SynthesisBMC psychiatry2017
Self-injury and externalizing pathology: a systematic literature review.
Synthesis in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis 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
45 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.
- A meta-analysis of the relationship between bullying and non-suicidal self-injury among children and adolescents.Scientific reports · 2022Pooled it
- Direct Self-Injurious Behavior (D-SIB) and Life Events among Vocational School and High School Students.International journal of environmental research and public health · 2018Trial
- Help-seeking patterns for non-suicidal self-injury across borderline symptom profiles in a large sample of university students.Borderline personality disorder and emotion dysregulation · 2026Article
- Divergent disinhibition profiles linked to externalizing psychopathology.Journal of psychopathology and clinical science · 2026Article
- Internet addiction, ADHD, and adolescent mental health: a 1-year longitudinal study of risk and moderation.Child and adolescent psychiatry and mental health · 2026Article
- Observational
- Examining Causal Pathways to Suicidal Ideation and Nonsuicidal Self-Injury in the Adolescent Brain Cognitive Development Study.Suicide & life-threatening behavior · 2025Article
- Self-injurious behavior in Greek adolescents: the role of mental health problems and COVID-19 trauma.BMC psychiatry · 2025Article
- Molecular Pathways, Neural Circuits and Emerging Therapies for Self-Injurious Behaviour.International journal of molecular sciences · 2025Review
- Trajectory of Non-suicidal Self-Injury among adolescents with borderline personality disorder over a 5-year period.Borderline personality disorder and emotion dysregulation · 2024Article
- School Bullying, Bystander Behavior, and Mental Health among Adolescents: The Mediating Roles of Self-Efficacy and Coping Styles.Healthcare (Basel, Switzerland) · 2024Article
- Validation and assessment of the self-injurious behavior scale for tic disorders (SIBS-T).Scientific reports · 2024Article
- The mediating effect of bullying on parental-peer support matching and NSSI behaviour among adolescents.BMC public health · 2024Article
- Examining bidirectional relations between sleep problems and non-suicidal self-injury/suicidal behavior in adolescents: emotion regulation difficulties and externalizing problems as mediators.European child & adolescent psychiatry · 2024Article
- Examining Predictors of Psychological Distress Among Youth Engaging with Jigsaw for a Brief Intervention.Child psychiatry and human development · 2024Article
- Adolescent Nonsuicidal Self-Injury and Suicidality: A Latent Class Analysis and Associations with Clinical Characteristics in an At-Risk Cohort.Journal of youth and adolescence · 2024Article
- Association between patterns of biological rhythm and self-harm: evidence from the baoxing youth mental health (BYMH) cohort.Child and adolescent psychiatry and mental health · 2024Article
- Self-injury functions mediate the association between anxiety and self-injury frequency among depressed Chinese adolescents: sex differences.Frontiers in psychiatry · 2024Article
- The Impact of Recent Life Events, Internalizing Symptoms, and Emotion Regulation on the Severity of Non-Suicidal Self-Injury in Adolescents: A Mediation Analysis.Neuropsychiatric disease and treatment · 2024Article
- Proposition of a transdiagnostic processual approach of emotion dysregulation based on core triggers and interpersonal styles.Frontiers in psychiatry · 2024Article
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 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDuring the last decade there is a growing scientific interest in nonsuicidal self-injury (NSSI). The aim of the current paper was to review systematically the literature with a special focus on the associations between self-injurious behaviours and externalizing psychopathology. An additional aim was to review terminology and measurements of self-injurious behaviour and the connection between self-injurious behaviours and suicide in the included publications.
methodsA systematic literature search was conducted on 31st December 2016 in five databases (PubMed, OVID Medline, OVID PsycINFO, Scopus, Web of Science) with two categories of search terms (1. nonsuicidal self-injury, non-suicidal self-injury, NSSI, self-injurious behaviour, SIB, deliberate self-harm, DSH, self-injury; 2. externalizing disorder, attention deficit hyperactivity disorder, ADHD, conduct disorder, CD, oppositional defiant disorder, OD, ODD).
resultsFinally 35 papers were included. Eleven different terms were found for describing self-injurious behaviours and 20 methods for measuring it. NSSI has the clearest definition. All the examined externalizing psychopathologies had strong associations with self-injurious behaviours according to: higher prevalence rates in externalizing groups than in control groups, higher externalizing scores on the externalizing scales of questionnaires, higher symptom severity in self-injurious groups. Eight studies investigated the relationship between suicide and self-injurious behaviours and found high overlap between the two phenomena and similar risk factors.
conclusionsBased on the current findings the association between externalizing psychopathology and self-injurious behaviours has been proven by the scientific literature. Similarly to other reviews on self-injurious behaviours the confusion in terminology and methodology was noticed. NSSI is suggested for use as a distinct term. Further studies should investigate the role of comorbid conditions in NSSI, especially when internalizing and externalizing pathologies are both presented.
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What OpenQuestion holds
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.