Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment
Background: Self-harm affords people a means of coping. However, little is known about how functional coping dynamics differ between stressful situations in which people self-harm (enactment), think about harming (ideation), or experience no self-harmful thoughts or behaviours. Methods: Participant...
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| Format: | Article |
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Elsevier
2017
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| Online Access: | https://eprints.nottingham.ac.uk/36184/ |
| _version_ | 1848795238317948928 |
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| author | Nielsen, Emma Sayal, Kapil Townsend, Ellen |
| author_facet | Nielsen, Emma Sayal, Kapil Townsend, Ellen |
| author_sort | Nielsen, Emma |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: Self-harm affords people a means of coping. However, little is known about how functional coping dynamics differ between stressful situations in which people self-harm (enactment), think about harming (ideation), or experience no self-harmful thoughts or behaviours.
Methods: Participants (N = 1,157) aged 16 − 49 years (M = 18.21, SD = 3.24) with a recent history of self-harm (past 3 months) reported how they coped in response to their most significant recent stressor (3 months).
Results: Almost 40% of participants, all of whom had self-harmed in the last 3 months, had no self-harm experience (thoughts or behaviours) in response to their most significant stressor in that timeframe. In multivariate analysis, adjusting for symptoms of depression and anxiety, reappraisal coping was predictive of self-harm thoughts. Approach, emotion regulation and reappraisal coping were predictive of self-harm behaviour. Emotion regulation coping differentiated self-harm ideation and enactment groups.
Limitations: The cross-sectional design of the study precludes the ability to make inferences regarding causality. Further, there is no agreed definition of ‘recent’ self-harm.
Conclusions: Taken together, the findings suggest that functional coping dynamics may be differentially associated with self-harm ideation and enactment. This is important, given that understanding the transitions between ideation and enactment has been identified as a critical frontier in suicide prevention. Further, results indicate that seemingly innocuous events may have a profound impact as a tipping point for enaction; this has implications for clinical practice, including the co-production of safety plans. |
| first_indexed | 2025-11-14T19:28:55Z |
| format | Article |
| id | nottingham-36184 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:28:55Z |
| publishDate | 2017 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-361842020-05-04T18:30:39Z https://eprints.nottingham.ac.uk/36184/ Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment Nielsen, Emma Sayal, Kapil Townsend, Ellen Background: Self-harm affords people a means of coping. However, little is known about how functional coping dynamics differ between stressful situations in which people self-harm (enactment), think about harming (ideation), or experience no self-harmful thoughts or behaviours. Methods: Participants (N = 1,157) aged 16 − 49 years (M = 18.21, SD = 3.24) with a recent history of self-harm (past 3 months) reported how they coped in response to their most significant recent stressor (3 months). Results: Almost 40% of participants, all of whom had self-harmed in the last 3 months, had no self-harm experience (thoughts or behaviours) in response to their most significant stressor in that timeframe. In multivariate analysis, adjusting for symptoms of depression and anxiety, reappraisal coping was predictive of self-harm thoughts. Approach, emotion regulation and reappraisal coping were predictive of self-harm behaviour. Emotion regulation coping differentiated self-harm ideation and enactment groups. Limitations: The cross-sectional design of the study precludes the ability to make inferences regarding causality. Further, there is no agreed definition of ‘recent’ self-harm. Conclusions: Taken together, the findings suggest that functional coping dynamics may be differentially associated with self-harm ideation and enactment. This is important, given that understanding the transitions between ideation and enactment has been identified as a critical frontier in suicide prevention. Further, results indicate that seemingly innocuous events may have a profound impact as a tipping point for enaction; this has implications for clinical practice, including the co-production of safety plans. Elsevier 2017-01-15 Article PeerReviewed Nielsen, Emma, Sayal, Kapil and Townsend, Ellen (2017) Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment. Journal of Affective Disorders, 2018 . pp. 330-337. ISSN 1573-2517 Self-harm; Non-suicidal self-injury; Suicide; Coping; Coping functions http://www.sciencedirect.com/science/article/pii/S0165032716307479 doi:10.1016/j.jad.2016.08.036 doi:10.1016/j.jad.2016.08.036 |
| spellingShingle | Self-harm; Non-suicidal self-injury; Suicide; Coping; Coping functions Nielsen, Emma Sayal, Kapil Townsend, Ellen Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment |
| title | Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment |
| title_full | Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment |
| title_fullStr | Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment |
| title_full_unstemmed | Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment |
| title_short | Dealing with difficult days: functional coping dynamics in self-harm ideation and enactment |
| title_sort | dealing with difficult days: functional coping dynamics in self-harm ideation and enactment |
| topic | Self-harm; Non-suicidal self-injury; Suicide; Coping; Coping functions |
| url | https://eprints.nottingham.ac.uk/36184/ https://eprints.nottingham.ac.uk/36184/ https://eprints.nottingham.ac.uk/36184/ |