The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
Motives for Nonsuicidal Self-Injury Among Women With Borderline Personality Disorder
Abstract
Patients with borderline personality disorder (BPD) are known to use nonsuicidal self-injury (NSSI) as a dysfunctional strategy to regulate intense emotions. The primary purpose of this study was to clarify the motives for NSSI along with their interrelations. We further investigated the variety of emotions preceding NSSI and possible effects of NSSI on these emotions. To this end, a structured self-rating questionnaire on NSSI was administered to 101 female BPD-patients exhibiting NSSI. Most patients reported multiple motives for NSSI. The motives were more likely to compound than to exclude one another. Negative reinforcement was almost always involved in NSSI, whereas positive reinforcement (e.g., "getting a kick") played an additional role among about half of the patients. NSSI was usually preceded by a large variety of negative feelings that were reported to clearly improve with NSSI. In conclusion, therapists should anticipate a multidimensional functional spectrum when exploring motives of NSSI.
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“More generally, intentional self-injury most often functions to alleviate negative affect among individuals with BPD (Brown, Comtois, & Linehan, 2002; Kleindienst et al., 2008), and PTSD has been found to increase negative affect and emotion dysregulation in BPD patients (Harned et al., 2010; Marshall-Berenz, Morrison, Schumacher, & Coffey, 2011).”
From A pilot randomized controlled trial of Dialectical Behavior Therapy with and without the Dialectical Behavior Therapy Prolonged Exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD (2014) · cites this paper as Kleindienst et al., 2008
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Borderline personality disorder
Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004) · The Lancet · doi:10.1016/s0140-6736(04)16770-6 · Cited by 1,369
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“…a distinct category, and although nonsuicidal behavior was reported to be a risk-factor for completed suicide (Cooper et al., 2005; Favazza, 1996; Hawton et al., 2003; Oldham, 2006; Stone, 1987), there is evidence indicating that these 2 types of autoaggression should be conceptualized as…”
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A meta-analysis of the prevalence of different functions of non-suicidal self-injury
Taylor, P. J., Jomar, K., Dhingra, K., Forrester, R. L., Shahmalak, U., & Dickson, J. M. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.11.073 · Cited by 866
Harned, M. S., Korslund, K. E., & Linehan, M. M. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.01.008 · Cited by 388
Bohus, M., Dyer, A. S., Priebe, K., Krüger, A., Kleindienst, N., Schmahl, C., Niedtfeld, I., & Steil, R. (2013) · Psychotherapy and Psychosomatics · doi:10.1159/000348451 · Cited by 344
Borderline personality disorder
Bohus, M., Stoffers‐Winterling, J., Sharp, C., Krause-Utz, A., Schmahl, C., & Lieb, K. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00476-1 · Cited by 388
Mikolajczak, M., Petrides, K. V., & Hurry, J. (2009) · British Journal of Clinical Psychology · doi:10.1348/014466508x386027 · Cited by 264
Metadata
- Authors
- Kleindienst, N., Bohus, M., Ludäscher, P., Limberger, M. F., Kuenkele, K., Ebner-Priemer, U. W., Chapman, A. L., Reicherzer, M., Stieglitz, R.-D., & Schmahl, C.
- Affiliations
- Central Institute of Mental Health (DE)
- Simon Fraser University (CA)
- University Hospital of Basel (CH)
- Corresponding author
- Kleindienst, Nikolaus
- Bohus, Martin
- Ludäscher, Petra
- Limberger, Matthias F.
- Kuenkele, Katrin
- Schmahl, Christian
- ORCID
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2008-03
- Volume
- 196
- Issue
- 3
- Pages
- 230-236
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W1976154110
- Cited by
- 270
- References
- 39
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 11 · 2023: 13 · 2022: 11 · 2021: 24 · 2020: 14 · 2019: 17 · 2018: 18 · 2017: 18 · 2016: 19 · 2015: 17 · 2014: 20 · 2013: 17 · 2012: 20
- FWCI
- 12.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- non-suicidal self-injury, borderline personality disorder, women, negative reinforcement, positive reinforcement, emotion regulation, negative emotions
- MeSH terms
- Adolescent, Adult, Behavior Therapy, Borderline Personality Disorder, Female, Humans, Middle Aged, Motivation, Surveys and Questionnaires, Reinforcement, Psychology, Self-Injurious Behavior, Diagnostic and Statistical Manual of Mental Disorders
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