Emotion regulation deficits across the spectrum of self-harm
Open accessAbstract
Suicide and non-suicidal self-injury (NSSI) are prevalent in emerging adulthood and one possible commonality is emotion regulation deficits. Participants (N = 708) completed multiple self-report measures that assessed emotion regulation deficits, depression, past-year NSSI frequency, past-year suicide attempts, and recent suicide ideation severity. Controlling for depression, linear regression analyses found that the only significant association was between greater deficits in emotion regulation strategies and greater recent NSSI frequency and suicide ideation intensity. These results suggest some commonality in emotion regulation deficits across NSSI and suicide ideation. Prevention and intervention efforts should teach emotion regulation strategies to lower self-harm risk.
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The predictive value of emotional dysregulation on suicidal ideation becomes nonsignificant when introducing depressive symptoms and gender in regression.
“For example, a study by Clapham and colleagues [32] showed that the predictive value of emotional dysregulation on suicidal ideation becomes nonsignificant when introducing depressive symptoms and gender in regression.”
From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [32]
The Results (page unavailable) report that, after controlling for depression and gender, one emotion-regulation deficit—lack of access to strategies—remained significantly associated with suicidal ideation. Other subscales were nonsignificant, but the unqualified claim that emotional dysregulation became nonsignificant contradicts that finding. (LLM, conf=0.90)
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Experimental — accuracy not yet measuredSeveral studies did not find statistically significant associations or evidence of emotional dysregulation between patients with and without suicide attempts.
“Several studies did not find statistically significant associations [30,32,35,45] or evidence of emotional dysregulation between patients with and without suicide attempts [44,54,62,63,67].”
From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [32]
The Results (page unavailable) report that the model testing emotion-regulation deficits against past-year suicide attempts was not statistically significant, and the Discussion describes no relationship with attempt status. However, the Method > Participants section identifies the sample as undergraduates, not patients; the finding therefore does not establish the claimed comparison in a patient population. (LLM, conf=0.88)
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Cites
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works
The 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 · see citing works
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · see citing works
Beck, A. T., Steer, R. A., & Brown, G. (2011) · PsycTESTS Dataset · doi:10.1037/t00742-000 · Cited by 7,535 · cited 1× · see citing works
“The BDI has been found to be psychometrically sound and a valid tool for an assessment of depression (Beck et al., 1996).”
MethodSelective Cortical Undercutting As a Means of Modifying and Studying Frontal Lobe Function in Man
Scoville, W. B. (1949) · Journal of neurosurgery · doi:10.3171/jns.1949.6.1.0065 · Cited by 7,373 · see citing works
Emotion regulation: current status and future prospects
Gross, J. J. (2015) · Psychological Inquiry · doi:10.1080/1047840x.2014.940781 · Cited by 5,229 · see citing works
Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts
NOCK, M., JOINERJR, T., GORDON, K., LLOYDRICHARDSON, E., & PRINSTEIN, M. (2006) · Psychiatry Research · doi:10.1016/j.psychres.2006.05.010 · Cited by 1,617 · see citing works
The integrated motivational–volitional model of suicidal behaviour
O'Connor, R. C., & Kirtley, O. J. (2018) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2017.0268 · Cited by 1,559 · see citing works
(2014) · Cited by 1,541 · see citing works
Solving the puzzle of deliberate self-harm: The experiential avoidance model
Chapman, A. L., Gratz, K. L., & Brown, M. Z. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.03.005 · Cited by 1,475 · see citing works
Regulation of distress and negative emotions: A developmental view.
Kopp, C. B. (1989) · Developmental Psychology · doi:10.1037/0012-1649.25.3.343 · Cited by 1,469 · see citing works
Ribeiro, J. D., Franklin, J. C., Fox, K. R., Bentley, K. H., Kleiman, E. M., Chang, B. P., & Nock, M. K. (2016) · Psychological Medicine · doi:10.1017/s0033291715001804 · Cited by 1,346 · see citing works
Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L.-G., Bjärehed, J., DiLillo, D., Messman-Moore, T., Gumpert, C. H., et al. (2016) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-015-9514-x · Cited by 1,081 · see citing works
Klonsky, E. D., & Glenn, C. R. (2009) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-008-9107-z · Cited by 934 · see citing works
Bullying, depression, and suicidal ideation in Finnish adolescents: school survey
Kaltiala‐Heino, R., Rimpelä, M., MARTTUNEN, M. J., Rimpelä, A., & Rantanen, P. (1999) · BMJ · doi:10.1136/bmj.319.7206.348 · Cited by 780 · see citing works
Self‐injury: A research review for the practitioner
Klonsky, E. D., & Muehlenkamp, J. J. (2007) · Journal of Clinical Psychology · doi:10.1002/jclp.20412 · Cited by 722 · see citing works
Nonsuicidal self-injury: Definition and classification.
