Evidence map›Paper›PMID 37720589›Full record

ArticleJCPP advances2023

Autonomic dysregulation and self-injurious thoughts and behaviours in children and young people: A systematic review and meta-analysis.

Alessio Bellato, Muskaan Aleeza Admani, Camila Deak, Luis Carlos Farhat, Maria Carolina Fontana Antunes de Oliveira, Rebeca Vasconcelos, Margherita Malanchini, Elizabeth Shephard, Giorgia Michelini

Abstract read
In one paragraph

Article in JCPP advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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

9 authors.

Alessio BellatoSchool of Psychology University of Nottingham Semenyih Malaysia.ORCID https://orcid.org/0000-0001-5330-6773
Muskaan Aleeza AdmaniDepartment of Biological and Experimental Psychology School of Biological and Behavioural Sciences Queen Mary University of London London UK.ORCID https://orcid.org/0009-0003-8373-7971
Camila DeakDepartment of Psychiatry Faculdade de Medicina Universidade de São Paulo Sao Paulo Brazil.
Luis Carlos FarhatDepartment of Psychiatry Faculdade de Medicina Universidade de São Paulo Sao Paulo Brazil.ORCID https://orcid.org/0000-0002-3147-8344
Maria Carolina Fontana Antunes de OliveiraDepartment of Psychiatry Faculdade de Medicina Universidade de São Paulo Sao Paulo Brazil.
Rebeca VasconcelosDepartment of Psychology Health Sciences Center Universidade de Fortaleza Sao Paulo Brazil.ORCID https://orcid.org/0000-0003-0815-6408
Margherita MalanchiniDepartment of Biological and Experimental Psychology School of Biological and Behavioural Sciences Queen Mary University of London London UK.ORCID https://orcid.org/0000-0002-7257-6119
Elizabeth ShephardDepartment of Psychiatry Faculdade de Medicina Universidade de São Paulo Sao Paulo Brazil.ORCID https://orcid.org/0000-0002-5952-3565
Giorgia MicheliniDepartment of Biological and Experimental Psychology School of Biological and Behavioural Sciences Queen Mary University of London London UK.ORCID https://orcid.org/0000-0002-0887-7582

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Self-injurious thoughts and behaviours (SITBs) have been associated with dysfunction of the Autonomic Nervous System (ANS) in children and young people, suggesting that objective ANS measures may aid assessment of suicide risk, but a systematic synthesis of this literature is currently lacking. Methods: Following a pre-registered protocol (PROSPERO CRD42022327605), we conducted a systematic search of PubMed, Medline, Embase, PsycINFO, and Web of Science, for empirical studies published until 10th May 2022 that compared indices of ANS functioning in individuals aged 0-25 years with versus without SITBs, or reported continuous associations between ANS measures and SITBs. Study quality was assessed with the Newcastle-Ottawa Scales. Pooled effect sizes (Hedge's g) were estimated with random-effects meta-analytic models. Results: Twenty studies (1979 participants) were included in our systematic review, with 16 included in meta-analyses. Results suggested that SITBs were associated with altered cardiac indices of arousal ( Conclusions: Our systematic review and meta-analysis found evidence of reduced parasympathetic regulation as well as more tentative evidence of altered electrodermal activity in children and young people displaying SITBs. Future longitudinal studies should test the clinical utility of these markers for detecting and monitoring suicide risk.

Indexed as

arousalautonomicelectrodermalheart rate variabilityself‐harmsuicide

Identifiers

PMID37720589
PMCPMC10501700

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Registered trials

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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.