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Arch Psychiatr Nurs. 2009 Feb;23(1):25-31. doi: 10.1016/j.apnu.2008.02.012. Epub 2008 Oct 15.

Behavioral change in patients with severe self-injurious behavior: a patient's perspective.

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  • 1Palier, Forensic and Intensive Care, Intensive Treatment Centre, Fenny ten Boschstraat 23, The Hague, The Netherlands.


Semistructured interviews were conducted with 12 women who had successfully stopped self-injuring to gain an understanding of the process of stopping self-injury. The data were analyzed based on the grounded theory method. The researchers found that the process of stopping self-injury consists of six phases. Connection was identified as key to all phases of the process. Nursing interventions should focus on forging a connection, encouraging people who self-injure to develop a positive self-image and learn alternative behavior.

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