본 연구는 비자살적 자해의 시작에서 중단에 이르는 과정과 그 이후의 양상에 대한 탐색을 통해 비자살적 자해를 경험하고 중단한 개인에 대한 이해 및 재발방지와 비자살적 자해를 유지하는 대학생을 위한 개입에 기초자료를 제공하는데 목적이 있다. 이를 위해 청소년기에 비자살적 자해를 하고, 현재는 중단 상태에 있는 4명의 대학생을 대상으로 심층 면담을 실시하여, Creswell(2013)의 사례연구방법으로 분석하였다. 연구결과, 7개의 차원, 19개의 공통주제와 37개의 개별주제가 도출되었다. 연구 참여자들은 비자살적 자해를 하기 이전에 심리적 고통을 유발하는 환경과 부정적인 정서조절의 곤란과 같은 잠재적 위험 요인이 있었다. 이후 스트레스가 증폭된 상황에서 비자살적 자해를 시작하게 되었고, 정서표출 및 조절, 자살방지, 대인관계 영향에 대한 욕구 등을 표현하기 위해 비자살적 자해를 유지한 것으로 나타났다. 그러나 자해행동 이후 죄책감과 자해로 인한 상처나 흉터에 대한 걱정, 신체적 고통, 문제해결 안됨, 자해 원인 경감 등의 이유로 자해를 중단하게 되었다. 비자살적 자해 중단 이후 스트레스 상황에서 부적응적 대처를 하고 있으며, 자해충동이 있는 것으로 나타났다. 연구결과를 토대로 시사점 및 제한점을 제시하였다.
The present study aims to understand the experience and meaning of self-injury among college and graduate students who engaged in non-suicidal self-injury during adolescence, but no longer do so. For this purpose, four college and graduate students who no longer engage in non-suicidal self-injury were interviewed in depth, with interview data analyzed using the case study method(Creswell, 2013). The result revealed 7 dimensions, 21 common themes, and 39 individual themes related to previous non-suicidal self-injury. Prior to self-injury, participants exhibited potential risk factors. They then began to engage in self-injury impulsively out of anger or during extremely stressful situations. Participants stopped engaging in self-injury for reasons including a sense of guilt following self-injury, concerns about cuts or scars, physical pain, a lack of the intended effect, and alleviation of the causes of self-injury. Based on these results, implications and limitations of the present study are discussed.
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