Abstract
The purpose of this study is to verify the effect of adolescents' internalized shame, distress tolerance, and avoidant-distractive emotion regulation style on non-suicidal self-injury. This study participated 415 male and female teenagers with non-suicidal self-injury experience attending six middle and high schools in Gwangju. It was found that the mediating effect of distress tolerance was significant in the path of internalized shame toward non-suicidal self-injury. It was found that the moderated mediation effects of the avoidant-distractive emotion regulation on the path of non-suicidal self-injury through distress tolerance was significant. These results suggest that in order to prevent adolescents with high internalized shame from engaging in non-suicidal self-harm, it is important to increase their pain tolerance and enable them to have a healthy emotion regulation style instead of habitually choosing an avoidant emotion regulation style.
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