Self-destructive Research Articles

"Going Beyond Darkness"-Lingering Images and Ideation of Self-Destruction.

This paper is a personal reflection on the persistence of self-destructive thoughts and ideations in individuals with a history of self-destructiveness. Personal narratives are essential for understanding mental health and illness, particularly for those with a history of self-destructive behaviour. I, a researcher with lived experience of mental illness and self-destructiveness, highlight the importance of presenting them in their raw and unmediated form. This paper is a first-person narrative where I use my own personal experiences to illustrate and analyse the persistence of self-destructive thoughts.

Psychopathological Aspects of Parasuicidal Behavior in Adolescents and Young Adults

Objective. The aim of this study was to determine the psychopathological symptoms associated with self-harming behavior in order to develop preventive measures.Materials and Methods. We included individuals aged 18 to 35. The main group consisted of individuals with a history of self-harming behavior, while the control group included individuals without any history of self-harming behavior. All participants completed a structured interview and the following questionnaires: SCL-90-R, the questionnaire of propensity to deviant behavior, and the «Coping Behavior Methods» questionnaire. We assessed the severity of psychopathological symptoms, motivation, and other characteristics of self-harming behavior.Results. A total of 77 participants were included, divided into the main (n=39) and control (n=38) groups. Correlations were identified between the main characteristics of self-harming behavior. According to the SCL-90-R questionnaire, individuals with a history of self-harming behavior had higher scores in somatization, obsessions, sensitivity, depression, anxiety, hostility, phobic anxiety, paranoia, and psychoticism (p<0.01). The «avoidance» coping strategy was more prevalent in the main group (p<0.05). According to the questionnaire of propensity to deviant behavior, individuals in the main group had higher scores in overcoming rules, aggression and violence, volitional control, and addictive, self-destructive, and delinquent behavior (p<0.05). There were correlations between the regularity of self-harming behavior and the use of multiple types of self-harming behavior (r=0.497; p<0.01), pursuit of internal goals (r=0.333; p<0.05), occurrence of positive emotions after self-harm (r=0.352; p<0.05), increasing desire to stop this behavior (r=0.359; p<0.05), and difficulty achieving remission (r= –0.553; p<0.01). Experiencing negative emotions after an act of self-harm was negatively associated with the use of multiple types of self-harming behavior (r= –0.412; p<0.01) and addictive behavior (r= –0.408; p<0.05).Conclusion. Adolescents and young adults with a history of self-harming behavior differ significantly from their peers in the presence of concomitant psychopathological symptoms. The regularity of self-harming behavior is associated with the use of multiple types of self-harming behavior and difficulty achieving remission. Our findings have clinical significance and may be incorporated into the development of preventive measures.

Factors Associated with Suicidal Behavior in Adolescents: An Umbrella Review Using the Socio-Ecological Model.

Adolescent suicide is a critical social issue with profound and lasting individual and collective consequences. This umbrella review examines factors associated with adolescent suicidal behavior through the socioecological framework of prevention and seeks to identify gaps in the existing literature. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and included a comprehensive search of the of the Web of Science, Scopus, and Cochrane databases in both English and Spanish, covering the period from 2018 to 2024, using terms related to adolescence and suicidal behavior. Out of 6,138 articles identified, 37 met the quality criteria and were selected for analysis. The studies highlighted individual risk factors such as age, gender, belonging to ethnic or gender minorities, emotional disorders, self-destructive behavior, emotional regulation, and experience of physical or emotional pain. Interpersonal factors such as parental relationships, sexual abuse, social isolation, peer pressure, and loneliness were also found. However, the review revealed a worrying lack of studies on societal and community factors and a paucity of research focusing on protective factors. The study highlights the need to include factors related to the physical and social environments that influence health and behavior in future research, as well as to enhance the resources and strengths of adolescents.

Klingsor Syndrome (Self-Emasculation): About a Case and Literature Review

Self-mutilation is a behavior in which an individual deliberately inflicts more or less severe injuries on their own body. This behavior is often, but not exclusively, a way for individuals to manage intense emotions, relieve emotional or psychological pain, or punish themselves. Self-mutilation can be observed in various psychiatric contexts, including personality disorders, mood disorders, and psychotic disorders. This psychiatric manifestation, which transcends diagnostic categories, can involve various types of self-harm to different parts of the body, including the genitals, known as Klingsor Syndrome. Inspired by a fictional character from Wagner’s opera, Klingsor Syndrome is a term used to describe extreme cases of self-destructive behavior where an individual, often in a psychotic state, inflicts severe injuries on their genital organs. This syndrome is often associated with psychosensory or intrapsychic hallucinations and delusional ideas occurring within the context of acute or chronic psychotic disorders. Treatment is multidisciplinary, involving surgical repair and rigorous psychiatric follow-up. In this paper, we report the case of genital self-mutilation occurring in a psychotic patient.

