Profiles of Cognitive Appraisal of Non-Suicidal Self-Injury Scars and Their Clinical Correlates in Adults with a History of Self-Injury: A Cross-Sectional Study.
4 affiliations
- 1Department of Pedagogy and Medical Psychology, I.M. Sechenov First Moscow State Medical University (Sechenov University), 8-2 Trubetskaya Street, 119991 Moscow, Russia.
- 2Department of Clinical Psychology, Ryazan State Medical University Named After Academician I.P. Pavlov, 9 Vysokovoltnaya Street, 390026 Ryazan, Russia.
- 3Neurocentre of Medical-Psychological Correction and Rehabilitation, 3-1 Severny Boulevard, 127566 Moscow, Russia.
- 4Department of Psychoprophylaxis, V. Serbsky National Medical Research Centre for Psychiatry and Narcology, 23 Kropotkinskiy Pereulok, 119034 Moscow, Russia.
Abstract
Scars are the most durable consequence of non-suicidal self-injury (NSSI), but how patients appraise them, and how appraisal dimensions combine within individuals, remains unclear. In this cross-sectional study, 234 adults with a history of NSSI and at least one scar, recruited consecutively in Ryazan and Moscow, Russia, completed the Russian NSSI Scar Cognition Scale (Hopelessness, Shame, Inner Strength) and measures of suicidal ideation, social anxiety, rumination, body-image dysphoria and NSSI functions. Profiles were derived by cluster analysis and tested for stability. Three stable profiles emerged: low-salience (55.1%), negative-dominant (28.2%) and strength-dominant (16.7%). The negative-dominant profile showed the highest suicidal ideation, social anxiety, rumination, body-image dysphoria and self-punishment; the strength-dominant profile showed suicidal ideation and social anxiety similar to the low-salience profile, intermediate rumination and body-image dysphoria, and the strongest endorsement of NSSI functions. These differences persisted after covariate adjustment. Scar appraisal explained a further 7.9% of variance in suicidal ideation beyond demographics, self-injury status and general distress; scar visibility explained none. In behavioural remission, the negative-dominant profile reported higher suicidal ideation than the other profiles. Scar appraisal distinguishes subgroups with different clinical correlates. Longitudinal studies are needed to establish whether these profiles predict outcomes or can guide treatment.
Related
- Executive dysfunction in COPD: prevalence and clinical correlates of cognitive impairment : A cross-sectional case–control study
- Psychotic symptom burden and serum uric acid as correlates in a limited-adjustment analysis of current suicidal ideation in schizophrenia: a cross-sectional study
- Latent Profiles of Psychological Distress and Suicidal Ideation Among Nursing Students: A Cross-Sectional Study of Associated Factors.
- Polysomnographic and nocturnal heart rate correlates of cognitive impairment in Parkinson’s disease: a cross-sectional study
- Prevalence and correlates of suicidal behavior among adults with chronic health conditions in Malawi
BibTeX
@article{grigoreva2026profiles,
title = {{Profiles of Cognitive Appraisal of Non-Suicidal Self-Injury Scars and Their Clinical Correlates in Adults with a History of Self-Injury: A Cross-Sectional Study.}},
author = {Alexandrina A Grigoreva and Ilya A Fedotov and Maksim P Marachev and Anastasia K Kondratovich},
journal = {European journal of investigation in health, psychology and education},
year = {2026},
month = oct,
doi = {10.3390/ejihpe16100161},
url = {https://europepmc.org/article/MED/42930224},
note = {CC BY},
}
RIS
TY - JOUR
TI - Profiles of Cognitive Appraisal of Non-Suicidal Self-Injury Scars and Their Clinical Correlates in Adults with a History of Self-Injury: A Cross-Sectional Study.
AU - Alexandrina A Grigoreva
AU - Ilya A Fedotov
AU - Maksim P Marachev
AU - Anastasia K Kondratovich
PY - 2026
DA - 2026/10/10
JO - European journal of investigation in health, psychology and education
DO - 10.3390/ejihpe16100161
UR - https://europepmc.org/article/MED/42930224
AB - Scars are the most durable consequence of non-suicidal self-injury (NSSI), but how patients appraise them, and how appraisal dimensions combine within individuals, remains unclear. In this cross-sectional study, 234 adults with a history of NSSI and at least one scar, recruited consecutively in Ryazan and Moscow, Russia, completed the Russian NSSI Scar Cognition Scale (Hopelessness, Shame, Inner Strength) and measures of suicidal ideation, social anxiety, rumination, body-image dysphoria and NSSI functions. Profiles were derived by cluster analysis and tested for stability. Three stable profiles emerged: low-salience (55.1%), negative-dominant (28.2%) and strength-dominant (16.7%). The negative-dominant profile showed the highest suicidal ideation, social anxiety, rumination, body-image dysphoria and self-punishment; the strength-dominant profile showed suicidal ideation and social anxiety similar to the low-salience profile, intermediate rumination and body-image dysphoria, and the strongest endorsement of NSSI functions. These differences persisted after covariate adjustment. Scar appraisal explained a further 7.9% of variance in suicidal ideation beyond demographics, self-injury status and general distress; scar visibility explained none. In behavioural remission, the negative-dominant profile reported higher suicidal ideation than the other profiles. Scar appraisal distinguishes subgroups with different clinical correlates. Longitudinal studies are needed to establish whether these profiles predict outcomes or can guide treatment.
SN - 2174-8144
SN - 2254-9625
ER -