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(p. 398) Adolescents who Engage in Nonsuicidal Self-Injury (NSSI) 

(p. 398) Adolescents who Engage in Nonsuicidal Self-Injury (NSSI)
(p. 398) Adolescents who Engage in Nonsuicidal Self-Injury (NSSI)

David Voon

, and Penelope Hasking

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date: 02 July 2020

Nonsuicidal self-injury (NSSI) refers to intentional damage to the body without fatal intent. While distal factors such as genetic predisposition, emotional sensitivity, emotional reactivity and invalidating childhood environments may serve as risk factors, NSSI is primarily maintained by alleviation of intense negative emotional states, in the absence of alternative emotion regulation strategies. Currently, no specific NSSI intervention for adolescents exists; however, extant self-harm interventions have demonstrated promising, preliminary findings. Of note, the salient role of emotion regulation in the initiation and maintenance of NSSI suggests this may be a viable treatment target. While empirical evidence supports this in adult samples, replication in large-scale, randomized controlled trials with adolescent samples is required to inform best practice in treating NSSI among adolescents.

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