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The lifetime prevalence of non-suicidal self-injury (NSSI) among adolescents is high with 26% (Plener et al., 2009). NSSI is defined as the direct, repetitive, socially unacceptable destruction or alteration of body tissues without a suicidal intention (APA, 2013). The early diagnosis and treatment of mental disorders including NSSI as a symptom is of great importance as non -treatment is for example associated with a higher risk of suicide (Kiekens et al., 2018). NSSI is strongly stigmatized and often misunderstood, as it is often seen as an attention-seeking or manipulative behavior (Klineberg et al., 2013; Lewis et al., 2014; Lloyd et al., 2018; Sandy, 2013; Scourfield et al., 2011) or a behavior with a suicidal intention (Kumar et al., 2004) or a behavior that shouldn’t be taken seriously (Mitten et al., 2016). The fear of stigmatization and the internalization of negative stereotypes of NSSI represent a major barrier of mental health care use (Chandler, 2014; Long, 2018). Attitudes towards people with NSSI differentiating between perceived public stigma, personal stigma, self-stigma and enacted stigma have not yet been systematically recorded. Knowledge about the specificity of stigmatizing attitudes as a barrier of help-seeking might be important for the further development of interventions aiming to reduce barriers of formal help-seeking for NSSI. The aim of the study is therefore to assess stigmatizing attitudes in participants who are affected and who are not affected by NSSI using a mixed method design (quantitative and a qualitative study design). Different types of stigma with items derived from a systematic literature research will be investigated. |
