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Additionally, we tested whether the associations between perfectionism and both rumination and negative affect are moderated by attention control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a correlational cross\u2010sectional design, adults aged 18\u201325 with (<jats:italic>N<\/jats:italic>\u2009=\u2009197) and without (<jats:italic>N<\/jats:italic>\u2009=\u2009271) a history of NSSI completed measures of perfectionism, rumination, negative affect, attention control, and NSSI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Perfectionism was directly associated with increased odds of NSSI, and indirectly associated with odds of NSSI through rumination and negative affect. The relationship between perfectionism and rumination was moderated by attention focusing, such that the relationship was stronger for individuals who were higher in attention focusing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Integrating perfectionism and attention with existing models of NSSI may improve understanding of the factors contributing to NSSI and offers insights into future clinical directions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23315","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T14:59:28Z","timestamp":1642690768000},"page":"1463-1477","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Modeling pathways to non\u2010suicidal self\u2010injury: The roles of perfectionism, negative affect, rumination, and attention control"],"prefix":"10.1002","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2836-9833","authenticated-orcid":false,"given":"Kate E.","family":"Tonta","sequence":"first","affiliation":[{"name":"School of Population Health Curtin University  Bentley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5420-8606","authenticated-orcid":false,"given":"Mark","family":"Boyes","sequence":"additional","affiliation":[{"name":"School of Population Health Curtin University  Bentley Western Australia Australia"},{"name":"Curtin Enable Institute Curtin University  Bentley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8082-4912","authenticated-orcid":false,"given":"Joel","family":"Howell","sequence":"additional","affiliation":[{"name":"School of Population Health Curtin University  Bentley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2924-6760","authenticated-orcid":false,"given":"Peter","family":"McEvoy","sequence":"additional","affiliation":[{"name":"School of Population Health Curtin University  Bentley Western Australia Australia"},{"name":"Curtin Enable Institute Curtin University  Bentley Western Australia Australia"},{"name":"Centre for Clinical Interventions  Northbridge Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7000-8065","authenticated-orcid":false,"given":"Andrew","family":"Johnson","sequence":"additional","affiliation":[{"name":"School of Population Health Curtin University  Bentley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0172-9288","authenticated-orcid":false,"given":"Penelope","family":"Hasking","sequence":"additional","affiliation":[{"name":"School of Population Health Curtin University  Bentley Western Australia Australia"},{"name":"Curtin Enable Institute Curtin University  Bentley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,20]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Asparouhov T. &Muth\u00e9n B.(2010). 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