Non-Suicidal Self-Injury in Adolescence and Youth
https://doi.org/10.30629/2618-6667-2025-23-4-103-116
Abstract
Background: the prevalence of self-harming behavior in modern society is high and is especially relevant for adolescents and young adults. Self-harm is considered as a risk factor for suicide. At the same time, the concept of self-harm remains insufficiently developed, and its relationship with suicidality remains unexplored. Domestic publications on the issue of self-harm are mainly devoted to the psychological aspects of the problem. The aim of review was to analyze existing ideas about self-harming behavior in scientific publications. Material and Method: the publications were searched in the electronic databases MEDLINE, Google Scholar, PubMed for the keywords “self-harm”, “non-suicidal self-harm”, “suicide”; “self-harm”, “non-suicidal self-injury”, “suicide”, “adolescence and youth”. The selection of publications was carried out manually. A descriptive approach was used to summarize the data. Conclusion: the review provides current data on the study of prevalence of self-harm among adolescents and youth, reveals the concept of self-harming behavior and its place in modern classifications of mental disorders, discusses contradictions in the use of the term. The researchs of self-harming and suicidal behavior risk factors are analyzed, including interrelations with mental disorders. A consensus of researchers has been established that non-suicidal self-harm is an important indicator in assessing the risk of depression and suicidality in young peoples. The research directions of assistance and prevention of selfharming and suicidal behavior in adolescence and youth are considered
About the Author
N. N. PetrovaRussian Federation
Nataliia N. Petrova, Dr. Sci. (Med.), Professor, Head of Department, Department of Psychiatry and Addictons
St. Petersburg
References
1. Lim KS, Wong CH, McIntyre RS, Wang J, Zhang Z, Tran BX, Tan W, Ho CS, Ho RC. Global Lifetime and 12-Month Prevalence of Suicidal Behavior, Deliberate Self-Harm and Non-Suicidal Self-Injury in Children and Adolescents between 1989 and 2018: A Meta-Analysis. Int J Environ Res Public Health. 2019;16(22):4581. doi: 10.3390/ijerph16224581 PMID: 31752375; PMCID: PMC6888476.
2. Xiao Q, Song X, Huang L, Hou D, Huang X. Global prevalence and characteristics of non-suicidal self-injury between 2010 and 2021 among a non-clinical sample of adolescents: A meta-analysis. Front Psychiatry. 2022;13:912441. doi: 10.3389/fpsyt.2022.912441 PMID: 36032224; PMCID: PMC9399519
3. Selby EA, Bender TW, Gordon KH, Nock MK, Joiner TE Jr. Non-suicidal self-injury (NSSI) disorder: a preliminary study. Personal Disord. 2012;3(2):167–75. doi: 10.1037/a0024405 Epub 2011 Jul 4. PMID: 22452757.
4. Andover MS, Gibb BE. Non-suicidal self-injury, attempted suicide, and suicidal intent among psychiatric inpatients. Psychiatry Res. 2010;178(1):101–105. doi: 10.1016/j.psychres.2010.03.019
5. Asarnow JR, Porta G, Spirito A, Emslie G, Clarke G, Wagner KD, Vitiello B, Keller M, Birmaher B, McCracken J, Mayes T, Berk M, Brent DA. Suicide attempts and nonsuicidal self-injury in the treatment of resistant depression in adolescents: findings from the TORDIA study. J Am Acad Child Adolesc Psychiatry. 2011;50(8):772–81. doi: 10.1016/j.jaac.2011.04.003 Epub 2011 Jun 11. PMID: 21784297; PMCID: PMC3143365.
6. Adolescent Health: Problems and Management. WHO. 2023; December 4 https://www.who.int/health-top-ics/adolescent-health#tab.
7. Namdev V, Polnikov A, Fatuki T, Stetsenko V, Bellman V. Why Hundreds of Russian Teenagers Die Every Year. Psychiatr Ann. 2023; 3(7):314–324. doi: 10.3928/00485713-20230526-01
8. Bellman V, Namdev V. Suicidality among men in Russia: a review of recent epidemiological data. Cureus. 2022;14(3): e22990. doi: 10.7759/cureus.22990
9. Lamova E. The number of child suicides and attempts has increased in Russia. Society. 2022. 07.07 https://www.rbc.ru/society/07/07/2022/62c594289a7947ee-ce23ead. (In Russ.).
