"I wanted to be proud of myself, not ashamed": A qualitative investigation of suicide and self-injury inflection points.

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Title: "I wanted to be proud of myself, not ashamed": A qualitative investigation of suicide and self-injury inflection points.
Authors: Rasmussen, Susan (AUTHOR), Kaufman, Erin A. (AUTHOR), Kaniuka, Andrea R. (AUTHOR), Meddaoui, Brianna (AUTHOR), Miller, Raina H. (AUTHOR), Kinnard, Rachel (AUTHOR), Stage, Dese'Rae L. (AUTHOR), Cramer, Robert J. (AUTHOR)
Source: Death Studies. 2026, Vol. 50 Issue 4, p620-635. 16p.
Subjects: Fear, Qualitative research, Independent living, Psychological adaptation, Help-seeking behavior, Self-mutilation, Experience, Motivation (Psychology), Surveys, Thematic analysis, Suicide, Punishment, Social support, Data analysis software, Interpersonal relations, Psychosocial factors
Geographic Terms: United Kingdom
Abstract: Inflection points are pivotal moments immediately preceding self-directed violence (SDV; i.e., self-injury and suicide). This study qualitatively examined factors that contributed to halting SDV during inflection points. Participants (N = 166) completing an online survey were community-dwelling adults in the United Kingdom with some form of SDV lived experience. Thematic analysis yielded the following results. The most common themes across SDV inflection points were (in descending order): concern for the negative impact on others (e.g., fear of hurting loved ones), use of adaptive coping methods (e.g., general use of coping skills), physical deterrents (e.g., scarring, pain), social contact (sense of connection in the moment), and concern for negative consequences on oneself (e.g., fear of punishment). Healthy coping skill use contributed to halting both self-injury and suicide. Self-injury inflection points were largely characterized by intrapersonal factors, whereas suicide inflection points were highly interpersonal in nature. Implications for clinical practice, theory, and research are discussed. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:Inflection points are pivotal moments immediately preceding self-directed violence (SDV; i.e., self-injury and suicide). This study qualitatively examined factors that contributed to halting SDV during inflection points. Participants (N = 166) completing an online survey were community-dwelling adults in the United Kingdom with some form of SDV lived experience. Thematic analysis yielded the following results. The most common themes across SDV inflection points were (in descending order): concern for the negative impact on others (e.g., fear of hurting loved ones), use of adaptive coping methods (e.g., general use of coping skills), physical deterrents (e.g., scarring, pain), social contact (sense of connection in the moment), and concern for negative consequences on oneself (e.g., fear of punishment). Healthy coping skill use contributed to halting both self-injury and suicide. Self-injury inflection points were largely characterized by intrapersonal factors, whereas suicide inflection points were highly interpersonal in nature. Implications for clinical practice, theory, and research are discussed. [ABSTRACT FROM AUTHOR]
ISSN:07481187
DOI:10.1080/07481187.2025.2452465