Self-harm-related mental imagery: a content analysis study of imagery reported by young people referred to mental health services
<p><strong>Background: </p></strong>Growing evidence suggests that self-harm-related mental imagery is involved in the transition from self-harm ideation to enactment. However, there has been little research on this important phenomenon in adolescent populations. <p>&l...
| Main Authors: | , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Wiley
2024
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| _version_ | 1824458921831563264 |
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| author | Susi, K Stewart, A Knowles Bevis, R Hawton, K |
| author_facet | Susi, K Stewart, A Knowles Bevis, R Hawton, K |
| author_sort | Susi, K |
| collection | OXFORD |
| description | <p><strong>Background: </p></strong>Growing evidence suggests that self-harm-related mental imagery is involved in the transition from self-harm ideation to enactment. However, there has been little research on this important phenomenon in adolescent populations.
<p><strong>Methods: </p></strong>Using an online questionnaire, the frequency, content and impact of self-harm-related mental imagery was investigated in a transdiagnostic clinical population of young people with ecent self-harm. Mood ratings were used to assess the impact of completing the questionnaire.
<p><strong>Results: </p></strong>55 young people aged 14-24 years old completed the study. Participants were mostly female (85.5%) and White (87.3%). All but one participant (98.2%) reported images related to self-harm, with 53 (96.4%) reporting future-oriented self-harm images, 53 (96.4%) reporting past-oriented images, and 52 (94.5%) reporting both. Imagery included imagining self-harm and particularly dangerous acts (including suicide), specific methods, and the consequences of self- harm for self and others. Past self-harm-related mental imagery was sometimes used to develop future-oriented self-harm-related imagery planning, highlighting the influence of previous exposure to self-harm. Most participants (N=45; 88.2%) stated that significant self-harm-related mental imagery increased the likelihood they would self-harm. Stimulation of mental imagery was most frequently reported to be related to dreams about self-harm (N=33; 60.0%), and exposure to self-harm-related content on social media (N=32; 58.2%) and in fictional TV programmes (N=30; 54.6%). There was no significant difference in participants’ pre- and post-questionnaire mood ratings.
<p><strong>Conclusions: </p></strong>Self-harm-related mental imagery is commonly experienced by young people who self-harm and may play a role in ideation-to-enactment of self-harm. Asking about self-harm-related mental imagery can be done safely and could be considered for inclusion in routine clinical assessments. Self-harm exposure and the origins of self-harm-related imagery, such as the links with past self-harm and social media, as well as potential imagery-based interventions for self-harm, require further evaluation. A working model of self-harm-related mental imagery is presented.
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| first_indexed | 2024-09-25T04:14:16Z |
| format | Journal article |
| id | oxford-uuid:b12b9336-715d-4db6-a605-93f18539db5a |
| institution | University of Oxford |
| language | English |
| last_indexed | 2025-02-19T04:33:35Z |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | dspace |
| spelling | oxford-uuid:b12b9336-715d-4db6-a605-93f18539db5a2025-01-14T10:02:32ZSelf-harm-related mental imagery: a content analysis study of imagery reported by young people referred to mental health servicesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b12b9336-715d-4db6-a605-93f18539db5aEnglishSymplectic ElementsWiley2024Susi, KStewart, AKnowles Bevis, RHawton, K<p><strong>Background: </p></strong>Growing evidence suggests that self-harm-related mental imagery is involved in the transition from self-harm ideation to enactment. However, there has been little research on this important phenomenon in adolescent populations. <p><strong>Methods: </p></strong>Using an online questionnaire, the frequency, content and impact of self-harm-related mental imagery was investigated in a transdiagnostic clinical population of young people with ecent self-harm. Mood ratings were used to assess the impact of completing the questionnaire. <p><strong>Results: </p></strong>55 young people aged 14-24 years old completed the study. Participants were mostly female (85.5%) and White (87.3%). All but one participant (98.2%) reported images related to self-harm, with 53 (96.4%) reporting future-oriented self-harm images, 53 (96.4%) reporting past-oriented images, and 52 (94.5%) reporting both. Imagery included imagining self-harm and particularly dangerous acts (including suicide), specific methods, and the consequences of self- harm for self and others. Past self-harm-related mental imagery was sometimes used to develop future-oriented self-harm-related imagery planning, highlighting the influence of previous exposure to self-harm. Most participants (N=45; 88.2%) stated that significant self-harm-related mental imagery increased the likelihood they would self-harm. Stimulation of mental imagery was most frequently reported to be related to dreams about self-harm (N=33; 60.0%), and exposure to self-harm-related content on social media (N=32; 58.2%) and in fictional TV programmes (N=30; 54.6%). There was no significant difference in participants’ pre- and post-questionnaire mood ratings. <p><strong>Conclusions: </p></strong>Self-harm-related mental imagery is commonly experienced by young people who self-harm and may play a role in ideation-to-enactment of self-harm. Asking about self-harm-related mental imagery can be done safely and could be considered for inclusion in routine clinical assessments. Self-harm exposure and the origins of self-harm-related imagery, such as the links with past self-harm and social media, as well as potential imagery-based interventions for self-harm, require further evaluation. A working model of self-harm-related mental imagery is presented. |
| spellingShingle | Susi, K Stewart, A Knowles Bevis, R Hawton, K Self-harm-related mental imagery: a content analysis study of imagery reported by young people referred to mental health services |
| title | Self-harm-related mental imagery: a content analysis study of imagery reported by young people referred to mental health services |
| title_full | Self-harm-related mental imagery: a content analysis study of imagery reported by young people referred to mental health services |
| title_fullStr | Self-harm-related mental imagery: a content analysis study of imagery reported by young people referred to mental health services |
| title_full_unstemmed | Self-harm-related mental imagery: a content analysis study of imagery reported by young people referred to mental health services |
| title_short | Self-harm-related mental imagery: a content analysis study of imagery reported by young people referred to mental health services |
| title_sort | self harm related mental imagery a content analysis study of imagery reported by young people referred to mental health services |
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