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Cited by 80Suicide and Self-Harm StudiesPersonality Disorders and PsychopathologyAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The relationship between emotion dysregulation and suicide ideation and behaviour: A systematic review

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Turton, Holly, Berry, Katherine, Danquah, Adam, Pratt, Daniel·2021·Journal of Affective Disorders Reports
DOI 10.1016/j.jadr.2021.100136
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Abstract

: Suicide is a major public health issue. Psychological models and theories have suggested that difficulties regulating emotions may contribute to suicidal experiences. This systematic review aims to evaluate empirical research examining the relationship between emotion regulation and suicide ideation and behaviour in adults. : Articles were required to include any measure of suicide ideation or attempt and the Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004) to assess emotion regulation. Peer reviewed, quantitative empirical papers, written in the English language were considered. All participants had to be aged 18 years or over. EMBASE, Medline and Psychinfo were searched for relevant articles. A quality assessment measured risk of bias. PRISMA guidelines were followed. : Twenty-one papers were identified as eligible. Significant positive associations were reported between emotion dysregulation and suicide ideation and attempts. However, emotion dysregulation was often not predictive of ideation or attempts when controlling for other psychological variables. : Findings suggest that clinical intervention targeting emotion dysregulation alone would not be enough to reduce suicide ideation and behaviour. Longitudinal, experimental research is required to further analyse this relationship alongside potential covariates. The majority of studies were cross-sectional in design so causality cannot be inferred.

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Crossref · 10.1016/j.jadr.2021.100136

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  • In the review by Turton et al., the association between emotion dysregulation and suicidal ideation and attempts was not significant when controlling for other psychological variables.

    “Still, this association was not significant when controlling for other psychological variables.”

    From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [24]

    Section 4.1 reports that emotion dysregulation was not a significant predictor of suicidal ideation when examined alongside other variables, and that its association with suicide attempts did not remain significant in the non-clinical studies summarized there. But Section 3.4 reports mixed findings for attempts, including significant associations after adjustment for some demographic and psychological variables. The claim makes the loss of significance sound universal, whereas the review says it was not always present after adjustment. (LLM, conf=0.88)

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  • Difficulties in emotional regulation are a crucial factor that connects psychological aspects and suicide risk; consequently, emotional regulation may act as a mediator throughout the entire process, from suicidal ideation to suicide attempts.

    “These findings can be explained by considering difficulties in emotional regulation as a crucial factor that connects psychological aspects and suicide risk; consequently, emotional regulation may act as a mediator throughout the entire process, from suicidal ideation to suicide attempts [24].”

    From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [24]

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  • Borderline personality disorder or posttraumatic stress disorder, which are strongly characterized by disrupted emotions, may represent more powerful predictors of suicide attempt.

    “For example, borderline personality disorder or posttraumatic stress disorder, which are strongly characterized by disrupted emotions, may represent more powerful predictors of suicide attempt [24].”

    From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [24]

  • The review by Turton et al. showed positive associations between emotion dysregulation and suicidal ideation and attempts.

    “On the other hand, the review by Turton et al. [24] showed positive associations between emotion dysregulation and suicidal ideation and attempts.”

    From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [24]

  • Several studies on clinical and non-clinical samples revealed a significant positive association between ED and self-harm, as well as a significant positive association between ED and suicidal ideation and attempts.

    “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 Turton et al., 2021

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Research works printed but not linked: 1

  1. Brown, G.K. , 2001. A Review of Suicide Assessment Measures for Intervention Research With Adults and Older Adults. National Institute of Mental Health, Pennsylvania, USA .

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Authors
Turton, H., Berry, K., Danquah, A., & Pratt, D.
Affiliations
  • Greater Manchester Mental Health NHS Foundation Trust (GB)
  • Manchester Academic Health Science Centre (GB)
Corresponding author
Pratt, Daniel
ORCID
Venue
Journal of Affective Disorders Reports
Publisher
Elsevier BV
Published
2021-07
Volume
5
Pages
100136
ISSN
2666-9153 (ISSN-L)
DOI
10.1016/j.jadr.2021.100136
OpenAlex
W3156397655
Cited by
80
References
64
Citations by year
2026: 13 · 2025: 32 · 2024: 18 · 2023: 11 · 2022: 3 · 2021: 3
FWCI
1.16
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Affective Disorders Reports (publishedVersion, cc-by-nc-nd)
  • Research Explorer (The University of Manchester) (acceptedVersion, cc-by-nc-nd)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
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 › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
emotional dysregulation, suicidal ideation, suicide attempts, Difficulties in Emotion Regulation Scale, emotion regulation, suicide risk factors, adults

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