10. Polozhy BS, Lyubov EB. Exploring suicidal behavior in Russia: problems and solutions S.S. Korsakov Journal of Neurology and Psychiatry 2022;122(8):145–149. (In Russ.). doi: 10.17116/jnevro2022122081145
11. Le N, Belay YB, Le LK, Pirkis J, Mihalopoulos C. Health-related quality of life in children, adolescents and young adults with self-harm or suicidality: A systematic review. Aust N Z J Psychiatry. 2023 Jul;57(7):952-965. doi: 10.1177/00048674231165477 Epub 2023 Apr 10. PMID: 37036112; PMCID: PMC10291375.
12. World Health Organization Mental health 2022 https://www.who.int/health-topics/mental-health Date accessed: July 26, 2023
13. World Health Organization. Report on mental health in the world: transformations for the benefit of all people. The World Health Organization. Regional Office for Europe. 2024. https://iris.who.int/han-dle/10665/375820. License: CC BY-NC-SA 3.0 IGO
14. Polskaya NA. Risk factors and approaches to preventing self-injurious behavior in adolescents Clinical Psychology and Special Education. 2018;7(2):1–20. (In Russ.). doi: 10.17759/psyclin.2018070201
15. Chueva EN. Self-harming behavior of children and adolescents. Bulletin of KRAUNTS. Humanities. 2017; 1(29):71-77. (In Russ.).
16. Geulayov G, Casey D, McDonald KC, Foster P, Pritchard K, Wells C, Clements C, Kapur N, Ness J, Waters K, Hawton K. Incidence of suicide, hospital-presenting non-fatal self-harm, and community-occurring non-fatal self-harm in adolescents in England (the iceberg model of self-harm): a retrospective study. Lancet Psychiatry. 2018;5(2):167–174. doi: 10.1016/S2215-0366(17)30478-9 Epub 2017 Dec 12. PMID: 29246453.
17. Hilt LM, Nock MK, Lloyd-Richardson EE, Prinstein MJ. Longitudinal study of nonsuicidal self-injury among young adolescents: rates, correlates, and preliminary test of an interpersonal model. J Early Adolesc. 2008;28(3):455–469. doi: 10.1177/0272431608316604
18. Zetterqvist M, Lundh LG, Dahlström O, Svedin CG. Prevalence and function of non-suicidal self-injury (NSSI) in a community sample of adolescents, using suggested DSM-5 criteria for a potential NSSI disorder. J Abnorm Child Psychol. 2013;41(5):759–73. doi: 10.1007/s10802-013-9712-5 PMID: 23344701.
19. Washburn JJ, Richardt SL, Styer DM, Gebhardt M, Juzwin KR, Yourek A, Aldridge D. Psychotherapeutic approaches to non-suicidal self-injury in adolescents. Child Adolesc Psychiatry Ment Health. 2012;6(1):14. doi: 10.1186/1753-2000-6-14 PMID: 22463499; PMCID: PMC3782878.
20. Grossberg A, Rice T. Depression and Suicidal Behavior in Adolescents. Med Clin North Am. 2023;107(1):169– 182. doi: 10.1016/j.mcna.2022.04.005 Epub 2022 Oct 28. PMID: 36402497.
21. Klonsky ED, Muehlenkamp JJ. Self-injury: A research review for the practitioner. J. Clin. Psychol. 2007;63:1045–1056. doi: 10.1002/jclp.20412
22. Statista Ethnic Group in Australia. [(accessed on 26 April 2019)]; Available online: https://www.statista.com/statistics/260502/ethnic-groups-in-australia/
23. Klonsky ED. Non-suicidal self-injury in United States adults: prevalence, sociodemographics, topography and functions. Psychol Med. 2011;41(9):1981–1986. doi: 10.1017/S0033291710002497
24. Heath NL, Schuab SH, Nixon MK. In: Self-Injury in Youth: The Essential Guide to Assessment and Intervention. Nixon MK, Heath NL, editor. Routledge, New York; 2009. Self-Injury today: review of population and clinical studies in adolescents; pp. 9–28.
