Journal of the Korean Academy of Child and Adolescent Psychiatry : eISSN 2233-9183 / pISSN 1225-729X

Table. 2.

Table. 2.

The thematic tree of the main themes and subthemes addressed by the participants

Themes and subthemes Frequency Case Examples of verbatim
Context of NSSI
Environmental 8 6 “I started doing it when I was… 18 years old I think. Uh, maybe 17. Uh… After a hard break up”
Psychiatric 6 7 “I had anorexia, bulimia when I was young and uh let’s say it was the second step”
Similarities with addictive behavior
Tolerance 2 2 “The more we do it, the less it hurts, the more, inevitably, it gets bigger”
Craving 11 5 “I have this irrepressible need to do it”
Conflict 7 6 “There’re plenty times, plenty times where I want to do it but I try to stop myself but I can’t”
Withdrawal 3 1 “It’s like a withdrawal”
NSSI functions
Emotion regulation
Distraction of attention 12 8 “Something to make me think of something else or…”
Emotion suppression 7 7 “It’s a bit of a short circuit…to not feel emotion anymore”
Emotional control 13 7 “A need for, control, to regain control”
Exteriorization of suffering 21 7 “I got used to doing as a thing to externalize”
Dissociation 3 3 “Being far away of everything, being disconnected”
Lack of ER strategies 10 8 “Want to get out of distress but not be able to and not know how to do it otherwise that self-injure”
Emotional relief 14 8 “We really have the impression of a shot of I don’t know what hormone“
Emotional acceptance 3 2 “And it’s also to accept my emotions”
Induce positive emotion 8 5 “The dopamine shot, it gave me this feeling of being high”
Self-punishment 10 7 “To punish me too, where I suddenly felt guilty about something and I thought, go, my way to punish myself”
Be active 6 4 “And uh.. And I wouldn’t know how to say it but it was a way of, of doing an action”
Attention seeking 11 5 “I think in hindsight in real life it was maybe for a need of attention, that I did this”
Affection seeking 5 2 “Because here I was lacking affection”
Being recognized 9 4 “You seek recognition”
Emotion sequence of NSSI
Being overwhelmed by negative and positive emotions 25 10 “It kind of happened to me at times when I explode, it’s really that the emotions overflow”
Relief 13 10 “It’s like I unload a load, I say to myself it’s okay, the crisis has passed now I feel soothed”
Feeling guilty and ashamed 17 11 “First, shame. That’s for sure because, uh, you can’t show it. Guilt because I regret it”

Frequency: number of times the code appeared in the interviews. Case: number of interviews out of 12 in which the code appeared. NSSI, non-suicidal self-injury; ER, emotion regulation

J Korean Acad Child Adolesc Psychiatry 2023;34:159-68
© 2023 J Korean Acad Child Adolesc Psychiatry