The DOI matches its Crossref record; 100 of the 102 references it cites were found in a registry or an index.
Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis
Open accessAbstract
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Additionally, typical behavioral manifestations of emotion dysregulation, such as self-harm, suicidal ideation, eating disorder behaviors, or substance (ab)use, are associated with increased morbidity and mortality (4–7).”
From Radical Acceptance of Reality: Putting DBT®-A Skill Groups Online During the COVID-19 Pandemic: A Qualitative Study (2022) · cites this paper as [7]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Several studies on clinical and non-clinical samples revealed a significant positive association between ED and self-harm (Wolff, 2019), as well as a significant positive association between ED and suicidal ideation and attempts (Turton et al., 2021).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Wolff, 2019
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Gross, J. J., & John, O. P. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.85.2.348 · Cited by 11,929 · cited 13×
“Small-to-medium pooled effects were observed in both cases (OR CERQ Rumination = 1.83 [95% CI = 1.30 – 2.58], p = .001; OR CERQ Catastrophize = 1.79 [95% CI = 1.34 – 2.40], p < .001).”
BackgroundMethodInfluentialThe emerging field of emotion regulation: an integrative review
Gross, J. J. (1998) · Review of General Psychology · doi:10.1037/1089-2680.2.3.271 · Cited by 9,916
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · cited 5×
“The DERS is a 36-item measure with 6 scales [11]: nonacceptance of emotional responses (i.e., “ When I ’ m upset, I become angry with myself for feeling that way ” ), dif fi culty engaging in goal-directed behavior (i.e., “ When I ’ m upset, I have dif fi culty getting work done ” ), impulse control…”
BackgroundResultInfluential(1993) · Cited by 7,136
Emotion-regulation strategies across psychopathology: A meta-analytic review
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.11.004 · Cited by 6,686 · cited 8×
“Aldao et al. (2010) suggest that the strategies of rumination, avoidance, and suppression are risk factors for psychopathology, whereas reappraisal, problem-solving, and acceptance may serve as protective factors [17].”
BackgroundInfluentialCognitive-Behavioral Treatment of Borderline Personality Disorder
Cary, G. L. (1994) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1994.48.1.155 · Cited by 6,299
Emotion regulation: current status and future prospects
Gross, J. J. (2015) · Psychological Inquiry · doi:10.1080/1047840x.2014.940781 · Cited by 5,229
Emotion regulation: affective, cognitive, and social consequences.
Gross, J. J. (2002) · Psychophysiology · doi:10.1017/s0048577201393198 · Cited by 4,890
EMOTION REGULATION: A THEME IN SEARCH OF DEFINITION
Thompson, R. A. (1994) · Monographs of the Society for Research in Child Development · doi:10.1111/j.1540-5834.1994.tb01276.x · Cited by 4,210
Folkman, S., & Moskowitz, J. T. (2004) · Annual Review of Psychology · doi:10.1146/annurev.psych.55.090902.141456 · Cited by 3,485
Research works printed but not linked: 2
- Darche, 1990, Psychological factors differentiating self-mutilating and non-self-mutilating adolescent inpatient females, Psychiatr Hosp, 21, 31
- Borenstein, 2013, Comprehensive Meta-Analysis Version 3
Cited by
Sorted by citations
Risk factors for non-suicidal self-injury (NSSI) in adolescents: A meta-analysis
Wang, Y.-J., Li, X., Ng, C. H., Xu, D.-W., Hu, S., & Yuan, T.-F. (2022) · eClinicalMedicine · doi:10.1016/j.eclinm.2022.101350 · Cited by 294
Asarnow, J. R., Berk, M. S., Bedics, J. D., Adrian, M. C., Gallop, R., Cohen, J. A., Korslund, K. E., Hughes, J. L., Avina, C., Linehan, M. M., et al. (2021) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2021.01.016 · Cited by 153
The Werther effect, the Papageno effect or no effect? A literature review
Domaradzki, J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18052396 · Cited by 119
The Lancet Commission on self-harm
Moran, P., Chandler, A., Dudgeon, P., Kirtley, O. J., Knipe, D. W., Pirkis, J., Sinyor, M., Allister, R., Ansloos, J. P., Ball, M. A., et al. (2024) · The Lancet · doi:10.1016/s0140-6736(24)01121-8 · Cited by 136
Brausch, A. M., Clapham, R. B., & Littlefield, A. K. (2021) · Journal of Youth and Adolescence · doi:10.1007/s10964-021-01525-w · Cited by 97
Metadata
- 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
- Venue
- European Psychiatry
- Publisher
- Cambridge University Press (CUP)
- Published
- 2019-06
- Volume
- 59
- Pages
- 25-36
- ISSN
- 0924-9338 (ISSN-L)
- 1778-3585
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
