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Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review
Open accessAbstract
Nonsuicidal self-injury (NSSI) and suicidal behaviors, both important issues in adolescent health care, are frequently associated and possibly clinically related. Our objective was to explore the views of relations between nonsuicidal self-injury and suicidal behaviors during adolescence and young adulthood (11-25 years) expressed in the scientific (medical and psychological) literature. We adopted a textual approach to the process of synthesis to tell the story of the findings from the included studies. Our narrative systematic review of 64 articles found that they share the same risk factors. Integrated models envision nonsuicidal self-injury as a gateway enabling teens to acquire the capability for suicide. Because suicidal behavior short-circuits thought, it is difficult to conceive an intention to die during adolescents' acts of self-injury. Intention is constructed by the narrative of the act, influenced by numerous elements from the psychopathologic, cultural, religious, and philosophic context. Techniques of mentalizing-based treatments and work on the meaning that adolescents attribute to their behaviors might improve care.
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“regardless of intent, the risk of dying by suicide is elevated in those who engage in self-harm (Hawton 2015a; Grandclerc 2016).”
From Prevention of self-harm and suicide in young people up to the age of 25 in education settings (2024) · cites this paper as Grandclerc 2016
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Metadata
- Authors
- Grandclerc, S., De Labrouhe, D., Spodenkiewicz, M., Lachal, J., & Moro, M.-R.
- Affiliations
- Université Paris-Sud (FR)
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2016-04-18
- Volume
- 11
- Issue
- 4
- Pages
- e0153760
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4835048
- OpenAlex
- W2340245259
- Cited by
- 332
- References
- 99
- Citations by year
- 2026: 24 · 2025: 41 · 2024: 35 · 2023: 37 · 2022: 29 · 2021: 46 · 2020: 40 · 2019: 26 · 2018: 35 · 2017: 12 · 2016: 5
- FWCI
- 3.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- non-suicidal self-injury, suicidal behavior, adolescents, young adults, suicide risk factors, suicidal intent, adolescent mental health
- MeSH terms
- Adolescent, Adolescent Behavior, Attitude to Death, Humans, Risk Factors, Suicide, Attempted, Self-Injurious Behavior, Suicidal Ideation
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