Prevalence and help-seeking behaviour for non-suicidal self-injury in college students
Journal Title: Journal of Public Health and Development - Year 2023, Vol 21, Issue 2
Abstract
The prevalence of NSSI has become a widespread health problem in various countries. There is a scarcity of research pertaining to NSSI in Eastern countries, in comparison to studies undertaken in Western countries. This study aims to explore the self-injurious behaviour of college students in Indonesia. The crowdsourcing approach was applied by way of distributing questionnaires via Google Forms. A total of 909 college students aged 18-25 years (mean age = 20.3, SD = 1329, 75.4% female) completed the ISAS self-report scale to assess NSSI. Participants were recruited throughout June–July 2022. Results indicated that 30% of college students engaged in NSSI behaviour. The mean age of onset is 15.5 years. Reported methods relating to NSSI include hair pulling (78.0%), banging (74.4%), and pinching (66.0%). It was reported that 88.3% used more than one method and 17.2% felt no pain during self-injury. In carrying out NSSI, 72.5% did it alone. Additionally, it was mentioned that 73.6% had self-injured within the last year. Participants reported not sharing their experiences of NSSI (60.1%) due to fear of a negative reaction and a fear of being perceived as attention seeking. For NSSI function, the highest scores were Affect Regulation 6.76 (SD=2.22), Self-Punishment 5.84 (SD=2.65) and Anti-suicide 5.42 (SD=2.64). Concerning gender, results revealed statistically significant differences in the following subscales: Affect Regulation (p<0.05), Anti Dissociation (p<0.05) Anti-suicide (p<0.05) and Marking Distress (p <0.05). In conclusion, NSSI is still a public health issue in Indonesia. The majority of NSSI students did not have help-seeking behaviour. Prevention and management measures need to be developed to support people who self-injure by developing strategies to enable them to deal with problems appropriately and avoid risky behaviour.
Authors and Affiliations
Farida Hidayati, Mohammad Fanani, Sri Mulyani
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