{
  "abstract": "Introduction: Nonsuicidal self-injury (NSSI) is associated with altered responses to self-injury-related cues. However, extant behavioral measures do not capture intentional engagement with stimuli, which may be most clinically relevant to understanding persistent NSSI.\n\nMethods: We created a novel task in MouseView.js to measure voluntary engagement with NSSI-relevant stimuli using cursor movements. Young adults (N=143) with self-injurious thoughts and/or behaviors histories completed the task and questionnaires assessing NSSI and suicidal ideation (SI) at baseline and 2-, 4- and 6-month follow-ups.\n\nResults: More frequent NSSI and greater SI severity were associated with increased engagement with suicide images (i.e., staged suicide attempts), but not general gore images, across the 10-second viewing period. Greater average engagement with both image types was associated with the presence (versus absence) of past-month NSSI. Greater baseline engagement with both image types prospectively predicted NSSI frequency over follow-ups; however, effects were non-significant when controlling for baseline symptoms.\n\nConclusion: We provide preliminary evidence that engagement with NSSI-relevant stimuli – measured using cursor movements – may be a concurrent behavioral correlate of NSSI. Effects were most consistent for images depicting self-injury, compared to general gore, suggesting that individuals with NSSI may be especially prone to engaging with content depicting intentional self-directed harm.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "name": "Sarina Rain"
    },
    {
      "name": "Lily Wanlu Martin"
    },
    {
      "name": "Edwin Dalmaijer"
    },
    {
      "name": "Thomas Armstrong"
    },
    {
      "name": "Jeremy G. Stewart"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dp3mbcpfyrt1w.bib",
  "cited_by": 0,
  "doi": "10.31234/osf.io/kshxq_v1",
  "fulltext_url": null,
  "id": "dp3mbcpfyrt1w",
  "issns": [],
  "landing_url": "https://osf.io/preprints/psyarxiv/kshxq_v1/",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "bepress",
      "Assessment"
    ],
    [
      "bepress",
      "Attention"
    ],
    [
      "bepress",
      "Clinical Psychology"
    ],
    [
      "bepress",
      "Cognitive Psychology"
    ],
    [
      "bepress",
      "Emotion"
    ],
    [
      "bepress",
      "Psychiatry"
    ],
    [
      "bepress",
      "Social and Behavioral Sciences"
    ],
    [
      "openalex",
      "3203|Suicide and Self-Harm Studies"
    ]
  ],
  "openalex": "W7214222706",
  "pdf_url": "https://osf.io/kshxq/download",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-24",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/dp3mbcpfyrt1w.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:23:55Z",
      "native_id": "kshxq",
      "source": "osf",
      "url": "https://osf.io/preprints/psyarxiv/kshxq_v1/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "bepress:Clinical Psychology",
      "subfield": "psychiatry"
    }
  ],
  "title": "Nonsuicidal self-injury and approach behavior toward aversive images: A MouseView.js study",
  "title_text": "Nonsuicidal self-injury and approach behavior toward aversive images: A MouseView.js study",
  "type": "preprint",
  "updated_at": "2026-10-30T12:23:55Z",
  "url": "https://research.draconitic.com/paper/dp3mbcpfyrt1w",
  "venue": "PsyArXiv",
  "versions": []
}