that forbid any form of DSH.
PURPOSE: Despite agreement across disciplines regarding the significance of deliberate self-harm (DSH), there continues to be a lack of consensus regarding what DSH is and is not. The purpose of this literature review was to determine the current state of understanding of this complex phenomenon. CONCLUSIONS: There remains a problem of definitional ambiguity regarding DSH, and a definition derived from the literature is offered. Using Rodger's framework for the evolutionary approach to concept analysis, the attributes, antecedents, and consequences of DSH are developed. PRACTICE IMPLICATIONS: Therapeutic approaches that are based on open-minded, non-judgmental listening and on harm minimization rather than abstinence may be more effective than current treatment approaches that forbid any form of DSH.
Authors: Alexandra L C Martiniuk; Rebecca Q Ivers; Nick Glozier; George C Patton; Lawrence T Lam; Soufiane Boufous; Teresa Senserrick; Ann Williamson; Mark Stevenson; Robyn Norton Journal: CMAJ Date: 2009-11-16 Impact factor: 8.262
Authors: Francis Mitrou; Jennifer Gaudie; David Lawrence; Sven R Silburn; Fiona J Stanley; Stephen R Zubrick Journal: BMC Psychiatry Date: 2010-10-18 Impact factor: 3.630
Authors: Cooper McAllister; Garrett C Hisler; Andrew B Blake; Jean M Twenge; Eric Farley; Jessica L Hamilton Journal: Res Child Adolesc Psychopathol Date: 2021-07-23