“…Specifically, a majority (53%) of included studies from clinical settings reported that over half of the sample was diagnosed with an emotional disorder, compared to only 15% of studies from nonclinical settings. It is possible that in clinical settings, where mood and anxiety disorders are relatively common (e.g., Brown, Campbell, Lehman, Grisham, & Mancill, 2001;Kunik et al, 2005;Sundström, Bixo, Björn, & Åström, 2001), a more substantial proportion of individuals may seek help for anxiety and mood symptoms but have no NSSI history. In comparison, in school or community settings, where emotional disorders may be less prevalent (e.g., Alonso et al, 2004), a smaller proportion of individuals may meet anxiety or mood disorder diagnostic criteria but deny prior NSSI.…”