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Addiction to Self-harm? The Case of Online Postings on Self-harm Message Boards

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Abstract

Presently, there is limited research investigating the addictive nature of self-harm, even though non-suicidal self-injury disorder has been included in the DSM-V (American Psychiatric Association 2013) for over 5 years. The aim of the present study was to build on the existing literature by examining self-harm discussions on Internet message boards to examine if themes related to addiction are present. A sample of 500 online postings from four forums were analysed to examine whether self-harm has an addictive nature. Postings were extracted, read, and re-read before being coded using inductive content analysis to identify themes. Six themes were identified: “Urge/Obsession”, “Relapse”, “Can’t/Don’t want to stop”, “Co** mechanism”, “Hiding/Shame”, and “Getting worse/Not enough”. Postings revealed there can be cravings to engage in self-harm behaviour, not wanting or being able to stop, returning to the behaviour, self-harm being a co** mechanism, shame, and the behaviour becoming worse. This study has demonstrated that repetitive self-harming seems to have addictive aspects.

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Correspondence to Christopher Alan Lewis.

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Davis, S., Lewis, C.A. Addiction to Self-harm? The Case of Online Postings on Self-harm Message Boards. Int J Ment Health Addiction 17, 1020–1035 (2019). https://doi.org/10.1007/s11469-018-9975-8

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  • DOI: https://doi.org/10.1007/s11469-018-9975-8

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