Evidence map›Paper›PMID 31681470›Full record

ReviewF1000Research2019

Recent advances in understanding and managing self-harm in adolescents.

Stephanie Clarke, Lauren A Allerhand, Michele S Berk

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in F1000Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
5.2field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT05583279 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

Implementation of Dialectical Behavioral Therapy in Juvenile Justice to Reduce Self-Harm and Increase Quality of Life: A Pilot Test

TypeinterventionalSponsorThe Catholic University of AmericaRan2024 to 2026Enrolled0ConditionsNon-Suicidal Self Injury, Suicide, Self-harm, Emotion RegulationArmsDialetical Behavioral Therapy for Adolescents
NCT05765864 recruitingnot on this mapstarted 2023, after this paper: background citation

Influences on and Prevention of Self-harm Behaviour Among the Most At-risk Adolescents

TypeobservationalSponsorUniversity of Ljubljana, Faculty of MedicineRan2023 to 2025Enrolled400ConditionsSelf-harm, Personality Disorder, Borderline, Epigenetic Disorder, Non-Suicidal Self InjuryArmsEnrollment questionnaire, General questionnaire1, General questionnaire2, General questionnaire3, Columbia Suicide Severity Rating Scale (CSSRS), The Brief Non-Suicidal Self-Injury Assessment Tool (B-NSSI-AT), Experiences in Close Relationships-Relationship Structures (ECR-RS), Trauma Symptom Checklist for Children (TSCC)
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
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  5. Efficacy of a brief psychological intervention for adolescents with recent suicide attempt: A randomized clinical trial.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Trial
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  8. Observational
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  10. The longitudinal role of sleep on self-harm during adolescence: A birth cohort study.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Article
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Stephanie ClarkeDepartment of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA, 94305-5719, USA.
Lauren A AllerhandDepartment of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA, 94305-5719, USA.
Michele S BerkDepartment of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA, 94305-5719, USA.ORCID 0000-0002-2405-6821
Stanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adolescent suicide is a serious public health problem, and non-suicidal self-injury (NSSI) is both highly comorbid with suicidality among adolescents and a significant predictor of suicide attempts (SAs) in adolescents. We will clarify extant definitions related to suicidality and NSSI and the important similarities and differences between these constructs. We will also review several significant risk factors for suicidality, evidence-based and evidence-informed safety management strategies, and evidence-based treatment for adolescent self-harming behaviors. Currently, dialectical behavior therapy (DBT) for adolescents is the first and only treatment meeting the threshold of a well-established treatment for self-harming adolescents at high risk for suicide. Areas in need of future study include processes underlying the association between NSSI and SAs, clarification of warning signs and risk factors that are both sensitive and specific enough to accurately predict who is at imminent risk for suicide, and further efforts to sustain the effects of DBT post-treatment. DBT is a time- and labor-intensive treatment that requires extensive training for therapists and a significant time commitment for families (generally 6 months). It will therefore be helpful to assess whether other less-intensive treatment options can be established as evidence-based treatment for suicidal adolescents.

Indexed as

Suicidal IdeationAdolescentComorbidityDialectical Behavior TherapyHumansRisk FactorsSelf-Injurious BehaviorSuicide, Attemptedadolescentself-harmsuicide

Identifiers

PMID31681470
PMCPMC6816451
OpenAlexW2981672872

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.