Understanding Self-Harm in Victims of Intimate Partner Violence: A Qualitative Analysis of Calls Made by Victims to a Crisis Hotline in China
Abstract
Text analysis of the transcripts of 26 calls made to a Chinese crisis hotline by victims of intimate partner violence (IPV) reporting thoughts or acts of self-harm abstracted information on victims' patterns of self-harm and the relationship of their self-harm to IPV. Specific violent episodes often triggered self-harm. Victims considered self-harm a method for airing painful emotions caused by abuse or as a last resort to escape by dying when they saw no other options and were no longer able to endure the violence. We also elaborate on callers' discussions of barriers to accessing support, sociocultural pressures to preserve "face" and family, and restrictive gender roles that contribute to their self-harm behaviors.
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Intimate partner violence is associated with self-harm in women.
“IPV was associated with a range of mental health issues including depression, PTSD, anxiety, self-harm, and sleep disorders.”
From Mental and Physical Health and Intimate Partner Violence against Women: A Review of the Literature (2013) · cites this paper as [62]
A qualitative study of self-harm in victims of intimate partner violence in China revealed that victims considered self-harm to be a method for airing painful emotions caused by abuse, or a last resort to escape by dying when they saw no other option and were no longer able to endure the violence.
“A qualitative study of self-harm in victims of intimate partner violence in China [62] revealed that victims considered self-harm to be a method for airing painful emotions caused by abuse, or a last resort to escape by dying when they saw no other option and were no longer able to endure the violence.”
From Mental and Physical Health and Intimate Partner Violence against Women: A Review of the Literature (2013) · cites this paper as [62]
Cites
The Discovery of Grounded Theory: Strategies for Qualitative Research
Glaser, B. G., & Strauss, A. L. (2017) · Aldine (Routledge reprint) · doi:10.4324/9780203793206 · Cited by 25,789 · see citing works
The functions of deliberate self-injury: a review of the evidence
Klonsky, E. D. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.08.002 · Cited by 1,979 · see citing works
Ellsberg, M., Jansen, H. A., Heise, L., Watts, C. H., & Garcia-Moreno, C. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60522-x · Cited by 1,820 · see citing works
Intimate partner violence as a risk factor for mental disorders: A meta-analysis
Golding, J. M. (1999) · Journal of Family Violence · doi:10.1023/a:1022079418229 · Cited by 1,788 · see citing works
Risk factors for suicide in China: a national case-control psychological autopsy study
Phillips, M. R., Yang, G., Zhang, Y., Wang, L., Ji, H., & Zhou, M. (2002) · The Lancet · doi:10.1016/s0140-6736(02)11681-3 · Cited by 928 · see citing works
Self-citationYoung, T. K. (1973) · New England Journal of Medicine · doi:10.1056/nejm197307122890231 · Cited by 903 · see citing works
Suicide rates in China, 1995–99
Phillips, M. R., Li, X., & Zhang, Y. (2002) · The Lancet · doi:10.1016/s0140-6736(02)07954-0 · Cited by 800 · see citing works
Self-citationDomestic violence against women. Incidence and prevalence in an emergency department population
Abbott, J. (1995) · JAMA · doi:10.1001/jama.273.22.1763 · Cited by 602 · see citing works
Researching violence against women: a practical guide for researchers and activists
Ellsberg, M., & Heise, L. (2005) · Cited by 591 · see citing works
Sex and suicide: Gender differences in suicidal behaviour
Hawton, K. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.177.6.484 · Cited by 504 · cited 1× · see citing works
“Death itself, however, is rarely the desired goal of self-harm (Hawton, 2000) and qualitative analysis of the self-harm crisis of IPV victims permits elucidation of the circumstances and motivations of self-harm from the victims’ perspective.”
BackgroundDomestic Violence Against Women
Abbott, J. (1995) · JAMA · doi:10.1001/jama.1995.03520460045033 · Cited by 408 · see citing works
Phillips, M. R., Li, X., Zhang, Y., & Eddleston, M. (2002) · The Lancet · doi:10.1016/s0140-6736(02)09269-3 · Cited by 382 · see citing works
Self-citationIntimate partner violence and mental health symptoms in African American female ED patients
Houry, D., Kemball, R., Rhodes, K. V., & Kaslow, N. J. (2006) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2005.12.026 · Cited by 170 · see citing works
Rebellion and revenge: the meaning of suicide of women in rural China
Meng, L. (2002) · International Journal of Social Welfare · doi:10.1111/1468-2397.00239 · Cited by 139 · see citing works
Suicide in China: Unique demographic patterns and relationship to depressive disorder
Law, S., & Liu, P. (2008) · Current Psychiatry Reports · doi:10.1007/s11920-008-0014-5 · Cited by 120 · see citing works
Suicide in Hong Kong: a case-control psychological autopsy study
Chen, E. Y. H., Chan, W. S. C., Wong, P. W. C., Chan, S. S. M., Chan, C., Law, Y. W., Beh, P., Chan, K. K. L., CHENG, J. W. Y., Liu, K., et al. (2006) · Psychological Medicine · doi:10.1017/s0033291706007240 · Cited by 119 · see citing works
Ling's Death: An Ethnography of a Chinese Woman's Suicide
Pearson, V. J., & PhD, M. L. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.4.347.22338 · Cited by 119 · see citing works
Self-injury in trauma survivors: 1. Functions and meanings.