Introduction to In Session special issue: Psychotherapy for complex PTSD.

Complex Posttraumatic Stress Disorder (CPTSD) is a condition resulting from exposure to chronic, interpersonal traumatic events, in which some form of control or power dynamics existed. Its clinical picture includes the main symptom clusters of posttraumatic stress disorder, accompanied by dysregulated emotion, problems in interpersonal relationships, and difficulties in identity integration. In addition, both clinical work and research have shown CPTSD to include highly distressing and complicated psychological phenomena, such as identification with the aggressor, various forms of dissociation, self-harmand self-destructive behaviors, and more. Due to this highly complex and multilayered clinical picture, the treatment of CPTSD poses a significant clinical challenge to therapists. In this special issue of In Session, we present a series of case studies, each representing a different therapeutic approach to CPTSD (e.g., skills training for affective and interpersonal regulation, Eye Movement Desensitization and Reprocessing, psychodynamic, integrative psychotherapy). These cases also represent a wide variety of patient populations, as well as different types of underlying traumatic events. Together, they reveal the breadth of clinical possibilities currently available to trauma therapists encountering cases of CPTSD. They also highlight the challenges and dilemmas that clinicians often face when treating this condition, as well as ways to overcome those.

Controllable Contact-Destructive Hydrogel Actuators.

Constructing hydrogels with spatially heterogeneous structures are crucial for unlocking novel applications. To this end, selectively removing a specific portion of hydrogels by facile and intricate destructive strategies is worth exploring. Herein, a "contact-destructive" hydrogel actuator is presented, composed of a dynamic hydrogel network doped with hydrophilic polyethylene glycol (PEG). The destructive behavior of the hydrogel actuator is attributed to the surface tension-induced spreading effect and the enhanced water absorption due to the additive PEG. Parameters that act on these mechanisms are used to control the destruction of the hydrogel. During the destructive process, the hydrogel actuator exhibits locomotion routes predetermined by the graphic pattern with the aid of 3D printing. Additionally, such self-destructive behavior can be terminated by UV light irradiation when PEG is replaced with poly(ethylene glycol) diacrylate (PEGDA). Significantly, diverse applications including controllable 3D structures collapse, self-erasing, and on-demand cell release, are realized with such self-destructive hydrogel. These results demonstrate that the present hydrogel has great values in soft robotics, anti-counterfeiting, controlled drug delivery, and other related fields.

Design of the 18-year follow-up of the Danish COPSAC2000 birth cohort

BackgroundAtopic diseases, obesity and neuropsychiatric disorders are lifestyle-related and environmental-related chronic inflammatory disorders, and the incidences have increased in the last years.ObjectiveTo outline the design of the 18-year follow-up of...

Insulin-Related Suicide Attempt in Non-Diabetic Pediatric Patient

Insulin analogs are basic drugs that are widely used in the treatment of diabetes around the world. Suicides with their use are described as rare, occurring mainly in the population of diabetic patients due to their easy access to the drug and knowledge of its properties. Among non-diabetic people, insulin is used for suicidal purposes mainly by adults with medical education. A case of a 15-year-old girl found unconscious by her mother at night was described. The patient was immediately transported to the hospital, where she was diagnosed with her first severe hypoglycemic episode of unknown origin. Once conscious and in a better state, the patient admitted to having taken insulin, which she had stolen from her diabetic mother, for suicidal purposes. The patient had no history of mental illness or self-destructive behavior. The patient was referred to psychiatric care. Suicides and suicide attempts involving insulin are usually observed among people with chronic diabetes. Moreover, such attempts are made by adults who know the mechanism of action of the drug. In the pediatric group without diabetes, such cases are extremely rare. Additionally, the issue of similar behaviors becomes very important due to the increasing popularity and availability of insulin therapy and the possibilities of obtaining information about using it to commit suicide from the Internet. Particular vigilance is required in pediatric emergency departments when a patient is identified as having a first episode of severe hypoglycemia of unknown origin.

