"I wanted to be proud of myself, not ashamed": A qualitative investigation of suicide and self-injury inflection points.

Saved in:
Bibliographic Details
Title: "I wanted to be proud of myself, not ashamed": A qualitative investigation of suicide and self-injury inflection points.
Authors: Rasmussen, Susan (AUTHOR), Kaufman, Erin A. (AUTHOR), Kaniuka, Andrea R. (AUTHOR), Meddaoui, Brianna (AUTHOR), Miller, Raina H. (AUTHOR), Kinnard, Rachel (AUTHOR), Stage, Dese'Rae L. (AUTHOR), Cramer, Robert J. (AUTHOR)
Source: Death Studies. 2026, Vol. 50 Issue 4, p620-635. 16p.
Subjects: Fear, Qualitative research, Independent living, Psychological adaptation, Help-seeking behavior, Self-mutilation, Experience, Motivation (Psychology), Surveys, Thematic analysis, Suicide, Punishment, Social support, Data analysis software, Interpersonal relations, Psychosocial factors
Geographic Terms: United Kingdom
Abstract: Inflection points are pivotal moments immediately preceding self-directed violence (SDV; i.e., self-injury and suicide). This study qualitatively examined factors that contributed to halting SDV during inflection points. Participants (N = 166) completing an online survey were community-dwelling adults in the United Kingdom with some form of SDV lived experience. Thematic analysis yielded the following results. The most common themes across SDV inflection points were (in descending order): concern for the negative impact on others (e.g., fear of hurting loved ones), use of adaptive coping methods (e.g., general use of coping skills), physical deterrents (e.g., scarring, pain), social contact (sense of connection in the moment), and concern for negative consequences on oneself (e.g., fear of punishment). Healthy coping skill use contributed to halting both self-injury and suicide. Self-injury inflection points were largely characterized by intrapersonal factors, whereas suicide inflection points were highly interpersonal in nature. Implications for clinical practice, theory, and research are discussed. [ABSTRACT FROM AUTHOR]
Copyright of Death Studies is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 191948492
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: "I wanted to be proud of myself, not ashamed": A qualitative investigation of suicide and self-injury inflection points.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Rasmussen%2C+Susan%22">Rasmussen, Susan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kaufman%2C+Erin+A%2E%22">Kaufman, Erin A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kaniuka%2C+Andrea+R%2E%22">Kaniuka, Andrea R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meddaoui%2C+Brianna%22">Meddaoui, Brianna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Miller%2C+Raina+H%2E%22">Miller, Raina H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kinnard%2C+Rachel%22">Kinnard, Rachel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stage%2C+Dese'Rae+L%2E%22">Stage, Dese'Rae L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cramer%2C+Robert+J%2E%22">Cramer, Robert J.</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Death+Studies%22">Death Studies</searchLink>. 2026, Vol. 50 Issue 4, p620-635. 16p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Fear%22">Fear</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Independent+living%22">Independent living</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Help-seeking+behavior%22">Help-seeking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Self-mutilation%22">Self-mutilation</searchLink><br /><searchLink fieldCode="DE" term="%22Experience%22">Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Suicide%22">Suicide</searchLink><br /><searchLink fieldCode="DE" term="%22Punishment%22">Punishment</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+relations%22">Interpersonal relations</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Inflection points are pivotal moments immediately preceding self-directed violence (SDV; i.e., self-injury and suicide). This study qualitatively examined factors that contributed to halting SDV during inflection points. Participants (N = 166) completing an online survey were community-dwelling adults in the United Kingdom with some form of SDV lived experience. Thematic analysis yielded the following results. The most common themes across SDV inflection points were (in descending order): concern for the negative impact on others (e.g., fear of hurting loved ones), use of adaptive coping methods (e.g., general use of coping skills), physical deterrents (e.g., scarring, pain), social contact (sense of connection in the moment), and concern for negative consequences on oneself (e.g., fear of punishment). Healthy coping skill use contributed to halting both self-injury and suicide. Self-injury inflection points were largely characterized by intrapersonal factors, whereas suicide inflection points were highly interpersonal in nature. Implications for clinical practice, theory, and research are discussed. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Death Studies is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=191948492
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/07481187.2025.2452465
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 16
        StartPage: 620
    Subjects:
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Independent living
        Type: general
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Help-seeking behavior
        Type: general
      – SubjectFull: Self-mutilation
        Type: general
      – SubjectFull: Experience
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Suicide
        Type: general
      – SubjectFull: Punishment
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Interpersonal relations
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: United Kingdom
        Type: general
    Titles:
      – TitleFull: "I wanted to be proud of myself, not ashamed": A qualitative investigation of suicide and self-injury inflection points.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Rasmussen, Susan
      – PersonEntity:
          Name:
            NameFull: Kaufman, Erin A.
      – PersonEntity:
          Name:
            NameFull: Kaniuka, Andrea R.
      – PersonEntity:
          Name:
            NameFull: Meddaoui, Brianna
      – PersonEntity:
          Name:
            NameFull: Miller, Raina H.
      – PersonEntity:
          Name:
            NameFull: Kinnard, Rachel
      – PersonEntity:
          Name:
            NameFull: Stage, Dese'Rae L.
      – PersonEntity:
          Name:
            NameFull: Cramer, Robert J.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Text: 2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 07481187
          Numbering:
            – Type: volume
              Value: 50
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Death Studies
              Type: main
ResultId 1