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A Christian Pathological Diagnosis of Adolescent Nonsuicidal self­injury(NSSI)

  • Journal of Counseling and Gospel
  • Abbr : Jocag
  • 2025, 33(2), pp.109~138
  • Publisher : Korean Evangelical Counseling Society
  • Research Area : Humanities > Christian Theology > Pastoral Counseling
  • Received : May 23, 2025
  • Accepted : July 12, 2025
  • Published : July 30, 2025

Lee, Eun Hye 1 Kyu Bo Kim 2

1그레이스상담센터
2총신대학교

Accredited

ABSTRACT

The purpose of this study is to diagnose nonsuicidal self-injury (NSSI) among adolescents based on a Christian pathological framework and to propose directions for the holistic recovery of suffering clients. Accordingly, this study does not view adolescent self-injury as a mere external symptom but rather as a theological interpretation that these adolescents are seeking help amid the total depravity of beings created in the image of God. Generally, adolescent nonsuicidal self-injury is treated as a failure of emotional and affective regulation or as a clinical symptom. However, this approach has limitations in adequately explaining the existential and existential confusion and inner pain experienced by adolescents who self-harm. Therefore, this paper raises the need to understand adolescent self-harm behavior from the fundamental perspective of human corruption and the severance of the relationship with God, and addresses the essence of sin and suffering that is difficult to address through existing diagnosis-centered clinical approaches. To this end, this paper focuses on the process of applying and analyzing a Christian pathological diagnostic system to a single case of non-suicidal self-harm in adolescents. It also discusses that the complete recovery of adolescents who rely on self-harm to escape pain does not lie in mere behavioral control or temporary emotional comfort, but ultimately in experiencing the love and grace of Jesus Christ on the cross. Finally, it proposes practical measures for biblical counseling aimed at the holistic recovery of adolescents who engage in non-suicidal self-harm.

Citation status

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