The relationship between self‐harm and alexithymia
Abstract
This paper presents a systematic review of the literature concerning the relationship between alexithymia and self‐harm. Fifteen studies were selected following a systematic search of relevant databases. Results indicate significantly higher levels of alexithymia in women who self‐harm compared with women who do not self‐harm. Studies of men were less conclusive and require further investigation. A subsample of the studies found that childhood abuse and bullying were more likely to be associated with self‐harm if alexithymia was present as a mediator. Other studies found that depression mediated between alexithymia and self‐harm. The results indicate that the poor emotional cognition and expression associated with alexithymia may increase vulnerability to self‐harm, particularly in women.
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Alexithymia is common in people who self-injure.
“Alexithymia is common in people who self-injure [16]: these individuals not only have difficulty expressing their emotions verbally [17], a key aspect of alexithymia, but tend to be less aware of their emotional states [18, 19].”
From A 'choice', an 'addiction', a way 'out of the lost': Exploring self-injury in autistic people without intellectual disability (2019) · cites this paper as [16]
Alexithymia is an important mediator which increases risk of NSSI in people who have experienced life adversity such as childhood abuse and bullying.
“Others have identified alexithymia as an important mediator which increases the risk of NSSI in people who have experienced different types of life adversity, such as childhood abuse and bullying [16, 21–23].”
From A 'choice', an 'addiction', a way 'out of the lost': Exploring self-injury in autistic people without intellectual disability (2019) · cites this paper as [16]
Alexithymia is commonly present in clinical populations who self-injure.
“given its common presence in clinical populations who self-injure [16–20]”
From A 'choice', an 'addiction', a way 'out of the lost': Exploring self-injury in autistic people without intellectual disability (2019) · cites this paper as [16]
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- Authors
- Norman, H., & Borrill, J.
- Affiliations
- University of Westminster (GB)
- Corresponding author
- Norman, Hilary
- ORCID
- Norman, Hilary
- Venue
- Scandinavian Journal of Psychology
- Publisher
- Wiley
- Published
- 2015-05-22
- Volume
- 56
- Issue
- 4
- Pages
- 405-419
- ISSN
- 0036-5564 (ISSN-L)
- 1467-9450
- OpenAlex
- W2130351991
- Cited by
- 82
- References
- 65
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 7 · 2023: 8 · 2022: 7 · 2021: 11 · 2020: 9 · 2019: 10 · 2018: 10 · 2017: 3 · 2016: 2 · 2015: 2
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- self-harm, alexithymia, gender differences, childhood abuse, bullying, depression, mediation, emotional awareness, emotional expression
- MeSH terms
- Affective Symptoms, Female, Humans, Male, Surveys and Questionnaires, Self-Injurious Behavior, Adult Survivors of Child Abuse
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