{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:55:31Z","timestamp":1765889731654,"version":"3.48.0"},"reference-count":64,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Medical Research Future Fund (MRFF), Australia","award":["1200195"],"award-info":[{"award-number":["1200195"]}]},{"DOI":"10.13039\/501100000925","name":"NHMRC Fellowships","doi-asserted-by":"publisher","award":["1155614"],"award-info":[{"award-number":["1155614"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"NHMRC Fellowships","doi-asserted-by":"publisher","award":["1173146"],"award-info":[{"award-number":["1173146"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Rates of self-harm in Australian young people have increased significantly in recent years, especially in young women. Self-harm has been associated with several risk factors, including a history of abuse, bullying, mood and personality disorders, social isolation and suicidal ideation. However, little is known about why rates have increased in the past decade, and the voices of young Australian women have been conspicuously absent from the research. This study explored perceived subjective reasons for the increase in self-harm rates by interviewing 24 young Australian women with lived experience of self-harming behaviours. A reflexive thematic analysis identified three interwoven themes: \u2018The world is hard, and it\u2019s getting harder\u2019, \u2018New media exacerbates old challenges\u2019, and \u2018The online world brings unique challenges\u2019. Participants also highlighted the complexity of social media as both a negative influence and a supportive factor. These themes extend previous research by highlighting the nuanced and multi-faceted psychosocial factors that influence self-harming behaviours and may help inform effective, evidence-based strategies that help minimise harm.<\/jats:p>","DOI":"10.3390\/ijerph22121871","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:47:26Z","timestamp":1765889246000},"page":"1871","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perspectives from Young Australian Women with Lived Experience on Why Rates of Self-Harm Are Increasing: A Qualitative Study"],"prefix":"10.3390","volume":"22","author":[{"given":"Lorna","family":"Hankin","sequence":"first","affiliation":[{"name":"Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasia","family":"Hronis","sequence":"additional","affiliation":[{"name":"Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7944-2172","authenticated-orcid":false,"given":"Alexis","family":"Whitton","sequence":"additional","affiliation":[{"name":"Black Dog Institute, UNSW Sydney, Randwick, NSW 2031, Australia"},{"name":"Faculty of Medicine and Health, UNSW Sydney, Kensington, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Tang","sequence":"additional","affiliation":[{"name":"Black Dog Institute, UNSW Sydney, Randwick, NSW 2031, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5368-1792","authenticated-orcid":false,"given":"Aimy","family":"Slade","sequence":"additional","affiliation":[{"name":"Black Dog Institute, UNSW Sydney, Randwick, NSW 2031, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0435-2065","authenticated-orcid":false,"given":"Helen","family":"Christensen","sequence":"additional","affiliation":[{"name":"Black Dog Institute, UNSW Sydney, Randwick, NSW 2031, Australia"},{"name":"Faculty of Medicine and Health, UNSW Sydney, Kensington, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7028-725X","authenticated-orcid":false,"given":"Alison L.","family":"Calear","sequence":"additional","affiliation":[{"name":"Centre for Mental Health Research, The Australian National University, Canberra, ACT 2601, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1464-8532","authenticated-orcid":false,"given":"Katherine","family":"Boydell","sequence":"additional","affiliation":[{"name":"Black Dog Institute, UNSW Sydney, Randwick, NSW 2031, Australia"},{"name":"Faculty of Medicine and Health, UNSW Sydney, Kensington, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4493-8565","authenticated-orcid":false,"given":"Demee","family":"Rheinberger","sequence":"additional","affiliation":[{"name":"Black Dog Institute, UNSW Sydney, Randwick, NSW 2031, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1016\/S0140-6736(24)01121-8","article-title":"The Lancet Commission on self-harm","volume":"404","author":"Moran","year":"2024","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"j4351","DOI":"10.1136\/bmj.j4351","article-title":"Incidence, clinical management, and mortality risk following self harm among children and adolescents: Cohort study in primary care","volume":"359","author":"Morgan","year":"2017","journal-title":"BMJ"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"102048","DOI":"10.1016\/j.cpr.2021.102048","article-title":"Risk factors for self-harm repetition in adolescents: A systematic review","volume":"88","author":"Rahman","year":"2021","journal-title":"Clin. 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