ArticleFrontiers in psychology2021
The Punished Self, the Unknown Self, and the Harmed Self - Toward a More Nuanced Understanding of Self-Harm Among Adolescent Girls.
Article in Frontiers in psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Critically Exploring Self-Harm Through Lived Experience Perspectives: A Survivor-Controlled Integrative Review Employing Participatory Methodology.Health expectations : an international journal of public participation in health care and health policy · 2026Review
- Seeing us Beyond the Cuts: Young Women's Perspectives on the Meaning of their Non-Suicidal Self-Harm.Journal of child & adolescent trauma · 2026Article
- 'Why can't you just be fine?': An autoethnography of self-harm from a lived experience and nursing perspective.Health (London, England : 1997) · 2026Article
- The crisis of abstaining from self-cutting: a phenomenological study of three women's divergent trajectories after cessation.Frontiers in psychology · 2026Article
- How Do Young Women Perceive Adult Responses to the Disclosure of Their Self-Harm and What Is the Impact of That Perception?International journal of environmental research and public health · 2025Article
- Perspectives from Young Australian Women with Lived Experience on Why Rates of Self-Harm Are Increasing: A Qualitative Study.International journal of environmental research and public health · 2025Article
- Children's experiences of living with their mental ill-health - a scoping review.International journal of qualitative studies on health and well-being · 2025Article
- Co-Developing Content Updates for the Card Sort Task for Self-Harm-Digital (CaTS-D) With People With Lived Self-Harm Experiences: Pilot Study and Thematic Analysis.JMIR mental health · 2025Article
- Suicidal behaviour in adolescents with affective disorders: A study in a crisis intervention unit (CIU).PloS one · 2025Observational
- The lived experience of mental disorders in adolescents: a bottom-up review co-designed, co-conducted and co-written by experts by experience and academics.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- Maladaptive blame-related action tendencies are associated with vulnerability to major depressive disorder.Journal of psychiatric research · 2022Article
- "Frontiers in psychiatry · 2022Article
- The reasons dissociative disorder patients self-injure.European journal of psychotraumatology · 2022Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Self-harm among adolescents, mostly girls, has increased in the last years. Self-harm is associated with mental illness and the risk of suicide. This qualitative study aims to explore the lived experience of self-harm as it is related to everyday life and challenges among adolescents. Nineteen girls (13-18 years of age) in a clinical population (strategic selection) participated in personal interviews analyzed by Interpretative Phenomenological Analysis to capture how they made meaning of self-harm and essential features of experiencing self-harm. Adult persons with the first-hand experience of self-harm were included in the research analysis. Data-analysis resulted in three superordinate themes which all speak about ways to handle inner pain and vulnerability: 1. "I deserve pain," 2. "I don't want to feel anything," and 3. "I'm harmed, and no one cares." Each superordinate theme included four main themes characterizing essential features of difficult experiences during self-harm, the purpose of the action, self-descriptions, and the role of others during self-harm. The three superordinate themes are discussed as emerging self-representations - "the punished self," "the unknown self," and "the harmed self" - during the transitional age of adolescence. This article argues that subjective personal data on self-harm related to adolescents' everyday lives may indicate diversity in the capacity to integrate difficult needs, feelings, and traumatic experiences as part of the self. This knowledge may bring a nuanced understanding of self-harm in adolescence, enhance self-understanding and treatment motivation, and inform clinical adjustment.
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