Nock, M. K., & Favazza, A. R. (2009) · American Psychological Association eBooks · doi:10.1037/11875-001 · Cited by 530 · see citing works
Emotion dysregulation and non-suicidal self-injury: a systematic review and meta-analysis
Wolff, J. C., Thompson, E., Thomas, S. A., Nesi, J., Bettis, A. H., Ransford, B., Scopelliti, K., Frazier, E. A., & Liu, R. T. (2019) · European Psychiatry · doi:10.1016/j.eurpsy.2019.03.004 · Cited by 512 · see citing works
Larson, T., Anckarsäter, H. S., Gillberg, C. I., Ståhlberg, O., Carlström, E. L., Kadesjö, B., Råstam, M., Lichtenstein, P., & Gillberg, C. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-1 · Cited by 480 · see citing works
Measurement of emotion dysregulation in adolescents
Weinberg, A., & Klonsky, E. D. (2009) · Psychological Assessment · doi:10.1037/a0016669 · Cited by 477 · see citing works
Victor, S. E., & Klonsky, E. D. (2016) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-016-9547-9 · Cited by 470 · see citing works
Understanding nonsuicidal self-injury: Origins, assessment, and treatment.
(2009) · American Psychological Association eBooks · doi:10.1037/11875-000 · Cited by 377 · see citing works
Boehmer, U. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.7.1125 · Cited by 311 · see citing works
Mental Health and Suicidality Among Racially/Ethnically Diverse Sexual Minority Youths
Bostwick, W. B., Meyer, I. H., Aranda, F., Russell, S. T., Hughes, T. L., Birkett, M. A., & Mustanski, B. S. (2014) · American Journal of Public Health · doi:10.2105/ajph.2013.301749 · Cited by 303 · see citing works
Interpersonal Features and Functions of Nonsuicidal Self‐injury
Muehlenkamp, J. J., Brausch, A. M., Quigley, K., & Whitlock, J. L. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2012.00128.x · Cited by 259 · see citing works
Self-citationEmotion dysregulation and vulnerability to suicidal ideation and attempts
Rajappa, K., Gallagher, M., & Miranda, R. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-011-9419-2 · Cited by 251 · see citing works
Bullis, J. R., Boettcher, H., Sauer‐Zavala, S., Farchione, T. J., & Barlow, D. H. (2019) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12278 · Cited by 216 · see citing works
Perez, J., Venta, A., Garnaat, S., & Sharp, C. (2012) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-012-9292-7 · Cited by 184 · see citing works
Pisani, A. R., Wyman, P. A., Petrova, M., Schmeelk-Cone, K., Goldston, D. B., Xia, Y., & Gould, M. S. (2013) · Journal of Youth and Adolescence · doi:10.1007/s10964-012-9884-2 · Cited by 183 · see citing works
Race/ethnicity and potential suicide misclassification: window on a minority suicide paradox?
Rockett, I. R. H., Wang, S., Stack, S. J., Leo, D. D., Frost, J. L., DUCATMAN, A. M., Walker, R. L., & Kapusta, N. D. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-35 · Cited by 149 · see citing works
One-Year Test-Retest Reliability of the Inventory of Statements about Self-Injury (ISAS)
Glenn, C. R., & Klonsky, E. D. (2011) · Assessment · doi:10.1177/1073191111411669 · Cited by 143 · see citing works
Suicidal behavior and problems with emotion regulation
Neacsiu, A. D., Fang, C. M., Rodriguez, M., & Rosenthal, M. Z. (2018) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12335 · Cited by 139 · see citing works
Suicide Mortality in the United States, 1999-2017.