25. Angelotta C. Defining and refining self-harm: a historical perspective on nonsuicidal self-injury. J Nerv Ment Dis. 2015;203(2):75–80. doi: 10.1097/NMD.0000000000000243 PMID: 25594789.
26. Lifeline. Self harm. 2021 Available at www.lifeline.org.au/get-help/information-and-support/self-harm
27. Abraham N, Buvanaswari P, Rathakrishnan R, Tran BX, Thu GV, Nguyen LH, Ho CS, Ho RC. A Meta-Analysis of the Rates of Suicide Ideation, Attempts and Deaths in People with Epilepsy. Int J Environ Res Public Health. 2019;16(8):1451. doi: 10.3390/ijerph16081451
28. International Society for the Study of Self-Injury. (accessed on 29 April 2019); Available online: http://www.itriples.org/isss-aboutself-i.htm
29. Whitlock J, Muehlenkamp J, Eckenrode J, Purington A, Baral Abrams G, Barreira P, Kress V. Nonsuicidal self-injury as a gateway to suicide in young adults. J Adolesc Health. 2013;52(4):486–92. doi: 10.1016/j.jadohealth.2012.09.010 Epub 2012 Dec 3. PMID: 23298982.
30. Madge N, Hewitt A, Hawton K, de Wilde EJ, Corcoran P, Fekete S, van Heeringen K, De Leo D, Ystgaard M. Deliberate self-harm within an international community sample of young people: comparative findings from the Child & Adolescent Self-harm in Europe (CASE) Study. J Child Psychol Psychiatry. 2008; 49(6):667–77. doi: 10.1111/j.1469-7610.2008.01879.x Epub 2008 Mar 10. PMID: 18341543.
31. Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Washington: American psychiatric association. 2013. ISBN 978-0-89042-554-1.
32. Bannikov GS, Fedunina NYu, Pavlova TS, Vikhristyuk OV, Letova AV, Bazhenova MD. Leading mechanisms of self-harming behavior in adolescents: based on monitoring materials in educational organizations. Counseling Psychology and Psychotherapy. 2016;24(3):42–68. (In Russ.).
33. Tarasova AE. Causes of self-harmful behavior in adolescents and young people. Humanities Research Collection. Electronic scientific journal. 2019;1(16). (In Russ.). www.j-chr.com
34. Nada-Raja S, Skegg K, Langley J, Morrison D, Sowerby P. Self-Harmful Behaviors in a Population-Based Sample of Young Adults. Suicide Life Threat Behav. 2004; 34(2):177–186. doi: 10.1521/suli.34.2.177.32781
35. Hjelmeland H, Hawton K, Nordvik H, Bille-Brahe U, De Leo D, Fekete S, Grad O, Haring C, Kerkhof JF, Lönnqvist J, Michel K, Renberg ES, Schmidtke A, Van Heeringen K, Wasserman D. Why people engage in parasuicide: a cross-cultural study of intentions. Suicide Life Threat Behav. 2002;32(4):380–93. doi: 10.1521/suli.32.4.380.22336 PMID: 12501963.
36. Verdolini N, Murru A, Attademo L, Garinella R, Pacchiarotti I, Bonnin CDM, Samalin L, Pauselli L, Piselli M, Tamantini A, Quartesan R, Carvalho AF, Vieta E, Tortorella A. The aggressor at the mirror: Psychiatric correlates of deliberate self-harm in male prison inmates. Eur Psychiatry. 2017;44:153–160. doi: 10.1016/j.eurpsy.2017.04.002 Epub 2017 Apr 14. PMID: 28641217.
