{"id":"https://openalex.org/W2953377140","doi":"https://doi.org/10.1177/2333393619852935","title":"Processes of Change and Nonsuicidal Self-Injury: A Qualitative Interview Study With Individuals at Various Stages of Change","display_name":"Processes of Change and Nonsuicidal Self-Injury: A Qualitative Interview Study With Individuals at Various Stages of Change","publication_year":2019,"publication_date":"2019-01-01","ids":{"openalex":"https://openalex.org/W2953377140","doi":"https://doi.org/10.1177/2333393619852935","mag":"2953377140","pmid":"https://pubmed.ncbi.nlm.nih.gov/31218241","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6558546"},"language":"en","primary_location":{"id":"doi:10.1177/2333393619852935","doi":"https://doi.org/10.1177/2333393619852935","is_oa":true,"landing_page_url":"https://doi.org/10.1177/2333393619852935","pdf_url":null,"source":{"id":"https://openalex.org/S4210230350","display_name":"Global Qualitative Nursing Research","issn_l":"2333-3936","issn":["2333-3936"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Qualitative Nursing Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1177/2333393619852935","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071429578","display_name":"Kaylee Payne Kruzan","orcid":"https://orcid.org/0000-0003-1489-487X","observed_orcids":["https://orcid.org/0000-0003-1489-487X","https://orcid.org/0009-0003-4633-8592"]},"institutions":[{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Kaylee Payne Kruzan","raw_affiliation_strings":["Cornell University, Ithaca, New York, USA"],"raw_orcid":"https://orcid.org/0000-0003-1489-487X","affiliations":[{"raw_affiliation_string":"Cornell University, Ithaca, New York, USA","institution_ids":["https://openalex.org/I205783295"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006879140","display_name":"Janis L Whitlock","orcid":"https://orcid.org/0000-0002-0527-054X","observed_orcids":["https://orcid.org/0000-0002-0527-054X"]},"institutions":[{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Janis Whitlock","raw_affiliation_strings":["Cornell University, Ithaca, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cornell University, Ithaca, New York, USA","institution_ids":["https://openalex.org/I205783295"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5071429578"],"corresponding_institution_ids":["https://openalex.org/I205783295"],"apc_list":{"value":1000,"currency":"USD","value_usd":1000},"apc_paid":{"value":1000,"currency":"USD","value_usd":1000},"fwci":5.4025,"has_fulltext":false,"cited_by_count":57,"citation_normalized_percentile":{"value":0.95565173,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"6","issue":null,"first_page":"2333393619852935","last_page":"2333393619852935"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10043","display_name":"Substance Abuse Treatment and Outcomes","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11093","display_name":"Personality Disorders and Psychopathology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/non-suicidal-self-injury","display_name":"non-suicidal self-injury","score":1.0},{"id":"https://openalex.org/keywords/behavior-change","display_name":"behavior change","score":0.7009999752044678},{"id":"https://openalex.org/keywords/stages-of-change","display_name":"stages of change","score":0.7590000033378601},{"id":"https://openalex.org/keywords/self-knowledge","display_name":"self-knowledge","score":0.734000027179718},{"id":"https://openalex.org/keywords/relational-factors","display_name":"relational factors","score":0.8159999847412109},{"id":"https://openalex.org/keywords/barriers-to-change","display_name":"barriers to change","score":0.8799999952316284},{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.7829999923706055},{"id":"https://openalex.org/keywords/youth","display_name":"youth","score":0.6610000133514404},{"id":"https://openalex.org/keywords/self-injury-prevention","display_name":"self-injury prevention","score":0.6140000224113464},{"id":"https://openalex.org/keywords/treatment","display_name":"treatment","score":0.42800000309944153}],"concepts":[{"id":"https://openalex.org/C14262774","wikidata":"https://www.wikidata.org/wiki/Q4880695","display_name":"Behavior change","level":2,"score":0.6629639863967896},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6378660798072815},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5850203633308411},{"id":"https://openalex.org/C2780719617","wikidata":"https://www.wikidata.org/wiki/Q1030752","display_name":"Salient","level":2,"score":0.5375774502754211},{"id":"https://openalex.org/C2779903281","wikidata":"https://www.wikidata.org/wiki/Q6888026","display_name":"Modalities","level":2,"score":0.4815378785133362},{"id":"https://openalex.org/C2778544270","wikidata":"https://www.wikidata.org/wiki/Q2984799","display_name":"Self-destructive behavior","level":4,"score":0.4722786843776703},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.46647128462791443},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.4020974636077881},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.36377930641174316},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3582802414894104},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.33764445781707764},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.33274751901626587},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.2639220356941223},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.24956241250038147},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.11556810140609741},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.10340741276741028},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.07358488440513611},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1177/2333393619852935","doi":"https://doi.org/10.1177/2333393619852935","is_oa":true,"landing_page_url":"https://doi.org/10.1177/2333393619852935","pdf_url":null,"source":{"id":"https://openalex.org/S4210230350","display_name":"Global Qualitative Nursing Research","issn_l":"2333-3936","issn":["2333-3936"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Qualitative Nursing