SynthesisClinical psychology review2016
Non-suicidal self-injury and life stress: A systematic meta-analysis and theoretical elaboration.
Synthesis in Clinical psychology review, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 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
55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.
- A systematic review and Bayesian meta-analysis of 30 years of stress generation research: Clinical, psychological, and sociodemographic risk and protective factors for prospective negative life events.Psychological bulletin · 2024Pooled it
- Prevalence and correlates of non-suicidal self-injury among lesbian, gay, bisexual, and transgender individuals: A systematic review and meta-analysis.Clinical psychology review · 2019Pooled it
- Risk and Protective Effects of Need for Approval on Self-Injury in Adolescent Girls.Child psychiatry and human development · 2026Article
- Emotional Responses to Social Media and Non-Suicidal Self-Injury Among Adolescents.Suicide & life-threatening behavior · 2026Article
- Motivational Complexity of Nonsuicidal Self-injury Associated with its Severity in Emerging Adult University Students.Journal of youth and adolescence · 2026Article
- Suicide attempts in adolescent inpatients with non-suicidal self-injury: a study of sociodemographic, clinical and psychopathological characteristics.BMC psychology · 2026Observational
- Anxiety development trajectories in junior high students: effects of family functioning and gender, and prediction of non-suicidal self-injury.BMC psychology · 2026Article
- Stigma and risk of self-injury and suicidality in adults with Tourette syndrome: findings from a cross-sectional impact survey.BMJ open · 2026Article
- Assessing the prevalence, characteristics and psychosocial correlates of nonsuicidal self-injury among Vietnamese adolescent psychiatric outpatients: a cross-sectional study.Frontiers in psychiatry · 2026Article
- Distinct profiles of childhood maltreatment and recent stress in relation to non-suicidal self-injury: the roles of self-criticism and self-compassion.Frontiers in psychiatry · 2026Article
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- Cumulative social adversity as a correlate of self harm: Validity of the Reward Probability Index.PloS one · 2026Article
- Article
- Non-Suicidal Self-Injury: Pain Addiction Mechanisms, Neurophysiological Signatures, and Therapeutic Advances.Journal of clinical medicine research · 2025Review
- Feasibility study of an embodied and embedded mindfulness- and compassion-based intervention for non-suicidal self-injury disorder.BMC complementary medicine and therapies · 2025Article
- Long-term outcomes of deliberate self-poisoning in adolescents and factors associated with repeated self-poisoning and self-injury: a Sri Lankan perspective.BMC research notes · 2025Article
- Clinical and Psychosocial Stress Correlates of Self-Harm in Women: A Retrospective Cohort Study in the Forensic Mental Health Setting.Stress and health : journal of the International Society for the Investigation of Stress · 2025Article
- Longitudinal relation between negative life events and non-suicidal self-injury among Chinese college students: a moderated mediation model.BMC psychiatry · 2025Article
- Cumulative Interpersonal Risk, Non-Suicidal Self-Injury, and Suicide Attempts in Early Adolescence: Between-Person Differences and within-Person Effects.Journal of youth and adolescence · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
Recent years have seen a considerable growth of interest in the study of life stress and non-suicidal self-injury (NSSI). The current article presents a systematic review of the empirical literature on this association. In addition to providing a comprehensive meta-analysis, the current article includes a qualitative review of the findings for which there were too few cases (i.e., <3) for reliable approximations of effect sizes. Across the studies included in the meta-analysis, a significant but modest relation between life stress and NSSI was found (pooled OR=1.81 [95% CI=1.49-2.21]). After an adjustment was made for publication bias, the estimated effect size was smaller but still significant (pooled OR=1.33 [95% CI=1.08-1.63]). This relation was moderated by sample type, NSSI measure type, and length of period covered by the NSSI measure. The empirical literature is characterized by several methodological limitations, particularly the frequent use of cross-sectional analyses involving temporal overlap between assessments of life stress and NSSI, leaving unclear the precise nature of the relation between these two phenomena (e.g., whether life stress may be a cause, concomitant, or consequence of NSSI). Theoretically informed research utilizing multi-wave designs, assessing life stress and NSSI over relatively brief intervals, and featuring interview-based assessments of these constructs holds promise for advancing our understanding of their relation. The current review concludes with a theoretical elaboration of the association between NSSI and life stress, with the aim of providing a conceptual framework to guide future study in this area.
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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.