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. 2023 Sep 8;6(9):e1360. doi: 10.1002/hsr2.1360
1. beauty art and fashion
  • 1.

    tattoo as a fashion accessory or work of art 31

2. individuality
  • 1.

    one of the most important motivations

  • 2.

    having control over one's own body

  • 3.

    creating one's own identity 32

3. personal narrative
  • 1.

    expressing personal values and experiences through tattooing 33

4. physical endurance
  • 1.

    a declaration on verifying one's resistance to pain and overcoming one's own limitations

  • 2.

    courage 28

  • 3.

    manifestation of auto‐aggressive tendencies 34

5. group affiliations and commitment
  • 1.

    belonging to a specific community or subculture 35

  • 2.

    involvement in the activities of a given group 34

6. resistance
  • 1.

    protest against parents or society

  • 2.

    protest during adolescence against parents 36

7 spirituality and cultural tradition
  • 1.

    personal tattoo

  • 2.

    emphasizes belonging to specific cultures and their spiritual dimension 37

8. addiction
  • 1.

    addictive nature of tattoos (endorphins released under the influence of the painful penetration of the needle or during tattooing)

  • 2.

    anaesthesia during tattooing triggers positive sensations 38

9. sexual motivation
  • 1.

    accentuation of one's sexuality

  • 2.

    highlighting gender preference 39 , 40 , 41

10. no specific reason
  • 1.

    getting the tattoo was an impulse decision 42

  • 2.

    under the influence of alcohol or drugs

  • 3.

    no reason or forgetting the reason for the tattoo 43