The Influence of Confucianism on the Self-Esteem of the Adolescents with Self-Destructive Behaviour: A Vietnamese Phenomenological Study

The Influence of Confucianism on the Self-Esteem of the Adolescents with Self-Destructive Behaviour: A Vietnamese Phenomenological Study

Are employment and social integration more strongly associated with deaths of despair than psychological or economic distress?

The label “deaths of despair” for rising US mortality related to drugs/alcohol/suicide seems to implicate emotional distress as the cause. However, a Durkheimian approach would argue that underlying structural factors shape individuals’ behavior and emotions. Despite a growing literature on deaths of despair, no study has directly compared the effects of distress and structural factors on deaths of despair versus other causes of mortality. Using data from the Midlife in the United States study with approximately 26 years of mortality follow-up, we evaluated whether psychological or economic distress, employment status, and social integration were more strongly associated with drug/alcohol/suicide mortality than with other causes. Cox hazard models, adjusted for potential confounders, showed little evidence that psychological or economic distress were more strongly associated with mortality related to drugs/alcohol/suicide than mortality from other causes. While distress measures were modestly, but significantly associated with these deaths, the associations were similar in magnitude for many other types of mortality. In contrast, detachment from the labor force and lower social integration were both strongly associated with drug/alcohol/suicide mortality, more than for many other types of mortality. Differences in the estimated percentage dying of despair between age 25 and 65 were larger for employment status (2.0% for individuals who were neither employed nor retired versus only 0.6% for currently employed) and for social integration (1.9% for low versus 0.7% for high integration) than for negative affect (1.2% for high versus 0.8% for no negative affect). Most of the association between distress and drug/alcohol/suicide mortality appeared to result from confounding with structural factors and with pre-existing health conditions that may influence both the perception of distress and mortality risk. While deaths of despair result from self-destructive behavior, our results suggest that structural factors may be more important determinants than subjective distress.

Psychopathology symptoms of frontline nurses under sudden public health crisis: A network analysis.

Public health crises can significantly impact the emotional well-being of healthcare workers. Network analysis is a novel approach to exploring interactions between mental disorders at the symptom level. This study aimed to elucidate the characteristics of post-traumatic stress disorder (PTSD), anxiety, depression, and insomnia symptoms network among frontline nurses under sudden public health crisis. A cross-sectional survey was conducted online among 556 frontline nurses through convenience sampling in Hubei Province, China, from 21 February 2020, to 10 March 2020. Symptoms of PTSD, anxiety, depression, and insomnia were assessed by the Post-Traumatic Stress Disorder Checklist (PCL-5), Generalized Anxiety Disorder scale (GAD-7), Patient Health Questionnaire (PHQ-9) and Insomnia Severity Index, respectively. Central symptoms (the most important symptoms, activation has the strongest influence the other nodes) and bridge symptoms (nodes where deactivation can prevent activation from spreading from one disorder to another) were identified via centrality and bridge centrality indices, respectively. Network stability was examined using the case-dropping procedure. We found that the correlation between PHQ-9 item 9 'suicidal thoughts' and PCL-5 item 16 'reckless or self-destructive behaviour' was the strongest. Moreover, 'reckless or self-destructive behaviour' was the strongest central symptom, and PHQ-9 item 3 'sleep problems' was the most important bridge symptom. Other major symptoms included GAD-7 item 6 'uncontrollable anxiety' and PHQ-9 item 2 'depressed or sad mood'. Timely, systemic targeting interventions on central symptoms and bridge symptoms may effectively alleviate co-occurring experiences of psychopathological symptoms among frontline nurses.

