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Conversely, many with lived experience (LE) highlight relational and systemic trauma, abuse and violence as inseparable from self\u2010harm. This survivor\u2010controlled integrative review was led by a LE researcher and employed participatory methodology with people with LE to explore self\u2010harm. Our research question was\n                      <jats:italic>\u2018How is self\u2010harm conceptualised?\u2019<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Evidence was identified from a systematic search of MEDLINE, EMBASE, PsycINFO, CINAHL and Global Health. Eligible studies must have explored self\u2010harm subjectivity, used qualitative methodology and PPI. PPI was assessed based on NIHR \u2018Levels of Involvement\u2019. 36 articles were appraised using CASP, GRIPP\u20102 and an adapted Equity, Diversity and Inclusion framework. Reflexive thematic analysis within social constructionism and a survivor approach were employed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Findings were organised into two themes.\n                      <jats:bold>Theme 1<\/jats:bold>\n                      :\n                      <jats:bold>What is self\u2010harm?<\/jats:bold>\n                      describes how researchers variably constructed self\u2010harm across the included studies.\n                      <jats:bold>Theme 2<\/jats:bold>\n                      :\n                      <jats:bold>The web of self\u2010harm<\/jats:bold>\n                      explores its \u2018\n                      <jats:italic>trajectory\u2019<\/jats:italic>\n                      , exploring how social experiences and circumstances work to induce chaotic embodied sensations, leading to self\u2010harm as an emotional practice to negotiate with oneself and one's experiences. As an embodied practice, self\u2010harm reflects the liminality between the personal\/social and speaks to what it means to exist in social life.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review explores how self\u2010harm can be constructed as an embodied practice mediated by social circumstances, highlighting how psy\u2010knowledge overlooks social life. In identifying this, we highlight how common clinical responses that individualise and pathologise LE are rationalised. Through PPI and survivor methods, this work offers significant methodological contribution, demonstrating how LE inclusion supported critical, interdisciplinary understanding, enhancing knowledge to reconnect people to their experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This was a survivor\u2010controlled research project. The lead author, CdCL, is a LE researcher, and general nurse, who centralises experiences of complex trauma, mental distress and self\u2010harm in their work. AS is also a survivor researcher with extensive experience in trauma\u2010informed approaches. UF is a LE researcher with significant expertise in eating distress and qualitative methods. CdCL collaborated with a PPI advisory board throughout the research project to ensure greater inclusivity and transferability to others with LE. PPI peers SB, GJ and EM, are co\u2010authors to this work, and supported the refinement of research objectives, interpretation, naming and development of themes and edited the manuscript.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70700","type":"journal-article","created":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T12:05:42Z","timestamp":1780833942000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Critically Exploring Self\u2010Harm Through Lived Experience Perspectives: A Survivor\u2010Controlled Integrative Review Employing Participatory Methodology"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2840-8732","authenticated-orcid":false,"given":"C. C.","family":"da Cunha Lewin","sequence":"first","affiliation":[{"name":"Health Service and Population Research, Institute of Psychology, Psychiatry and Neuroscience (IoPPN) King's College London London UK"},{"name":"Lived Experience Advisory Panel (LEAP), Service User Research Enterprise, Health Service and Population Research, Institute of Psychology, Psychiatry and Neuroscience (IoPPN) King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Leamy","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Baldoza","sequence":"additional","affiliation":[{"name":"Lived Experience Advisory Panel (LEAP), Service User Research Enterprise, Health Service and Population Research, Institute of Psychology, Psychiatry and Neuroscience (IoPPN) King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Jerwood","sequence":"additional","affiliation":[{"name":"Lived Experience Advisory Panel (LEAP), Service User Research Enterprise, Health Service and Population Research, Institute of Psychology, Psychiatry and Neuroscience (IoPPN) King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Es","family":"Miles","sequence":"additional","affiliation":[{"name":"Lived Experience Advisory Panel (LEAP), Service User Research Enterprise, Health Service and Population Research, Institute of Psychology, Psychiatry and Neuroscience (IoPPN) King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Foye","sequence":"additional","affiliation":[{"name":"Health Service and Population Research, Institute of Psychology, Psychiatry and Neuroscience (IoPPN) King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Sweeney","sequence":"additional","affiliation":[{"name":"Health Service and Population Research, Institute of Psychology, Psychiatry and Neuroscience (IoPPN) King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","unstructured":"P.SteggalsMaking Sense of Self\u2010Harm: Cultural Meaning and Social Context of Nonsuicidal Self\u2010Injury. 1st ed. 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