Nonsuicidal self-injury behavior and internet use profile in undergraduate students: a cross-sectional study
Bárbara Evelline da Silva Bandeira, Amilton dos Santos Júnior, Eloisa Helena Valler Rubello Celeri
Abstract
Objective
The objective of the present study was to describe and analyze the characteristics of internet use in undergraduate students that engaged in nonsuicidal self-injury (NSSI) compared with individuals not engaging in this behavior.
Methods
An observational cross-sectional study was conducted. The questionnaire used to investigate NSSI was devised based on the DSM5 diagnostic criteria. Internet use was investigated using 2 questionnaires: a questionnaire developed by the researchers; and the Portuguese version of the Internet Addiction Test (IAT). Exploratory analysis of data was performed based on summary measures. Mann-Whitney and chi-square tests were employed, and multiple logistic regression models constructed with stepwise variable selection criteria. A 5% level of significance was adopted.
Results
Data on 6,906 university students were analyzed, 1,188 (17%) of whom reported at least one NSSI episode in their lifetime. The group engaging in self-injurious behavior showed a stronger association with more intense internet use than they would like and felt they related more with individuals online than in person. The group engaging in self-injurious behavior reported using the internet more often to meet new people for friendships and for erotic relationships and preferred the excitement of the internet to intimacy with a partner.
Conclusion
The feeling of loneliness linked to self-injurious behavior might contribute to self-injurers seeking relationships online. Also, the anonymous nature of online interactions may constitute an attractive environment for expressing psychological anguish and other emotional problems. As a study limitation, this is a cross-sectional design in which associations are identified, but risk factors cannot be established.
Keywords
Submitted date:
08/14/2025
Accepted date:
12/18/2025