37. Schwerkoske JP, Caplan JP, Benford DM. Self-Mutilation and Biblical Delusions: A Review. Psychosomatics. 2012;53(4):327–333. doi: 10.1016/j.psym.2012.01.007
38. Clinebell K, Valpey R, Walker T, Gopalan P, Azzam P. Self-Enucleation and Severe Ocular Injury in the Psychiatric Setting. Psychosomatics. 2016;57(1):25–30. doi: 10.1016/j.psym.2015.10.010
39. Veeder TA, Leo RJ. Male genital self-mutilation: a systematic review of psychiatric disorders and psychosocial factors. Gen Hosp Psychiatry. 2017;44:43– 50. doi: 10.1016/j.genhosppsych.2016.09.003
40. Matson JL, Turygin NC. How do researchers define self-injurious behavior? Res Dev Disabil. 2012;33(4):1021–1026. doi: 10.1016/j.ridd.2012.01.009
41. Rodham K, Hawton K, Evans E. Reasons for Deliberate Self-Harm: Comparison of Self-Poisoners and Self-Cutters in a Community Sample of Adolescents. J Am Acad Child Adolesc Psychiatry 2004;43(1):80–87. doi: 10.1097/00004583-200401000-00017
42. Zinchuk MS, Avedisova AS, Guekht AB. Nonsuicidal self-injury behavior in non-psychotic disorders: epidemiology, social and clinical risk factors. S.S. Korsakov Journal of Neurology and Psychiatry. 2019;119(3):108–119. (In Russ.). doi: 10.17116/jnevro2019119031108
43. Turner BJ, Austin SB, Chapman AL. Treating nonsuicidal self-injury: a systematic review of psychological and pharmacological interventions. Can J Psychiatry. 2014;59(11):576–85. doi: 10.1177/070674371405901103
44. Morozova IS, Belogay KN, Evseenkov EV. On the problem of systematizing theoretical approaches to the study of self-destructive behavior in traditional and post-non-classical studies. Society: sociology, psychology, pedagogy. 2018;8:59–67. (In Russ.). doi: 10.24158/spp.2018.8.10
45. Abramova AA, Enikolopov SN, Efremov AG, Kuznetsova SO. Auto-aggressive non-suicidal behavior as a way of coping with negative emotions. Clinical and special Education. 2018;7(2):21–40. (In Russ.). doi: 10.17759/cpse.2018070202
46. De Leo D, Burgis S, Bertolote JM, Kerkhof AJ, Bille-Brahe U. Definitions of suicidal behavior: lessons learned from the WHo/EURO multicentre Study. Crisis. 2006;27(1):4–15. doi: 10.1027/0227-5910.27.1.4 PMID: 16642910.
47. Silverman MM, Berman AL, Sanddal ND, O’carroll PW, Joiner TE. Rebuilding the tower of Babel: a revised nomenclature for the study of suicide and suicidal behaviors. Part 2: Suicide-related ideations, communications, and behaviors. Suicide Life Threat Behav. 2007;37(3):264–77. doi: 10.1521/suli.2007.37.3.264 PMID: 17579539.
48. Bello I, Rodríguez-Quiroga A, Quintero J. Suicidal and self-harm behavior in adolescents, an unsolved problem. A comprehensive review. Actas Esp Psiquiatr. 2023;51(1):10–20. Epub 2023 Jan 1. PMID: 36912390; PMCID: PMC10258850.
49. Muehlenkamp JJ. Self-injurious behavior as a separate clinical syndrome. Am J Orthopsychiatry. 2005;75(2):324–333. doi: 10.1037/0002–9432.75.2.324
50. Nock MK. Why do people hurt themselves? New insights into the nature and functions of self-injury. Curr Dir Psychol Sci. 2009;18(2):78–83. doi: 10.1111/j.1467–8721.2009.01613.x
51. Hawton K, Bergen H, Kapur N, Cooper J, Steeg S, Ness J, Waters K. Repetition of self-harm and suicide following self-harm in children and adolescents: findings from the Multicentre Study of Self-harm in England. J Child Psychol Psychiatry. 2012;53(12):1212–9. doi: 10.1111/j.1469-7610.2012.02559.x Epub 2012 Apr 27. PMID: 22537181.
52. Grandclerc S, De Labrouhe D, Spodenkiewicz M, Lachal J, Moro MR. Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review. PLoS One. 2016;11(4):e0153760. doi: 10.1371/journal.pone.0153760 PMID: 27089157; PMCID: PMC4835048.