Hedegaard, H. B., Curtin, S. C., & Warner, M. (2018) · PubMed · Cited by 121 · see citing works
Normative Data on the Beck Depression Inventory - Second Edition (BDI-II) in College Students
Whisman, M. A., & Richardson, E. D. (2015) · Journal of Clinical Psychology · doi:10.1002/jclp.22188 · Cited by 110 · see citing works
Hemming, L., Taylor, P. J., Haddock, G., Shaw, J. J., & Pratt, D. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.05.013 · Cited by 105 · see citing works
Anestis, M. D., Pennings, S. M., Lavender, J. M., Tull, M. T., & Gratz, K. L. (2013) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2013.04.005 · Cited by 100 · see citing works
Brausch, A. M., & Woods, S. E. (2018) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12478 · Cited by 87 · see citing works
Self-citationAlexithymia and suicidal ideation: A 12-month follow-up study in a general population
Hintikka, J. J., Honkalampi, K. M., Koivumaa-Honkanen, H. T., Antikainen, R., Tanskanen, A. J., Haatainen, K. M., & Viinamäki, H. T. (2004) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2004.06.008 · Cited by 84 · see citing works
Loas, G., Dalleau, E., Lecointe, H., & Yon, V. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.09.056 · Cited by 82 · see citing works
Hamza, C. A., & Willoughby, T. (2015) · Journal of Clinical Psychology · doi:10.1002/jclp.22174 · Cited by 71 · see citing works
Chen, W., & Chun, C.-C. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16183361 · Cited by 49 · see citing works
Slee, N., Garnefski, N., Spinhoven, P., & Arensman, E. (2008) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2008.38.3.274 · Cited by 48 · see citing works
Flagged first, then by citations
1 of the 43 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Bryan CJ, & Rudd MD (2018). Brief cognitive-behavioral therapy for suicide prevention. Guilford Press.
- Jobes DA (2016). Managing suicide risk, a collaborative approach (2nd ed.). Guilford Press.
Cited by
Sorted by citations
Cheng-ju, L., Gu, X., Wang, J., Li, K., Wang, X., Zhao, M., & Feng, Z. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052885 · Cited by 44 · see citing works
Rogante, E., Cifrodelli, M., Sarubbi, S., Costanza, A., Erbuto, D., Berardelli, I., & Pompili, M. (2024) · Healthcare · doi:10.3390/healthcare12020169 · Cited by 39 · see citing works
“According to Clapham and colleagues [32], emotional dysregulation accounted for 36.7% of the variance in suicidal ideation.”
BackgroundInfluentialCorrelates of Non-suicidal Self-Injury in Adolescent Psychiatric Patients in China
Zhang, J.-J., Liu, Y.-D., Zhang, H., Huang, Z., Wang, F., Yang, J.-J., Wang, S., Jia, F., & Hou, C.-L. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.864150 · Cited by 29 · see citing works
Wang, Y., Wang, T., Wang, J.-S., Zeng, L.-Y., Li, G.-H., Li, J.-C., Zhou, Y.-J., & Wang, Y. (2024) · Stress and Health · doi:10.1002/smi.3506 · Cited by 14 · see citing works
Chen, Y., Hu, R., Xu, X., Hong, B., Zhang, J., Jia, P., & Zhao, L. (2023) · Psychology Research and Behavior Management · doi:10.2147/prbm.s429748 · Cited by 12 · see citing works
Li, L., Liang, Z., Li, G., Xu, H., Yang, X., Liu, X., Zhang, X., Wang, J., Zhang, Z., & Zhou, Y. (2024) · CNS Neuroscience & Therapeutics · doi:10.1111/cns.14684 · Cited by 10 · see citing works
Emotion regulation in self-injurious youth: A tale of two circuits.
