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Nonsuicidal Self-Injury and Substance Use Disorders: A Shared Language of Addiction

A figure from this paperFeatured Paper of the Month – October 2022

Published in Proceedings of the Eighth Workshop on Computational Linguistics and Clinical Psychology by Salvatore Giorgi and Brenda Curtis, et al. of the NIDA IRP Technology and Translational Research Unit.

Summary

Nonsuicidal self-injury (NSSI), or the deliberate injuring of one’s body without intending to die, has been shown to exhibit many similarities to substance use disorders (SUDs), for example comorbidity with anxiety and depression. Research has further shown that people who self-injure adopt language common in SUD recovery or 12-step communities. Using over 150,000 comments from approximately 5,000 people posting on the social media website Reddit, we investigate the shared language of NSSI and SUD by comparing discussions on public forums related to self-injury and drug addiction. Using machine learning based natural language processing algorithms, we automatically identify shared language across the NSSI and SUD communities, which includes SUD recovery language in addition to other themes common to support forums (e.g., requests for help and gratitude). The adoption of addiction and recovery language in NSSI communities may help them cope with self-injury, buffer against self-stigma, and encourage adoption of common SUD recovery strategies.

Publication Information

Giorgi, Salvatore; Himelein-wachowiak, Mckenzie; Habib, Daniel; Ungar, Lyle; Curtis, Brenda

Nonsuicidal Self-Injury and Substance Use Disorders: A Shared Language of Addiction Proceedings Article

In: Proceedings of the Eighth Workshop on Computational Linguistics and Clinical Psychology, pp. 177–183, Association for Computational Linguistics, Seattle, USA, 2022.

Abstract | Links

@inproceedings{nokey,
title = {Nonsuicidal Self-Injury and Substance Use Disorders: A Shared Language of Addiction},
author = {Giorgi, Salvatore and Himelein-wachowiak, Mckenzie and Habib, Daniel and Ungar, Lyle and Curtis, Brenda},
url = {https://aclanthology.org/2022.clpsych-1.15},
doi = {10.18653/v1/2022.clpsych-1.15},
year = {2022},
date = {2022-07-01},
urldate = {2022-07-01},
booktitle = {Proceedings of the Eighth Workshop on Computational Linguistics and Clinical Psychology},
volume = {July 2022},
pages = {177--183},
publisher = {Association for Computational Linguistics},
address = {Seattle, USA},
abstract = {Nonsuicidal self-injury (NSSI), or the deliberate injuring of one?s body without intending to die, has been shown to exhibit many similarities to substance use disorders (SUDs), including population-level characteristics, impulsivity traits, and comorbidity with other mental disorders. Research has further shown that people who self-injure adopt language common in SUD recovery communities (e.g., {``}clean{''}, {``}relapse{''}, {``}addiction,{''} and celebratory language about sobriety milestones). In this study, we investigate the shared language of NSSI and SUD by comparing discussions on public Reddit forums related to self-injury and drug addiction. To this end, we build a set of LDA topics across both NSSI and SUD Reddit users and show that shared language across the two domains includes SUD recovery language in addition to other themes common to support forums (e.g., requests for help and gratitude). Next, we examine Reddit-wide posting activity and note that users posting in {emph{r/selfharm} also post in many mental health-related subreddits, while users of drug addiction related subreddits do not, despite high comorbidity between NSSI and SUDs. These results show that while people who self-injure may contextualize their disorder as an addiction, their posting habits demonstrate comorbidities with other mental disorders more so than their counterparts in recovery from SUDs. These observations have clinical implications for people who self-injure and seek support by sharing their experiences online.},
keywords = {},
pubstate = {published},
tppubtype = {inproceedings}
}

Close

Nonsuicidal self-injury (NSSI), or the deliberate injuring of one?s body without intending to die, has been shown to exhibit many similarities to substance use disorders (SUDs), including population-level characteristics, impulsivity traits, and comorbidity with other mental disorders. Research has further shown that people who self-injure adopt language common in SUD recovery communities (e.g., {``}clean{''}, {``}relapse{''}, {``}addiction,{''} and celebratory language about sobriety milestones). In this study, we investigate the shared language of NSSI and SUD by comparing discussions on public Reddit forums related to self-injury and drug addiction. To this end, we build a set of LDA topics across both NSSI and SUD Reddit users and show that shared language across the two domains includes SUD recovery language in addition to other themes common to support forums (e.g., requests for help and gratitude). Next, we examine Reddit-wide posting activity and note that users posting in {emph{r/selfharm} also post in many mental health-related subreddits, while users of drug addiction related subreddits do not, despite high comorbidity between NSSI and SUDs. These results show that while people who self-injure may contextualize their disorder as an addiction, their posting habits demonstrate comorbidities with other mental disorders more so than their counterparts in recovery from SUDs. These observations have clinical implications for people who self-injure and seek support by sharing their experiences online.

Close

  • https://aclanthology.org/2022.clpsych-1.15
  • doi:10.18653/v1/2022.clpsych-1.15

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