53. Chesin MS, Galfavy H, Sonmez CC, Wong A, Oquendo MA, Mann JJ, Stanley B. Nonsuicidal Self-Injury Is Predictive of Suicide Attempts Among Individuals with Mood Disorders. Suicide Life Threat Behav. 2017;47(5):567–579. doi: 10.1111/sltb.12331 Epub 2017 Feb 17. PMID: 28211201; PMCID: PMC5724372.
54. Guan K, Fox KR, Prinstein MJ. Nonsuicidal self-injury as a time-invariant predictor of adolescent suicide ideation and attempts in a diverse community sample. J Consult Clin Psychol. 2012;80(5):842–849. doi: 10.1037/a0029429
55. Grandclerc S, De Labrouhe D, Spodenkiewicz M, Lachal J, Moro MR. Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review. PLoS One. 2016;11(4):e0153760. doi: 10.1371/journal.pone.0153760 PMID: 27089157; PMCID: PMC
56. Pompili M, Goracci A, Giordano G, Erbuto D, Girardi P, Klonsky ED. Relationship of non-suicidal self-injury and suicide attempt: A psychopathological perspective Relationship of non-suicidal self-injury and suicide attempt: A psychopathological perspective. J Psychopathol. 2015;21(4):348–53.
57. Chu C, Buchman-Schmitt JM, Stanley IH, Hom MA, Tucker RP, Hagan CR, Rogers ML, Podlogar MC, Chiurliza B, Ringer FB, Michaels MS, Patros CHG, Joiner TE. The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. Psychol Bull. 2017;143(12):1313–1345. doi: 10.1037/bul0000123
58. Hamza CA, Stewart SL, Willoughby T. Examining the link between nonsuicidal self-injury and suicidal behavior: a review of the literature and an integrated model. Clin Psychol Rev. 2012;32(6):482–95. doi: 10.1016/j.cpr.2012.05.003
59. Wilkinson P, Kelvin R, Roberts C, Dubicka B, Goodyer I. Clinical and psychosocial predictors of suicide attempts and nonsuicidal self-injury in the Adolescent Depression Antidepressants and Psychotherapy Trial (ADAPT). Am J Psychiatry. 2011;168(5):495–501. doi: 10.1176/appi.ajp.2010.10050718
60. Aggarwal S, Patton G, Reavley N, Sreenivasan SA, Berk M. Youth self-harm in lowand middle-income countries: Systematic review of the risk and protective factors. Int J Soc Psychiatry. 2017;63(4):359– 375. doi: 10.1177/0020764017700175 Epub 2017 Mar 29. PMID: 28351292
61. Mars B, Heron J, Klonsky ED, Moran P, O’Connor RC, Tilling K, Wilkinson P, Gunnell D. Predictors of future suicide attempt among adolescents with suicidal thoughts or non-suicidal self-harm: a population-based birth cohort study. Lancet Psychiatry. 2019;6(4):327–337. doi: 10.1016/S2215-0366(19)30030-6 Epub 2019 Mar 14. PMID: 30879972; PMCID: PMC6494973.
62. Robinson K, Garisch JA, Wilson MS. Nonsuicidal self-injury thoughts and behavioural characteristics: Associations with suicidal thoughts and behaviours among community adolescents. J Affect Disord. 2021; 282:12471254. doi: 10.1016/j.jad.2020.12.201 Epub 2021 Jan 6. PMID: 33601703.
63. Gillies D, Christou MA, Dixon AC, Featherston OJ, Rapti I, Garcia-Anguita A, Villasis-Keever M, Reebye P, Christou E, Al Kabir N, Christou PA. Prevalence and Characteristics of Self-Harm in Adolescents: Meta-Analyses of Community-Based Studies 1990-2015. J Am Acad Child Adolesc Psychiatry. 2018;57(10):733–741. doi: 10.1016/j.jaac.2018.06.018 Epub 2018 Aug 21. PMID: 30274648.
64. Chesin MS, Galfavy H, Sonmez CC, Wong A, Oquendo MA, Mann JJ, Stanley B. Nonsuicidal Self-Injury Is Predictive of Suicide Attempts Among Individuals with Mood Disorders. Suicide Life Threat Behav. 2017;47(5):567–579. doi: 10.1111/sltb.12331 Epub 2017 Feb 17. PMID: 28211201; PMCID: PMC5724372.
