SynthesisPloS one2016
Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review.
Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
112 citing papers in PubMed, 10 syntheses or guidelines pooled it, 316 citations in OpenAlex.
- Scars, screens, and stakes: Link between non-suicidal self-injury and problem gambling, problem gaming, and problematic internet use - A systematic review.Journal of behavioral addictions · 2025Pooled it
- Community-based mental health interventions for reducing youth suicidal thoughts and behaviours: a systematic review and meta-analysis.BMC psychiatry · 2025Pooled it
- Pooled it
- Prevention of self-harm and suicide in young people up to the age of 25 in education settings.The Cochrane database of systematic reviews · 2024Pooled it
- A meta-analysis on the lifetime and period prevalence of self-injury among adolescents with depression.Frontiers in public health · 2024Pooled it
- A meta-analysis of co-occurrence of non-suicidal self-injury and suicide attempt: Implications for clinical intervention and future diagnosis.Frontiers in psychiatry · 2022Pooled it
- Self-harm with suicidal and non-suicidal intent in young people in sub-Saharan Africa: a systematic review.BMC psychiatry · 2020Pooled it
- A Systematic Review of the Evidence Supporting Mobile- and Internet-Based Psychological Interventions For Self-Harm.Suicide & life-threatening behavior · 2020Pooled it
- Self-injury and externalizing pathology: a systematic literature review.BMC psychiatry · 2017Pooled it
- Are we Using the Right Evidence to Inform Suicide Prevention in Low- and Middle-Income Countries? An Umbrella Review.Archives of suicide research : official journal of the International Academy for Suicide ResearchPooled it
- Implementation of Mobile Health Intervention Targeting Belongingness and Burdensomeness: An Ecological Momentary Assessment Study of Self-Injurious Thoughts and Behaviors in LGBTQ+ Individuals.Suicide & life-threatening behavior · 2026Trial
- A Meta-Analysis of Bullying Victimization and Adolescent Self-Harm and Suicidal Outcomes Across Effect-Size Metrics.Journal of youth and adolescence · 2026Article
- A multi-method evaluation of trait and state-sensitive impulsivity in relation to impulsiveness of suicide attempts and non-suicidal self-injury in an adolescent clinical sample.Journal of mood and anxiety disorders · 2026Article
- Risk and Protective Effects of Need for Approval on Self-Injury in Adolescent Girls.Child psychiatry and human development · 2026Article
- Parent-adolescent discordance in suicidal intent assessment after a suicide attempt: a convergent mixed-methods study.European child & adolescent psychiatry · 2026Article
- Direct Socialization of Suicide Risk in Adolescent Friendships Is Moderated by Non-Suicidal Self-Injury.Behavioral sciences (Basel, Switzerland) · 2026Article
- Suicide attempts in adolescent inpatients with non-suicidal self-injury: a study of sociodemographic, clinical and psychopathological characteristics.BMC psychology · 2026Observational
- Genetic influences on suicide attempt in adolescence: Evaluating mediation by impulsivity and painful and provocative events.JCPP advances · 2026Article
- Parenting Behavior Profiles and Subsequent Non-Suicidal Self-Injury in Chinese Adolescents: A Prospective Moderated Serial Mediation Model.Child psychiatry and human development · 2026Article
- Characterizing suicidal intent among suicidal adolescents: a systematic review.Child and adolescent psychiatry and mental health · 2026Review
52 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nonsuicidal self-injury (NSSI) and suicidal behaviors, both important issues in adolescent health care, are frequently associated and possibly clinically related. Our objective was to explore the views of relations between nonsuicidal self-injury and suicidal behaviors during adolescence and young adulthood (11-25 years) expressed in the scientific (medical and psychological) literature. We adopted a textual approach to the process of synthesis to tell the story of the findings from the included studies. Our narrative systematic review of 64 articles found that they share the same risk factors. Integrated models envision nonsuicidal self-injury as a gateway enabling teens to acquire the capability for suicide. Because suicidal behavior short-circuits thought, it is difficult to conceive an intention to die during adolescents' acts of self-injury. Intention is constructed by the narrative of the act, influenced by numerous elements from the psychopathologic, cultural, religious, and philosophic context. Techniques of mentalizing-based treatments and work on the meaning that adolescents attribute to their behaviors might improve care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.