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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
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 ›
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