Research","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6558546","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6558546","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Glob Qual Nurs Res","raw_type":"Text"},{"id":"pmid:31218241","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31218241","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global qualitative nursing research","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:8358308d20574ff2b0ff55c3357a9bb3","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/8358308d20574ff2b0ff55c3357a9bb3","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Global Qualitative Nursing Research, Vol 6 (2019)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/2333393619852935","doi":"https://doi.org/10.1177/2333393619852935","is_oa":true,"landing_page_url":"https://doi.org/10.1177/2333393619852935","pdf_url":null,"source":{"id":"https://openalex.org/S4210230350","display_name":"Global Qualitative Nursing Research","issn_l":"2333-3936","issn":["2333-3936"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Qualitative Nursing Research","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":75,"referenced_works":["https://openalex.org/W115394847","https://openalex.org/W187428086","https://openalex.org/W208211972","https://openalex.org/W587029014","https://openalex.org/W1503464104","https://openalex.org/W1543972764","https://openalex.org/W1595246595","https://openalex.org/W1734504739","https://openalex.org/W1851000376","https://openalex.org/W1955479751","https://openalex.org/W1972638869","https://openalex.org/W1974355167","https://openalex.org/W1975346143","https://openalex.org/W1979290264","https://openalex.org/W1990460551","https://openalex.org/W1991298704","https://openalex.org/W1997197159","https://openalex.org/W1997197335","https://openalex.org/W2016685016","https://openalex.org/W2020542013","https://openalex.org/W2024203493","https://openalex.org/W2029468682","https://openalex.org/W2034181307","https://openalex.org/W2040965210","https://openalex.org/W2042230175","https://openalex.org/W2054975435","https://openalex.org/W2063358626","https://openalex.org/W2074128541","https://openalex.org/W2084959542","https://openalex.org/W2085983189","https://openalex.org/W2090004998","https://openalex.org/W2094825871","https://openalex.org/W2097848346","https://openalex.org/W2101001691","https://openalex.org/W2102439592","https://openalex.org/W2102791171","https://openalex.org/W2105080310","https://openalex.org/W2105549203","https://openalex.org/W2107517678","https://openalex.org/W2112372680","https://openalex.org/W2115891951","https://openalex.org/W2117649643","https://openalex.org/W2117919944","https://openalex.org/W2119607767","https://openalex.org/W2127263830","https://openalex.org/W2127375334","https://openalex.org/W2129660502","https://openalex.org/W2132656837","https://openalex.org/W2134049139","https://openalex.org/W2137750288","https://openalex.org/W2138370979","https://openalex.org/W2140034517","https://openalex.org/W2142225512","https://openalex.org/W2142912849","https://openalex.org/W2148349675","https://openalex.org/W2157688071","https://openalex.org/W2171727819","https://openalex.org/W2179683524","https://openalex.org/W2204406939","https://openalex.org/W2209382324","https://openalex.org/W2253305734","https://openalex.org/W2273547651","https://openalex.org/W2329980996","https://openalex.org/W2415219339","https://openalex.org/W2528023122","https://openalex.org/W2580244755","https://openalex.org/W2592479499","https://openalex.org/W2597349891","https://openalex.org/W2788830461","https://openalex.org/W2791413789","https://openalex.org/W2884375080","https://openalex.org/W2899072364","https://openalex.org/W3016212659","https://openalex.org/W4237705130","https://openalex.org/W4361188836"],"related_works":["https://openalex.org/W4403082417","https://openalex.org/W4382930877","https://openalex.org/W1975346143","https://openalex.org/W2020542013","https://openalex.org/W3016212659","https://openalex.org/W2597349891","https://openalex.org/W6996507662","https://openalex.org/W7067745618","https://openalex.org/W7009947621","https://openalex.org/W4403100447"],"abstract_inverted_index":{"Nonsuicidal":[0],"self-injury":[1],"(NSSI)":[2],"is":[3],"a":[4,26,41,101],"pervasive":[5],"and":[6,14,18,48,53,113,130],"potentially":[7],"lethal":[8],"behavior":[9,31,59,90],"that":[10,56],"affects":[11],"many":[12],"youth":[13],"adolescents.":[15],"Effective":[16],"treatment":[17],"prevention":[19],"efforts":[20],"are":[21,144],"critical":[22],"but":[23],"often":[24],"lack":[25],"nuanced":[27,120],"understanding":[28],"of":[29,43,80,135],"the":[30,50,111],"change":[32,44,81,121,133],"process.":[33],"To":[34],"address":[35],"this":[36,38],"gap,":[37],"research":[39],"employs":[40],"stage":[42],"model":[45,112],"to":[46,76,91,105,117],"identify":[47],"understand":[49],"most":[51],"salient":[52],"widespread":[54],"processes":[55],"facilitate":[57],"NSSI":[58],"change.":[60],"Thirty-one":[61],"semi-structured":[62],"interviews":[63],"were":[64,74],"conducted":[65],"with":[66,68],"individuals":[67],"current":[69],"or":[70,140],"past":[71],"self-injury.":[72],"Individuals":[73],"recruited":[75],"represent":[77],"all":[78],"stages":[79],"including":[82],"those":[83,92],"who":[84,93],"have":[85,94],"not":[86],"thought":[87],"about":[88],"changing":[89],"been":[95],"NSSI-free":[96],"for":[97,107],"years.":[98],"We":[99],"employ":[100],"directed":[102],"content":[103],"analysis":[104],"code":[106],"dimensions":[108,125],"derived":[109],"from":[110],"an":[114],"inductive":[115],"approach":[116],"surface":[118],"more":[119],"levers.":[122],"Four":[123],"organizing":[124],"emerged:":[126],"relational,":[127],"behavioral,":[128],"self-knowledge,":[129],"barriers.":[131],"Common":[132],"levers":[134],"value":[136],"in":[137,141],"clinical":[138],"practice":[139],"intervention":[142],"modalities":[143],"discussed.":[145]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":12},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":15},{"year":2022,"cited_by_count":11},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":3}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2019-06-27T00:00:00"}