Risk factors and correlates of deliberate self-harm behavior: A systematic review

Fliege, Herbert; Lee, Jeong-Ran; Grimm, Anne; Klapp, Burghard F.

doi:10.1016/j.jpsychores.2008.10.013

Cited by 358 publications

(349 citation statements)

References 109 publications

(147 reference statements)

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“…Previous systematic reviews on repetition of self-harm have: (i) focussed only on certain forms of self-harm (Fliege et al, 2009); (ii) included little or no data on potential neurocognitive factors (Mendez-Bustos et al, 2013); (iii) focussed only on psychometric tools in hospital (Randall et al, 2011); (iv) focussed only on hospital admissions (Larkin et al, 2014). As far as we are aware, there is no previous systematic review of the major neurocognitive factors and repetition of self-harm, inclusive of all forms of self-harm and all settings.…”

Section: Can We Use Neurocognition To Predict Repetition Of Self-harm?mentioning

confidence: 99%

Are neurocognitive factors associated with repetition of self-harm? A systematic review

Cates

Rees

Jollant

et al. 2017

Neuroscience & Biobehavioral Reviews

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Background:Prediction of self-harm is limited clinically. Early identification of individuals likely to repeat self-harm could improve outcomes and reduce suicide risk. Various neurocognitive deficits have been found in people who self-harm, but the ability of these to predict repetition has yet to be established Aims:Identify neurocognitive factors that may predict repetition of self-harm. Methods:Systematic narrative review of English language publications assessing neurocognitive functioning and self-harm repetition, searching multiple databases from inception to March 2015. Quality of studies was appraised. A narrative synthesis was performed. Results:7026 unique records were identified, and 169 full-texts assessed. 15 unique studies provided data. No imaging studies could be included. Most studies assessed cognitive control or problem solving, but neither factor was consistently associated with repetition. However, specific tasks may show promise. Two studies in adolescents suggest that value-based decision-making impairments could be predictive of repetition. There were too few results for memory to draw specific conclusions. Conclusions:Selected studies suggest promise for particular neurocognitive factors and specific cognitive tasks in terms of repetition of self-harm.

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Section: Can We Use Neurocognition To Predict Repetition Of Self-harm?mentioning

confidence: 99%

Are neurocognitive factors associated with repetition of self-harm? A systematic review

Cates

Rees

Jollant

et al. 2017

Neuroscience & Biobehavioral Reviews

View full text Add to dashboard Cite

show abstract

“…Two recent reviews concluded that although CFA was a robust predictor of NSSI, the roles of proximal adolescent factors, such as family functioning and mental illness, should be investigated as potential moderators or mediators of the association (Fliege, Lee, Grimm, & Klapp, 2009; Maniglio, 2011). Both reviews also emphasized the need for longitudinal analyses to clarify causal relationships between correlated risk factors for NSSI.…”

Section: Introductionmentioning

confidence: 99%

Poor family functioning mediates the link between childhood adversity and adolescent nonsuicidal self‐injury

Cassels

Harmelen

Neufeld

et al. 2018

Child Psychology Psychiatry

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BackgroundNon‐suicidal self‐injury (NSSI) is a common harmful behavior during adolescence. Exposure to childhood family adversity (CFA) is associated with subsequent emergence of NSSI during adolescence. However, the pathways through which this early environmental risk may operate are not clear.AimsWe tested four alternative hypotheses to explain the association between CFA and adolescent‐onset NSSI.MethodsA community sample of n = 933 fourteen year olds with no history of NSSI were followed up for 3 years.ResultsPoor family functioning at age 14 mediated the association between CFA before age 5 and subsequent onset of NSSI between 14 and 17 years.ConclusionsThe findings support the cumulative suboptimal environmental hazards (proximal family relationships as a mediator) hypothesis. Improving the family environment at age 14 may mitigate the effects of CFA on adolescent onset of NSSI.

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“…1,7,8 There is also little consensus concerning the frequency, severity, or taxonomy of specific forms of NSSI. 9 In addition, NSSI may draw unwanted clinical attention and can be regarded as shameful or stigmatizing, leading individuals to conceal this behavior, which further hinders study of this phenomenon. 1,10 A high prevalence of self-harming behaviors and thoughts was reported in the Child & Adolescent Selfharm in Europe (CASE) study.…”

Section: Introductionmentioning

confidence: 99%

Biting myself so I don’t bite the dust: prevalence and predictors of deliberate self-harm and suicide ideation in Azorean youths

Carvalho

Motta

Sousa

et al. 2017

Rev. Bras. Psiquiatr.

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Objective: To characterize non-suicidal self-injury (NSSI) behaviors, methods, and functions as well as suicide ideation in the adolescent population of a Portuguese community in Sã o Miguel Island, Azores. Increasing rates of NSSI behaviors among adolescents have been observed globally, while suicidal behavior has been pointed as a major cause of death during adolescence. Methods: A sample of 1,763 adolescents, aged 14 to 22, was randomly drawn from public and private schools and administered a set of self-report questionnaires. Descriptive and regression analyses were used to look for specific relationships and predictors of NSSI and suicide ideation in this isolated community.Results: Approximately 30% of youths reported at least one NSSI behavior, a rate that is twice as high as most studies carried out in mainland Portugal and in other European countries. Biting oneself was the most frequent form of NSSI, and NSSI behaviors served predominantly automatic reinforcement purposes (i.e., regulation of disruptive emotional states). NSSI and suicide ideation encompassed different distal and proximal risk factors. Conclusions: Exploring and characterizing these phenomena is necessary to provide a better understanding, enhance current conceptualizations, and guide the development of more effective prevention and intervention strategies in youths.

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Risk factors and correlates of deliberate self-harm behavior: A systematic review

Cited by 358 publications

References 109 publications

Are neurocognitive factors associated with repetition of self-harm? A systematic review

Are neurocognitive factors associated with repetition of self-harm? A systematic review

Poor family functioning mediates the link between childhood adversity and adolescent nonsuicidal self‐injury

Biting myself so I don’t bite the dust: prevalence and predictors of deliberate self-harm and suicide ideation in Azorean youths

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