65. Guan K, Fox KR, Prinstein MJ. Nonsuicidal self-injury as a time-invariant predictor of adolescent suicide ideation and attempts in a diverse community sample. J Consult Clin Psychol. 2012;80(5):842–849. doi: 10.1037/a0029429
66. Pearce CM, Martin G. Predicting suicide attempts among adolescents. Acta Psychiatr Scand. 1994;90(5):324–8. doi: 10.1111/j.1600-0447.1994.tb01601.x PMID: 7872035.
67. Pichikov AA, Popov YuV, Yakovleva YuA. Dynamics of self-injurious behavior and suicidal fantasying in adolescents. V.M. Bekhterev review of psychiatry and medical psychology. 2016;4:80–85. (In Russ.).
68. Hawton K, Zahl D, Weatherall R. Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital. Br J Psychiatry. 2003;182(06):537–542. doi: 10.1192/bjp.182.6.537
69. Victor SE, Klonsky ED. Correlates of suicide attempts among self-injurers: a meta-analysis. Clin Psychol Rev. 2014;34(4):282–97. doi: 10.1016/j.cpr.2014.03.005 Epub 2014 Apr 2. PMID: 24742496.
70. Bokhan NA, Evseev VD, Mandel AI, Peshkovskaya AG. Review of studies of non-suicidal self-behaviors using NSSI scales and questionnaires. Suicidology. 2020;1(38). (In Russ.). doi: 10.32878/sui-ciderus.20-11-01(38)-70-83
71. Geulayov G, Casey D, McDonald KC, Foster P, Pritchard K, Wells C, Clements C, Kapur N, Ness J, Waters K, Hawton K. Incidence of suicide, hospital-presenting non-fatal self-harm, and community-occurring non-fatal self-harm in adolescents in England (the iceberg model of self-harm): a retrospective study. Lancet Psychiatry. 2018;5(2):167–174. doi: 10.1016/S2215-0366(17)30478-9 Epub 2017 Dec 12. PMID: 29246453.
72. Neupane SP, Mehlum L. Adolescents With Non-Suicidal Self-Harm-Who Among Them Has Attempted Suicide? Arch Suicide Res. 2023;27(3):866–879. doi: 10.1080/13811118.2022.2072254 Epub 2022 May 17. PMID: 35579411.
73. International classification of diseases (10th revision). Classification of mental and behavioral disorders. Clinical descriptions and diagnostic guidelines. World Health Organization. Russia. St. Petersburg: Adis, 1994:304. (In Russ.).
74. Zetterqvist M. The DSM-5 diagnosis of nonsuicidal self-injury disorder: a review of the empirical literature. Child Adolesc Psychiatry Ment Health. 2015;9(1). doi: 10.1186/s13034-015-0062-7
75. Kapur N, Cooper J, O’Connor RC, Hawton K. Non-suicidal self-injury v. attempted suicide: new diagnosis or false dichotomy? Br J Psychiatry. 2013;202(05):326– 328. doi: 10.1192/bjp.bp.112.116111
76. Plener PL, Kapusta ND, Brunner R, Kaess M. Nichtsuizidales selbstverletzendes Verhalten (NSSV) und Suizidale Verhaltensstörung (SVS) im DSM-5 [Non-Suicidal Self-Injury (NSSI) and Suicidal Behavior Disorder in the DSM-5]. Z Kinder Jugendpsychiatr Psychother. 2014;42(6):405–11; quiz 412-3. German. doi: 10.1024/1422-4917/a000319 PMID: 25335519.
77. Brausch AM, Muehlenkamp JJ, Washburn JJ. Nonsuicidal self-injury disorder: Does Criterion B add diagnostic utility? Psychiatry Res.. 2016;244:179–184. doi: 10.1016/j.psychres.2016.07.025
78. Lenkiewicz K, Racicka E, Bruńska A. Self-injury-placement in mental disorders classifications, risk factors and primary mechanisms. Review of the literature. Psychiatria Polska. 2017;51(2):323–334. doi: 10.12740/pp/62655
79. Halicka J, Kiejna A. Non-suicidal self-injury (NSSI) and suicidal: Criteria differentiation. Adv Clin Exp Med.. 2018;27(2): 257–261. doi: 10.17219/acem/66353
80. Bello I, Rodríguez-Quiroga A, Quintero J. Suicidal and self-harm behavior in adolescents, an unsolved problem. A comprehensive review. Actas Esp Psiquiatr. 2023;51(1):10–20. Epub 2023 Jan 1. PMID: 36912390; PMCID: PMC10258850.
