Cited by 512Suicide and Self-Harm StudiesPersonality Disorders and PsychopathologyMental Health Research Topics

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Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis

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Wolff, Jennifer C., Thompson, Elizabeth, Thomas, Sarah A., Nesi, Jacqueline, Bettis, Alexandra H., Ransford, Briana, Scopelliti, Katie, Frazier, Elisabeth A., Liu, Richard T.·2019·European Psychiatry

DOI 10.1016/j.eurpsy.2019.03.004PMC PMC6538442

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Abstract

BACKGROUND: Over the past several years there has been considerable interest in the relation between emotion dysregulation and non-suicidal self-injury (NSSI), particularly given that rates of NSSI have been increasing and NSSI is a critical risk factor for suicidal behavior. To date, however, no synthesis of empirical findings exists. METHODS: The present study presents a comprehensive meta-analytic review of the literature on the association between NSSI and emotion dysregulation. A total of 48 publications, including 49 independent samples, were included in this analysis. RESULTS: Overall, a significant association was found between emotion dysregulation and NSSI (pooled OR = 3.03 [95% CI = 2.56-3.59]). This association was reduced but remained significant (OR = 2.40 [95% CI = 2.01-2.86]) after adjustment for publication bias. Emotion dysregulation subscales most strongly associated with NSSI included limited access to regulation strategies, non-acceptance of emotional responses, impulse control difficulties, and difficulties engaging goal-directed behavior. Lack of emotional awareness/clarity and cognitive aspects of dysregulation yielded weaker, yet significant, positive associations with NSSI. CONCLUSIONS: Findings support the notion that greater emotion dysregulation is associated with higher risk for NSSI among individuals across settings, regardless of age or sex. Furthermore, findings reveal facets of dysregulation that may have unique implications for NSSI. This meta-analysis highlights the importance of better understanding emotion dysregulation as a treatment target for preventing NSSI.

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Authors: Wolff, J. C., Thompson, E., Thomas, S. A., Nesi, J., Bettis, A. H., Ransford, B., Scopelliti, K., Frazier, E. A., & Liu, R. T.
Affiliations: Brown University (US)
Corresponding author: Wolff, Jennifer C.
ORCID: Wolff, Jennifer C.
Thomas, Sarah A.
Nesi, Jacqueline
Bettis, Alexandra H.
Frazier, Elisabeth A.
Liu, Richard T.
Venue: European Psychiatry
Publisher: Cambridge University Press (CUP)
Published: 2019-06
Volume: 59
Pages: 25-36
ISSN: 0924-9338 (ISSN-L)
1778-3585
DOI: 10.1016/j.eurpsy.2019.03.004
PMC: PMC6538442
OpenAlex: W2938332705
Cited by: 512
References: 102
Citations by year: 2026: 102 · 2025: 116 · 2024: 78 · 2023: 89 · 2022: 70 · 2021: 40 · 2020: 15 · 2019: 2
FWCI: 5.03
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 214 d)
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: European Psychiatry (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (T32MH019927, T32MH078788)
American Foundation for Suicide Prevention (PDF-010517)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords: emotional dysregulation, non-suicidal self-injury, impulsivity, emotional awareness, emotion regulation strategies, goal-directed behavior
MeSH terms: Self-Control, Affective Symptoms, Emotions, Female, Humans, Male, Risk Factors, Self-Injurious Behavior, Suicidal Ideation

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Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis

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