{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T22:54:21Z","timestamp":1789944861951,"version":"4.0.1"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,2,19]],"date-time":"2013-02-19T00:00:00Z","timestamp":1361232000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the American Academy of Nurse Practitioners"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To provide an overview of nonsuicidal self\u2010injurious behavior (NSSIB) for nurse practitioners (NPs) who see patients with this complex phenomenon in primary care settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data sources<\/jats:title><jats:p>Selected research and clinical reviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>NSSIB is characterized as a low\u2010lethality, repetitive act that can alter or cause damage to the body tissue. Among researchers and those who work directly with young people, there is a general consensus that NSSIB is increasing in prevalence. Unfortunately, NPs often view self\u2010injuring patients negatively, likely because of a lack of knowledge as to how to help this special patient population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for practice<\/jats:title><jats:p>Appropriate treatment can be initiated in the primary care setting; however, NPs must be aware of how and when to refer to specialty mental health services. Those with psychiatric comorbidities such as mood lability, anxiety, chronic emptiness or depersonalization, dysphoria, loneliness, anhedonia, or borderline personality disorder require management by mental health specialists. Patients experiencing NSSIB in response to command auditory hallucinations need immediate medical attention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1745-7599.12006","type":"journal-article","created":{"date-parts":[[2013,2,19]],"date-time":"2013-02-19T17:32:20Z","timestamp":1361295140000},"page":"167-172","source":"Crossref","is-referenced-by-count":6,"title":["Identifying and managing nonsuicidal self\u2010injurious behavior in the primary care setting"],"prefix":"10.1111","volume":"25","author":[{"given":"Kirstyn M.","family":"Kameg","sequence":"first","affiliation":[{"name":"Robert Morris University  Moon Township Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audra","family":"Spencer Woods","sequence":"additional","affiliation":[{"name":"Ohio Valley General Hospital  McKees Rocks Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janene Luther","family":"Szpak","sequence":"additional","affiliation":[{"name":"Robert Morris University  Moon Township Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcy","family":"McCormick","sequence":"additional","affiliation":[{"name":"Robert Morris University  Moon Township Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,2,19]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"issue":"3","key":"e_1_2_3_3_1","first-page":"145","article-title":"Deliberate self\u2010harm in adolescents. 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