CoChat
Sign Up
Cited by 113Suicide and Self-Harm StudiesPersonality Disorders and PsychopathologyMindfulness and Compassion Interventions

Repetitive Nonsuicidal Self‐Injury as Experiential Avoidance Among a Community Sample of Adolescents

Howe‐Martin, Laura S., Murrell, Amy R., Guarnaccia, Charles A.·2012·Journal of Clinical Psychology
DOI 10.1002/jclp.21868
Open this paper in CoChat — free account

Abstract

Objective: This study examined the relationship between experiential avoidance, functionally equivalent behaviors, and repetitive nonsuicidal self‐injury (NSSI/RNSSI) among adolescents. Method: Self‐report questionnaires from adolescents (N = 211) from 3 school‐based samples were employed to assess three forms of experiential avoidance (thought suppression, alexithymia, and avoidance/cognitive fusion), various aspects of self‐mutilating behaviors, and the existence of functionally equivalent behaviors (disordered eating, substance abuse, suicidal ideation/behaviors). Results: Results indicated one third of participants reported a history of NSSI and 16% reported engaging in RNSSI in the past 6 months. Female adolescents were twice as likely as males to report a history of RNSSI. Unwanted inner experiences, thought suppression, and alexithymia differentiated adolescents with a history of NSSI from their counterparts. Functionally equivalent behaviors occurred more frequently among those with a history of NSSI and increased in severity as NSSI increased, particularly suicidal ideation and behaviors. However, results for patterns of avoidance were not as consistent for males as females, which questions the broad application of this model. Conclusions: NSSI continues to be surprisingly common among adolescents in the community. NSSI, particularly repetitive forms, appears to be strongly related to common forms of experiential avoidance, moreso for female adolescents. Results also illustrate the importance of conceptualizing and treating self‐injury as a form of experiential avoidance. © 2012 Wiley Periodicals, Inc. J. Clin. Psychol. 68:809‐828, 2012

Integrity signals

Registry

Crossref · 10.1002/jclp.21868

Cites

75 of 75 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Cross-sectional studies in adults and young people have found positive associations between psychological inflexibility and most forms of psychopathology.

    “For example, cross-sectional studies in adults and young people have found positive associations between psychological inflexibility and most forms of psychopathology (e.g., Chawla and Ostafin [66]; Greco et al. [67]; Howe-Martin et al. [68]; Venta et al. [69]).”

    From Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions. (2017) · cites this paper as Howe-Martin et al. [68]

Cites

Flagged first, then by citations

1 of the 76 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Related

Authors
Howe‐Martin, L. S., Murrell, A. R., & Guarnaccia, C. A.
Affiliations
  • The University of Texas Southwestern Medical Center (US)
  • University of North Texas (US)
Corresponding author
Murrell, Amy R.
ORCID
Venue
Journal of Clinical Psychology
Publisher
Wiley
Published
2012-05-15
Volume
68
Issue
7
Pages
809-829
ISSN
  • 0021-9762 (ISSN-L)
  • 1097-4679
DOI
10.1002/jclp.21868
OpenAlex
W1548750200
Cited by
113
References
76
Citations by year
2026: 2 · 2025: 9 · 2024: 5 · 2023: 14 · 2022: 12 · 2021: 14 · 2020: 7 · 2019: 4 · 2018: 4 · 2017: 11 · 2016: 7 · 2015: 8 · 2014: 11 · 2013: 3 · 2012: 2
FWCI
8.73
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Keywords
experiential avoidance, adolescents, thought suppression, alexithymia, cognitive fusion, disordered eating, substance abuse, suicidal ideation, suicidal behavior, gender differences
MeSH terms
Adolescent, Female, Humans, Male, Psychiatric Status Rating Scales, Psychological Tests, Sex Factors, United States, Self-Injurious Behavior

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review