Evidence map›Paper›PMID 35312631›Full record

ArticleJournal of behavioral addictions2022

Getting "clean" from nonsuicidal self-injury: Experiences of addiction on the subreddit r/selfharm.

McKenzie Himelein-Wachowiak, Salvatore Giorgi, Amy Kwarteng, Destiny Schriefer, Chase Smitterberg, Kenna Yadeta, Elise Bragard, Amanda Devoto, Lyle Ungar, Brenda Curtis

Abstract read
In one paragraph

Article in Journal of behavioral addictions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Borderline Personality Symptoms, Body Modification, and Emotional Regulation.International journal of environmental research and public health · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Non-Suicidal Self-Injury and Emotional Dysregulation in Male and Female Young Adults: A Qualitative Study.Journal of the Korean Academy of Child and Adolescent Psychiatry · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

McKenzie Himelein-Wachowiak1 National Institute on Drug Abuse Intramural Research Program, Baltimore, MD, USA.ORCID 0000-0003-3291-343X
Salvatore Giorgi1 National Institute on Drug Abuse Intramural Research Program, Baltimore, MD, USA.ORCID 0000-0001-7381-6295
Amy Kwarteng1 National Institute on Drug Abuse Intramural Research Program, Baltimore, MD, USA.
Destiny Schriefer1 National Institute on Drug Abuse Intramural Research Program, Baltimore, MD, USA.
Chase Smitterberg1 National Institute on Drug Abuse Intramural Research Program, Baltimore, MD, USA.ORCID 0000-0001-8509-8120
Kenna Yadeta1 National Institute on Drug Abuse Intramural Research Program, Baltimore, MD, USA.
Elise Bragard1 National Institute on Drug Abuse Intramural Research Program, Baltimore, MD, USA.ORCID 0000-0002-8065-819X
Amanda Devoto1 National Institute on Drug Abuse Intramural Research Program, Baltimore, MD, USA.ORCID 0000-0003-3605-5997
Lyle Ungar2 Department of Computer and Information Sciences, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-2047-1443
Brenda Curtis1 National Institute on Drug Abuse Intramural Research Program, Baltimore, MD, USA.ORCID 0000-0002-2511-3322

Funding

Digital Markers in Relapse and RecoveryZIADA000628 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI CURTIS, BRENDA · 2019 to 2025
$10.0M
6 · The paper itself

Abstract

Background & Aims: Previous studies have shown that nonsuicidal self-injury (NSSI) has addictive features, and an addiction model of NSSI has been considered. Addictive features have been associated with severity of NSSI and adverse psychological experiences. Yet, there is debate over the extent to which NSSI and substance use disorders (SUDs) are similar experientially. Methods: To evaluate the extent that people who self-injure experience NSSI like an addiction, we coded the posts of users of the subreddit r/selfharm (n = 500) for each of 11 DSM-5 SUD criteria adapted to NSSI. Results: A majority (76.8%) of users endorsed at least two adapted SUD criteria in their posts, indicative of mild, moderate, or severe addiction. The most frequently endorsed criteria were urges or cravings (67.6%), escalating severity or tolerance (46.7%), and NSSI that is particularly hazardous. User-level addictive features positively predicted number of methods used for NSSI, number of psychiatric disorders, and particularly hazardous NSSI, but not suicidality. We also observed frequent use of language and concepts common in SUD recovery circles like Alcoholics Anonymous. Discussion & Conclusion: Our findings support previous work describing the addiction potential of NSSI and associating addictive features with clinical severity. These results suggest that NSSI and SUD may share experiential similarities, which has implications for the treatment of NSSI. We also contribute to a growing body of work that uses social media as a window into the subjective experiences of stigmatized populations.

Indexed as

Behavior, AddictiveSelf-Injurious BehaviorSubstance-Related DisordersHumansSuicidal Ideationaddictionlanguageredditself-harmself-injurysocial media

Identifiers

PMID35312631
PMCPMC9109623

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.