# Emotion processing and electrodermal activity in young people who self-harm

**Authors:** Karen Wetherall, Seonaid Cleare, Nadia Belkadi, Marianne E. Etherson, Krystyna J. Loney, Susan Mathew, James Munro, Ellen Townsend, Matthew K. Nock, Eamonn Ferguson, Rory C. O’Connor

PMC · DOI: 10.1038/s44220-025-00520-5 · Nature. Mental Health · 2025-11-05

## TL;DR

Young people who self-harm show increased skin responses to stress and neutral stimuli, suggesting a biological link to emotional regulation issues.

## Contribution

The study identifies heightened electrodermal activity as a potential biomarker for self-harm in young people.

## Key findings

- Self-harm enactors showed slower habituation to auditory tones and higher EDA during stress tasks.
- EDA responses were heightened in self-harm enactors compared to those with only ideation or no history.
- Non-response during emotional images limited analysis but highlighted biophysiological differences.

## Abstract

The biological underpinnings of self-harm in young people are unclear. Self-harm often serves to regulate emotions, and electrodermal activity (EDA) is a well-established biomarker of emotional arousal, which is physiologically related to emotion regulation. A quasi-experimental case control study using predefined groups was conducted. Three groups of young people (16–25 years; n = 180) with different self-harm histories were recruited: no self-harm history (n = 62), self-harm ideation last year with no enaction (n = 51) and self-harm enaction last year (n = 67). EDA was measured during three tasks: an auditory tones habituation task, a psychosocial stress task and an emotional images task. Those in the self-harm enaction group elicited a heightened EDA response (hyperreactivity) across two tasks, specifically a slower habituation rate to auditory tones and higher EDA during the psychosocial stress task compared to other groups. High levels of non-response during the emotional images task limited analyses. These findings expand our understanding of the biomarkers for self-harm, specifically emotional arousal in young people who self-harm. Specifically, they suggest that those with a history of self-harm exhibit a heightened electrodermal response to both stressful and non-stressful stimuli compared to those who have no history of self-harm and those who have only thought about self-harm.

Young individuals with a history of self-harm exhibit heightened electrodermal activity in response to neutral and stress-related stimuli, extending our understanding of the biophysiological factors for self-harm vulnerability.

## Full-text entities

- **Diseases:** Self-harm (MESH:D012652)

## Full text

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## Figures

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## References

9 references — full list in the complete paper: https://tomesphere.com/paper/PMC12589109/full.md

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Source: https://tomesphere.com/paper/PMC12589109