SOCIO-DEMOGRAPHIC AND PSYCHOLOGICAL CHARACTERISTICS OF PERSONS WITH SELF-DESTRUCTIVE BEHAVIOR

Self-destructive behavior is behavior associated with various forms of self-destruction: from high-risk actions aimed at seeking new sensations to self-harm and suicidal acts. This problem remains the most acute problem of modern Kazakhstan, since according to the Wisevoter report, as of February 20, 2023, our fatherland ranks 19th out of 178 countries in the world in suicide statistics (17.6 per 100 thousand population). Objective: to study the role of socio-demographic and psychological factors in persons with self-destructive and to improve preventive measures. Materials and methods: Clinical and experimental psychological methods were used to study and analyze socio-demographic and psychological factors in people who showed self-destructive forms of behavior. This research was an initiative and was carried out on the basis of the agreement on cooperation between the Department of Psychiatry and Narcology of KazakhstanRussian Medical University and the Center of Mental Health in Almaty in the period from 01.09.2022 to 01.09.2023. 120 people with various forms of self-destructive behavior who applied for psychological help were included in the study. Results: Among people with self-destructive behavior, the majority of those who applied were females 81 (67.5%%), older adolescents 15-19 years old 52 (43.3%) and young adults 20-24 years old 36 (30%), unmarried 69 (57.5%), not addicted to surfactants and gambling 77 (59.6%), not on dynamic registration and observation in the center of mental health 118 (98.3%). The leading cause of self-destructive behavior was problems in the family 58 (48,3%), undivided love 30 (25%), 16 (13,3%) were bullied in educational institutions and because of debts 7 (5,8%). In the examined persons with self-destructive behavior prevailed behavioral disorders: demonstrativeness, schizoid tendencies, rigidity, jealousy, tendency to risk, impatience, selfdestructive tendencies in alcoholism, drug addiction and negative reactions of suicidal tendencies - anxiety, pessimism, seclusion from the real world, depression. Conclusions. 1. It has been established that females, older teenagers and young people, mainly unmarried (university) students living in Almaty, are more susceptible to destructive behavior. 2. The prevalence of self-destructive behavior represented by fleeting, unobtrusive, controlled thoughts about the “meaning of life” over active suicidal intentions and actions is revealed, which corresponds to the initial stage of formation of suicidal behavior in the structure of which a high rate of this contingent of persons seeking specialized psychological, psychotherapeutic and psychiatric help is revealed. 3. It has been established that in the formation of self-destructive behavior with a suicide attempt, along with the personal characteristics of individuals (demonstrativeness, schizoid tendencies, rigidity), the clinical component in the form of affective spectrum disorders, represented by a depressive mood background, is of dominant importance.

Factor analysis of dissociative personality disorder in Multimedia Communication Engineering students

The objective of this research is to identify a possible relationship between a pathological profile of dissociation in higher education students, with respect to the variables of consumption of addictive substances, violence in childhood, eating disorders, cognitive dysfunctions and work stress. The selected methodology is based on correlational quantitative analysis, under an ex post facto research design. The measurement instruments used are the Dissociative Experiences questionnaire (DES II), the Eating Disorders Inventory (EDI-3), the Addictions test (dast-10), the Mini-Mental (MMSE), the of Child Abuse (CTQ-SF) and the Work Stress Inventory (CPP). With the above, it is suggested that the group diagnosed with a dissociative personality disorder presents significant differences with respect to the five variables evaluated; Furthermore, for this group there is a prevalence with a high index on the stress scales, characterized by a form of compulsion and the presence of discomfort at an organic level. For the group evaluated with a non-dissociative personality profile, incipient cases of abuse, physical neglect and sexual abuse were identified. This condition requires correct channeling and rehabilitation due to its high progression in self-destructive behaviors.

‘Boys, too, can be objects of desire’: Psychic and Erotic Domination in Eliza Clark’s Boy Parts (2020)

The present paper aims to analyze the psychic nature of the female protagonist in Eliza Clark’s Boy Parts (2020), as well as her relationships with other characters. For this purpose, I will use psychoanalyst Jessica Benjamin’s theory of intersubjectivity. Benjamin’s intersubjectivity “reorients the conception of the psychic world form a subject’s relations to its object toward a subject meeting another subject”. For my analysis, I will focus on concepts such as recognition, a process of identification with the other, and destruction, a process which allows the individual to go beyond identification with the other and, consequently, to perceive them as a separate self. In Eliza Clark’s Boy Parts, Irina is a photographer who specializes in takes explicit pictures of “interesting”-looking men. The offer of an exhibition at a gallery in London triggers a tailspin of self-destructive behavior partly centered around Irina’s relationship with her best friend, Flo. The analysis of Irina’s psyche and her bonds with Flo and other characters will lead us to conclude that the aforementioned theories provide us with an enriching ground for uncovering the intricacies and what lies at the core of Irina’s psychic nature.

