ArticleArchives of suicide research : official journal of the International Academy for Suicide Research
Barriers to Youth Disclosing Self-Injurious Thoughts and Behaviors: A Focus on the Therapeutic Context.
Article in Archives of suicide research : official journal of the International Academy for Suicide Research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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Who cites it
3 citing papers in PubMed.
- Decisions to Disclose Suicide Attempt History: A Qualitative Study.Behavioral sciences (Basel, Switzerland) · 2026Article
- Health lifestyle profiles and adolescent suicidality: A critical appraisal of Bitar et al.Global mental health (Cambridge, England) · 2026Article
- Navigating self-injury in a digital world: adolescents' perspectives on coping, help-seeking, and technology.Frontiers in digital health · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveDisclosure of self-injurious thoughts and behaviors (SITBs) can serve as a catalyst to receiving mental health and lifesaving care; yet, many young people do not disclose these experiences to their therapists. In this study we aimed to identify barriers to adolescents disclosing their SITBs to their therapists and to compare these barriers across non-disclosure of suicidal ideation, suicidal behavior, and non-suicidal self-injury.
methodParticipants (
resultsThese overarching barriers were: Agency Theft, Irrelevance, Therapeutic (Mis)Alliance, Internalized Stigma, Anticipated Stigma, and Lacking Disclosure Self-Efficacy. The majority (85.29%) of subordinate barriers were common across the three SITBs.
conclusionsAdolescents may hesitate to disclose their SITBs to their therapists for many reasons; prioritizing the therapeutic relationship and working collaboratively with adolescents could be instrumental in not only fostering disclosure but also an overall more positive therapeutic experience.
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Registered trials
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