81. Figueiredo T, Bernardes C, Serra-Pinheiro MA. Self-injurious behaviors in children and adolescents with autism spectrum disorder without intellectual disability. Current Psychology. 2023;42(12):9999–10011. doi: 10.1007/s12144-021-02299-x
82. Choo C, Diederich J, Song I, Ho R. Cluster analysis reveals risk factors for repeated suicide attempts in a multi-ethnic Asian population. Asian J Psychiatr. 2014;8:38–42. doi: 10.1016/j.ajp.2013.10.001 Epub 2013 Oct 26. PMID: 24655624.
83. Dulit RA, Ryer MR, Leon AC, et al. Clinical correlates of selfmutilation in borderline personality disorder. Am J Psychiatry. 1994;151(9):1305–1311. doi: 10.1176/ajp.151.9.1305
84. Petrova NN, Charnaya DI, Chumakov EM. Borderline personality disorder: on the issue of diagnosis. Doctor.Ru. 2022;21(8):66–71. (In Russ.). doi: 10.31550/1727-2378-2022-21-8-66-71
85. Groschwitz RC, Kaess M, Fischer G, Ameis N, Schulze UM, Brunner R, Koelch M, Plener PL. The association of non-suicidal self-injury and suicidal behavior according to DSM-5 in adolescent psychiatric inpatients. Psychiatry Res. 2015;228(3):454–61. doi: 10.1016/j.psychres.2015.06.019
86. Reichl C, Kaess M. Self-harm in the context of borderline personality disorder. Curr Opin Psychol. 2021;37:139–144. doi: 10.1016/j.copsyc.2020.12.007 Epub 2021 Jan 6. PMID: 33548678.
87. Daryin EV. Non-suicidal self-injurious behavior in adolescents. Medical Bulletin of the South of Russia. 2019;10(4):6–14. (In Russ.). doi: 10.21886/2219-8075-2019-10-4-6-14
88. Lim KX, Rijsdijk F, Hagenaars SP, Socrates A, Choi SW, Coleman JRI, et al. Studying individual risk factors for self-harm in the UK Biobank: A polygenic scoring and Mendelian randomisation study. PLoS Med. 2020;17(6):e1003137. doi: 10.1371/journal.pmed.1003137
89. Rahman F, Webb RT, Wittkowski A. Risk factors for self-harm repetition in adolescents: A systematic review. Clin Psychol Rev. 2021;88:102048. doi: 10.1016/j.cpr.2021.102048 Epub 2021 May 29. PMID: 34119893.
90. Kothgassner OD, Goreis A, Robinson K, Huscsava MM, Schmahl C, Plener PL. Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis. Psychol Med. 2021;51(7):1057–1067. doi: 10.1017/S0033291721001355
91. Klonsky ED, Victor SE, Saffer BY. Nonsuicidal self-injury: what we know, and what we need to know. Can J Psychiatry. 2014;59(11):565–8. doi: 10.1177/070674371405901101
92. Richardson R, Connell T, Foster M, Blamires J, Keshoor S, Moir C, Zeng IS. Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis. J Youth Adolesc. 2024;53(6):1301–1322. doi: 10.1007/s10964-024-01969-w
93. Kastalskaya-Borozdina AA, Dozortseva EG, Terekhina SA. Suicidal behavior and perfectionism in adolescence. Russian journal of psychiatry. 2024;3:45–54. (In Russ.).
94. McEvoy D, Brannigan R, Cooke L, Butler E, Walsh C, Arensman E, Clarke M. Risk and protective factors for self-harm in adolescents and young adults: An umbrella review of systematic reviews. J Psychiatr Res. 2023;168:353–380. doi: 10.1016/j.jpsychires.2023.10.017 Epub 2023 Oct 20. PMID: 37972513.