Theoretical substantiation of aspects of physical culture, health and health-preserving activities of the individual

Physical education, health improvement and health-preserving activities are closely related and intertwined, since they are aimed at achieving and maintaining a person’s physical, mental and social well-being. Preserving and strengthening public health is an important task not only for individuals, but also for society as a whole and any modern state. This is facilitated by a healthcare system whose main goal is to improve the health and well-being of the population by providing comprehensive, high- quality and accessible care to all people, thereby ensuring the sustainability of the development of the country as a whole. Maintaining health at the individual level presupposes the choice of such forms of activity that contribute to the preservation and strengthening of human health. This choice is determined by the level of a person’s culture, acquired knowledge and life attitudes, such as: maintaining an optimal movement regime, taking into account gender, age and physiological characteristics; balanced, regular, rational nutrition; cessation of self-destructive behavior: cessation of smoking, use of psychoactive substances, alcohol abuse; compliance with the rules of personal and public hygiene; compliance with the rules of psychoprophylaxis and psychological hygiene; increasing the level of medical knowledge, mastering the skills of self-monitoring of one’s own health. The article analyzes the scientific literature on preserving and strengthening the health of the population through physical education and health activities. The increased interest of scientists in this problem is due to the increased social demand for the formation of a value-based attitude among the population towards their own health; formation of motivation aimed at health-saving activities of each person through physical activity.

The role of brain activation and inhibition systems on self- Destructive behaviors with the mediating role of emotional dysregulation in teenage girls with borderline personality

Introduction: Borderline personality disorder (BPD) is a mental health condition characterized by instability in mood and interpersonal relationships. These patients are on the border between neurosis and psychosis. Aim: This study aimed to investigate the role of Behavioral Inhibition Systems/Behavioral Activation Systems in self-destructive behaviors in female vocational school students with BPD according to the mediating role of emotional dysregulation. Method: The research had a descriptive-correlational method, and its statistical population consisted of all female students with BPD at technical and vocational schools in an educational district of Tehran. 176 students were selected using the purposive sampling method. Data collection tool included Jackson and Claridge's Borderline Personality Disorder Scale (1991), Behavioral Inhibition System/Behavioral Activation System Questionnaire by Carver and White (1994), Self-Destructive Behaviors Questionnaire by Sansone et al. (1998), and Difficulties in emotion regulation scale by Gratz and Roemer (2004). Data were analyzed using the PLS-SEM method with SmartPLS software. Results: The indirect effect of BIS/BAS on self-destructive behaviors with a mediating role of emotional dysregulation was -0.553 and significant (p<0.05). The direct effect of BIS/BAS on emotional dysregulation was -0.436 and significant (p< 0.05). Furthermore, the direct effect of BIS/BAS on self-destructive behaviors was -0.504 and significant (p<0.05), and the direct effect of emotional dysregulation on self-destructive behaviors was 0.506 and significant (p<0.05). Conclusion: There was a significant relationship between behavioral activation and inhibition systems with self-destructive behaviors according to a mediating role of emotional dysregulation.

SUICIDAL NARRATIVE IN KATHLEEN GLASGOW’S GIRL IN PIECES

This research breaks down into two main goals: first, it aims to reveal the suicidal acts of the characters in Kathleen Glasgow's Girl in Pieces; second, it will examine the way in which the characters' suicidal narrative is constructed. The Sigmund Freud psychoanalytic theory and narratology were employed in this study to address the research objectives. Girl in Pieces, a novel by Kathleen Glasgow, serves as the data source for this qualitative investigation. This study demonstrates how the interaction between outside factors and internal conflicts illuminates the reasons behind suicide. The presence of ambivalent emotions, the impact of the superego's influence, and the regular reaction of loss to the withdrawal of libido caused the complex five characters to experience melancholy and mourning. This condition demonstrates how the novel's suicidal narrative is represented by the characters' psychological suffering. The manifestation of melancholy and its effects highlight the crucial role the superego plays in encouraging self-destructive behavior. The superego functions as a metaphorical "Thanatos," driving people toward self-destruction, including the potential for suicide, because of its punitive nature and internalized critical voice. With its intense sadness, self-loathing, and conflicting feelings about oneself, melancholia seriously jeopardizes people's wellbeing. The weight of melancholy and the destructive influence of the superego draw attention to how dangerous this mental state is.