Connors, R. E. (1996) · American Journal of Orthopsychiatry · doi:10.1037/h0080171 · Cited by 113 · see citing works
Enduring Violence and Staying in Marriage
Meng, L., & Chan, C. (1999) · Violence Against Women · doi:10.1177/10778019922183471 · Cited by 101 · see citing works
Pearson, V. J., Phillips, M. R., He, F., & Ji, H. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.4.359.22345 · Cited by 98 · see citing works
Self-citationDANGEROUS INTIMATE PARTNER RELATIONSHIPS AND WOMEN'S MENTAL HEALTH AND HEALTH BEHAVIORS
Sato-DiLorenzo, A., & Sharps, P. W. (2007) · Issues in Mental Health Nursing · doi:10.1080/01612840701493535 · Cited by 61 · see citing works
When the body is the target: self-harm, pain, and traumatic attachments
(2001) · Choice Reviews Online · doi:10.5860/choice.38-4162 · Cited by 54 · see citing works
The association between domestic violence and self harm in emergency medicine patients
Boyle, A. A., Jones, P. B., & Lloyd, S. (2006) · Emergency Medicine Journal · doi:10.1136/emj.2005.031260 · Cited by 46 · see citing works
Characteristics of Chinese Suicide Attempters: An Emergency Room Study
Zhang, J., Jia, S., Jiang, C. Q., & Sun, J. (2006) · Death Studies · doi:10.1080/07481180500493443 · Cited by 39 · see citing works
Domestic abuse on women in China before, during, and after pregnancy.
Guo, S.-F., Wu, J., Qu, C.-Y., & Yan, R. (2004) · PubMed · Cited by 30 · see citing works
Zhao, F.-M., Guo, S.-F., Wang, L., Wu, J., & Wang, L. (2006) · PubMed · Cited by 29 · see citing works
Activism Against Domestic Violence in the People's Republic of China
Milwertz, C. N. (2003) · Violence Against Women · doi:10.1177/1077801203009006002 · Cited by 28 · see citing works
Suicide and the Family in Pre-modern Chinese Society
Hsieh, A., & Spence, J. D. (1981) · Springer eBooks · doi:10.1007/978-94-017-4986-2_2 · Cited by 18 · see citing works
Ren and Yuan: a cultural interpretation of Chinese women's responses to battering.
Tiwari, A., Wong, M. F., & Ip, H. (2001) · PubMed · Cited by 14 · see citing works
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Dillon, G., Hussain, R., Loxton, D., & Rahman, S. (2013) · International Journal of Family Medicine · doi:10.1155/2013/313909 · Cited by 868 · see citing works
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Wong, J. Y. H., Tiwari, A., Fong, D., & Bullock, L. (2016) · Violence Against Women · doi:10.1177/1077801215624791 · Cited by 21 · see citing works
Carranza, A. B., Wallis, C. R. D., Jonnson, M. R., Klonsky, E. D., & Walsh, Z. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260520922372 · Cited by 19 · see citing works
Caron, A., Lafontaine, M., & Bureau, J. (2017) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2017.1410746 · Cited by 19 · see citing works
Prakash, N., Prevot, J., Kola, B., & Wood, S. K. (2018) · Current problems in pediatric and adolescent health care · doi:10.1016/j.cppeds.2018.11.007 · Cited by 16 · see citing works
Xu, H., Zeng, J., Tai, Z., & Hao, H. (2022) · Healthcare · doi:10.3390/healthcare10020198 · Cited by 14 · see citing works
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Yuan, W., Kadetz, P. I., Shen, X., & Hesketh, T. M. (2024) · Journal of Family Violence · doi:10.1007/s10896-024-00789-7 · Cited by 8 · see citing works
Lu, L., Ye, L., Zhang, T., Li, R., Chen, C., Cao, Z., Ma, B.-C., Dang, Z.-C., Yu, B., Andreassen, O. A., et al. (2025) · International Journal of Public Health · doi:10.3389/ijph.2025.1607953 · Cited by 8 · see citing works
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Pan, J., Zhang, L., Tang, Y., Li, Q., Yu, C., & He, T. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15020391 · Cited by 7 · see citing works
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Galleguillos, S., & Pugliese, K. (2022) · Violence Against Women · doi:10.1177/10778012221086001 · Cited by 1 · see citing works
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- Authors
- Wong, S. P. Y., Wang, C., Meng, M., & Phillips, M. R.
- Affiliations
- Beijing HuiLongGuan Hospital (CN)
- Venue
- Violence Against Women
- Publisher
- SAGE Publications
- Published
- 2011-04
- Volume
- 17
- Issue
- 4
- Pages
- 532-544
- ISSN
- 1077-8012 (ISSN-L)
- 1552-8448
- OpenAlex
- W2157463889
- Cited by
- 20
- References
- 29
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 1 · 2013: 1
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Violence Against Women (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ford Foundation
- Fogarty International Center
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- self-harm, intimate partner violence, help-seeking barriers, face preservation, gender roles, sociocultural pressure, emotional coping, China
- MeSH terms
- China, Culture, Emotions, Female, Gender Identity, Humans, Sexual Partners, Social Support, Spouse Abuse, Stress, Psychological, Hotlines, Self-Injurious Behavior, Battered Women, Suicidal Ideation
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