Santana-Gonzalez, C., Ranatunga, J., Nguyen, G. H., Greiskalns, B., Das, N., Lattimer, E., Maurice, M., Yi, G., Zietlow, A.-L., Eckstein, M., et al. (2024) · Psychiatry research. Neuroimaging · doi:10.1016/j.pscychresns.2024.111944 · Cited by 6 · see citing works
Morales-Perez, L., Palacios, J. R., Castillo-Blanco, R., Segovia, J. L., & Peralta-Eugenio, G. V. (2025) · Psychology Society & Education · doi:10.21071/pse.v17i2.17600 · Cited by 2 · see citing works
Historical Nonsuicidal Self‐Injury and Current Coping Strategies: The Role of Emotion Regulation
Bradley, H., Orchard, F., & Matcham, F. (2025) · Personality and Mental Health · doi:10.1002/pmh.70035 · Cited by 2 · see citing works
Kresznerits, S., Zinner-Gérecz, Á., Miklósi, M., Szekeres, T., & Perczel-Forintos, D. (2026) · BMC Psychiatry · doi:10.1186/s12888-025-07740-0 · Cited by 2 · see citing works
Rymer, L. J., Dodd, A., & Bell, B. T. (2024) · Journal of Mental Health · doi:10.1080/09638237.2024.2390389 · Cited by 1 · see citing works
Non-suicidal Self-Injury Among Transgender and Gender Non-conforming Persons: A Narrative Synthesis
Robertson, R. A., Mesaeh, C. M., & Bowling, J. (2024) · Journal of LGBTQ Issues in Counseling · doi:10.1080/26924951.2024.2389513 · Cited by 1 · see citing works
Kresznerits, S., Zinner-Gérecz, Á., Miklósi, M., Szekeres, T., & Perczel-Forintos, D. (2024) · Research Square · doi:10.21203/rs.3.rs-4551164/v1 · Cited by 1 · see citing works
Unveiling co-occurrence of bulimia, depression, and self-injury in adolescent girls
AYDIN, A. B. C., & Serdengeçti, N. (2023) · Çukurova medical journal (Online)/Çukurova medical journal · doi:10.17826/cumj.1318195
Dificultades de Regulación Emocional en Estudiantes de Nivelación
Moya-Lara, I. N. (2024) · Erevna Research Reports · doi:10.70171/sktq6112
Ahari, M. S., Safarzadeh, S., Marashian, F. S., & Shoushtari, M. T. (2025) · Modern Care Journal · doi:10.5812/mcj-161391
Kresznerits, S., Zinner-Gérecz, Á., Miklósi, M., Szekeres, T., & Perczel-Forintos, D. (2026) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-026-00337-3
Efinger, L., Lozada, S., Daau, S., Leon, I. D., Bolen, E., Blessing, A., DeBeer, B. B., & Morissette, S. B. (2026) · Journal of College Student Mental Health · doi:10.1080/28367138.2026.2637868
Xiong, Y., & Wang, G. (2026) · Open Journal of Social Sciences · doi:10.4236/jss.2026.144013
Liu, Y., Zeng, J. Z., & Gong, J. (2026) · Mindfulness · doi:10.1007/s12671-026-02833-7
Ludlow, A., Anderson, S., Robinson, S. J., Owen, T., & Hedderly, T. J. (2026) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.70437
An online dynamic nomogram for estimating NSSI behavior among adolescents with depressive disorder
Yang, R., Lu, X., Liu, Y., Wei, X., Yue, Y., Zhu, F., Zhou, Y., & Du, X. (2026) · BMC Psychiatry · doi:10.1186/s12888-026-08175-x
Feng, J., Zhang, R., Ren, Y., Zhou, J., Zheng, J., Wu, Y., Yu, Y., Zhu, R., & Wang, F. (2026) · BMC Psychiatry · doi:10.1186/s12888-026-08253-0
Apicella, M., Pontillo, M., Maglio, G., Minutolo, A., Serra, G., Santa, G. D., Andracchio, E., D’Amario, G., Labonia, M., Averna, R., et al. (2026) · Scientific Reports · doi:10.1038/s41598-026-57386-5
Démuth, A., Démuthová, S., & Démuthová, R. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1783881
- Authors
- Clapham, R., & Brausch, A.
- Affiliations
- Western Kentucky University (US)
- Corresponding author
- Brausch, Amy
- Venue
- Death Studies
- Publisher
- Informa UK Limited
- Published
- 2021-09-06
- Volume
- 46
- Issue
- 10
- Pages
- 2477-2484
- ISSN
- 0748-1187 (ISSN-L)
- 1091-7683
- PMC
- PMC9554899
- OpenAlex
- W3196382895
- Cited by
- 26
- References
- 43
- Citations by year
- 2026: 10 · 2025: 4 · 2024: 8 · 2023: 2 · 2022: 2
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Death Studies (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R15MH113045)
- National Institute of General Medical Sciences (P20GM103436)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- emotional dysregulation, non-suicidal self-injury, suicidal ideation, suicide attempts, depression, emerging adulthood, self-harm prevention, emotion regulation strategies
- MeSH terms
- Emotional Regulation, Adult, Humans, Regression Analysis, Risk Factors, Self-Injurious Behavior, Self Report, Suicidal Ideation
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