Understanding the social context of adolescent nonsuicidal self-injury

Sarah E. Victor, Elisha David Klonsky

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Objective: Research investigating the social context of adolescent nonsuicidal self-injury (NSSI) has been limited. We therefore examined social characteristics of NSSI, such as knowledge of friends’ NSSI and the role friends play in continuing NSSI, and their relationships to other known NSSI correlates, such as suicidality. Method: We assessed NSSI characteristics, including social features, in a community sample of 89 self-injuring adolescents. We also assessed psychosocial correlates of NSSI, including impulsivity, self-concept, and psychiatric symptoms. Results: Knowledge of friends’ NSSI was relatively common among self-injurers. In addition, knowledge of friends’ NSSI was associated with use of more NSSI methods, cutting behaviors, and suicidal ideation, but not with other NSSI correlates. However, teaching or encouragement of NSSI by friends was rare. Conclusions: Knowledge of friends’ NSSI may serve as marker of increased severity among adolescent self-injurers. These findings have implications for identifying and intervening with high-risk self-injuring youth.

Original languageEnglish
Pages (from-to)2107-2116
Number of pages10
JournalJournal of Clinical Psychology
Issue number12
StatePublished - Dec 2018


  • adolescents
  • nonsuicidal self-injury
  • social
  • suicide


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