95. Boev OI, Bychkova OG, Serdyuk OV, Stupina OP. The importance of surveillance of suicide attempts and intentional self-harm. Russian journal of psychiatry. 2024;3:11–22. (In Russ.).
96. Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, Carli V, Höschl C, Barzilay R, Balazs J, Purebl G, Kahn JP, Sáiz PA, Lipsicas CB, Bobes J, Cozman D, Hegerl U, Zohar J. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. 2016;3(7):646–59. doi: 10.1016/S2215-0366(16)30030-X
97. US Preventive Services Task Force; Mangione CM, Barry MJ, Nicholson WK, Cabana M, Chelmow D, Coker TR, Davidson KW, Davis EM, Donahue KE, Jaén CR, Kubik M, Li L, Ogedegbe G, Pbert L, Ruiz JM, Silverstein M, Stevermer J, Wong JB. Screening for Depression and Suicide Risk in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2022;328(15):1534–1542. doi: 10.1001/jama.2022.16946
98. Forte A, Sarli G, Polidori L, Lester D, Pompili M. The Role of New Technologies to Prevent Suicide in Adolescence: A Systematic Review of the Literature. Medicina (Kaunas). 2021;57(2):109. doi: 10.3390/medicina57020109
99. Gijzen MWM, Rasing SPA, Creemers DHM, Engels RCME, Smit F. Effectiveness of school-based preventive programs in suicidal thoughts and behaviors: A meta-analysis. J Affect Disord. 2022;298(Pt A):408–420. doi: 10.1016/j.jad.2021.10.062 Epub 2021 Oct 30. PMID: 34728296.
100. Richardson R, Connell T, Foster M, Blamires J, Keshoor S, Moir C, Zeng IS. Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis. J Youth Adolesc. 2024;53(6):1301–1322. doi: 10.1007/s10964-024-01969-w Epub 2024 Apr 2. PMID: 38564099; PMCID: PMC11045640.
101. Singtakaew A, Chaimongkol N. Deliberate self-harm among adolescents: A structural equation modelling analysis. Int J Ment Health Nurs. 2021;30(6):1649– 1663. doi: 10.1111/inm.12918 Epub 2021 Aug 4. PMID: 34350687.
102. Khan A, Ungar M. Resilience to Self-Harm. Crisis. 2023;44(1):61–69. doi: 10.1027/0227-5910/a000831 Epub 2021 Dec 3. PMID: 34859682.
103. Turner BJ, Austin SB, Chapman AL. Treating nonsuicidal self-injury: a systematic review of psychological and pharmacological interventions. Can J Psychiatry. 2014;59(11):576–85. doi: 10.1177/070674371405901103
104. Klonsky ED, May AM, Glenn CR. The relationship between nonsuicidal self-injury and attempted suicide: converging evidence from four samples. J Abnorm Psychol. 2013;122(1):231–237. doi: 10.1037/a0030278 Epub 2012 Oct 15. PMID: 23067259.
105. Reinhardt M, Rice KG, Horváth Z. Non-suicidal self-injury motivations in the light of self-harm severity indicators and psychopathology in a clinical adolescent sample. Front Psychiatry. 2022 1;13:1046576. doi: 10.3389/fpsyt.2022.1046576 PMID: 36532173; PMCID: PMC9751932.
106. Gilmour L, Maxwell M, Duncan E. Policy addressing suicidality in children and young people: an international scoping review. BMJ Open. 2019;9(10):e030699. doi: 10.1136/bmjopen-2019-030699
107. Suyemoto KL. The functions of self-mutilation. Clin Psychol Rev. 1998;18(5):53154. doi: 10.1016/s0272-7358(97)00105-0 PMID: 9740977.
Review
For citations:
Petrova N.N. Non-Suicidal Self-Injury in Adolescence and Youth. Psychiatry (Moscow) (Psikhiatriya). 2025;23(4):103-116. (In Russ.) https://doi.org/10.30629/2618-6667-2025-23-4-103-116
JATS XML























