Nonsuicidal self-injury and healthcare providers: a qualitative study exploring people’s lived experiences
Bibliographic record
Abstract
Nonsuicidal self-injury (NSSI), the intentional and direct damage to one’s body tissue, has been shown to be a reliable risk factor for subsequent suicide. Unfortunately, the behaviour also elicits significant stigma, including in healthcare contexts. With this in mind, the present study investigated how individuals who engage with NSSI describe their experiences with healthcare professionals. Inductive reflexive thematic analysis was employed to examine 48 online posts from a popular NSSI e-community. Findings revealed five themes: Invalidated & Minimized, Distressed & Confined, Fear of Disclosure, Communication Challenges, and Validated & Supported. Our results suggest that individuals have a range of negative experiences with healthcare professionals in various contexts, signalling potential stigma. At the same time some shared positive experiences, such as validation and non-judgmental support. Results have implications for research, anti-stigma work, and clinicians which are discussed.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".