Reward responsivity and habit formation in the co-occurrence of restrictive eating and nonsuicidal self-injury

Dysfunctions in reward and/or habit formation have been proposed as factors contributing individually to the maintenance of restrictive eating and nonsuicidal self-injury (NSSI). However, despite the high comorbidity between these behaviors, the associations between reward and habit formation in their co-occurrence remains unclear. This study examined self-reported reward responsivity and habit strength among individuals with co-occurring restrictive eating and NSSI (Comorbid group; n = 108) and those with one behavior only (One-behavior group; n = 113). Hierarchical logistic regression analyses assessed the association between reward and habit features and the co-occurrence of restrictive eating and NSSI, accounting for the effects of impulsivity (a characteristic commonly considered to underlie co-occurring disordered eating and NSSI). Partial correlations examined the relationships between these features and the severity of eating disorder and NSSI symptoms, also controlling for impulsivity. Lower reward responsivity was associated with the co-occurrence of restrictive eating and NSSI, even after accounting for impulsivity (p = 0.017). In exploratory analyses, this relationship was no longer significant after accounting for self-reported depression. No significant associations were found regarding habit formation and restrictive eating and NSSI co-occurrence. Lower reward responsivity was linked to increased NSSI frequency and versatility in both groups and associated with severity of eating pathology in the Comorbid group (ps < 0.05). Our findings suggest that blunted reward responsivity may relate to the co-occurrence of restrictive eating, NSSI, and depressive symptoms, as well as the severity of restrictive eating and NSSI. Reward disturbances may serve as a crucial target in the treatment of multiple self-destructive behaviors.

Trait dimensions of anticipatory and consummatory reward relate differently to self-injurious thoughts and behaviors in a community adult sample

BackgroundSelf-injurious thoughts and behaviors (SITBs) are a major problem worldwide and continue to be a serious public health concern. Research investigating risk factors for suicide has shown that reward processes, such as the inability to feel pleasure, may confer risk for SITBs. However, less work has examined how different dimensions of trait reward relate to SITBs. Accordingly, the present study investigated the unique and interactive effects of trait anticipatory and consummatory reward for explaining SITBs. Methods260 community adults ages 18–55 (M/SD = 32.79/10.54, females = 49.6 %, males = 50.4 %) completed an interview, neuropsychological tests, and questionnaires. We used hierarchical multivariate multiple regression analysis to assess cross-sectional associations between trait anticipatory and consummatory reward and different types of SITBs [self-injurious thoughts, nonsuicidal self-injury (NSSI), and suicide attempts] from the Risky, Impulsive, and Self-destructive Behavior Questionnaire. ResultsThe unique variance associated with anticipatory and consummatory reward were differentially related to self-injurious thoughts but unrelated to self-injurious behaviors (NSSI/suicide attempts). The interaction of anticipatory and consummatory reward was associated with self-injurious behavior, such that the inability to experience both anticipatory and consummatory reward was associated with higher frequency of NSSI. LimitationsLimitations of the study include its cross-sectional nature and reliance on self-reported measures. ConclusionsLow anticipatory reward and high consummatory reward may confer risk for self-injurious thoughts. Low levels of both trait anticipatory and consummatory reward may confer risk for NSSI. Findings suggest reward sensitivity may be an understudied risk factor for a range of SITBs.

Structural evolution and self-destructive behavior of Mo/Ti transition layers during free-standing diamond-film preparation

Graphite-based metal transition-layer substrates hold great potential for preparing large-area diamond films and achieving crack-free release. In this study, a five-inch crack-free free-standing diamond film was prepared on a graphite substrate with a sacrificial Mo/Ti double-layer transition layer using direct-current arc plasma jet chemical vapor deposition (DC jet CVD). The interfacial bonding and diffusion behavior between the diamond and the transition layers were investigated. The effect of abundant metal particles and elemental diffusion between layers on film adhesion and stress release are discussed and analyzed. The surface of Ti layer prepared by the multi-arc ion-plating contains numerous metal particles that provide a template for the fine-crystalline Mo layer. Metal particles are encapsulated and embedded in the diamond and act as anchors that ensure the stability of the substrate–diamond bond during high-temperature deposition. After deposition, those metal particles act as weak points and play crucial stress-release roles. Mutual elemental diffusion occurs between the Ti, Mo, and diamond layers. Ti penetrates the Mo layer to form a continuous 140-nm-thick thin layer during the initial deposition period, facilitating diamond nucleation. Carbon from the plasma and diamond diffuses into the metal transition layer. Thermal stress generated between the diamond and the graphite substrate is released by destroying the metal transition layer with high thermal expansion coefficient and low elastic modulus during cooling from the deposition temperature. Cracks rapidly propagate along the interface between destroyable transition layers and graphite substrate, which results in the liftoff of a fully crack-free diamond film.