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Opening the Black Box of Daily Life in Non-Suicidal Self-Injury Research: With Great Opportunity Comes Great Responsibility

Although non-suicidal self-injury (NSSI) - deliberate damaging body tissue without suicidal intent - is a behavior that occurs in interaction with real-world contexts, studying NSSI in the natural environment has historically been impossible. Recent advances in real-time monitoring technologies have revolutionized our ability to do exactly that, providing myriad research and clinical practice opportunities. In this position paper, we first propose an agenda for new research pathways using real-time monitoring methods to improve our ability to understand, predict and prevent self-injurious thoughts, urges, and behavior in everyday life. Second, we offer critical perspectives on the ethical and practical responsibilities inherent when studying self-injury 'in the wild' outside a controlled laboratory environment. By considering the opportunities of real-time monitoring research in the context of the accompanying responsibilities, we provide novel insights and resources to the scientific community to open the black box of daily life in the next decade(s) of research.