Meta-analysis of risk factors for nonsuicidal self-injury

被引:333
作者
Fox, Kathryn R. [1 ]
Franklin, Joseph C. [1 ]
Ribeiro, Jessica D. [1 ,2 ]
Kleiman, Evan M. [1 ]
Bentley, Kate H. [3 ]
Nock, Matthew K. [1 ]
机构
[1] Harvard Univ, Dept Psychol, Cambridge, MA 02138 USA
[2] Mil Suicide Res Consortium, Denver, CO USA
[3] Boston Univ, Ctr Anxiety & Related Disorders, Boston, MA 02215 USA
关键词
Self-injury; NSSI; Risk factor; Meta-analysis; Longitudinal; Prediction; SUICIDE ATTEMPTS; INITIAL VALIDATION; EMOTION REGULATION; YOUNG-ADULTS; HARM; ADOLESCENTS; PREVALENCE; BEHAVIOR; PREDICTORS; CASCADES;
D O I
10.1016/j.cpr.2015.09.002
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Nonsuicidal self-injury (NSSI) is a prevalent and dangerous phenomenon associated with many negative outcomes, including future suicidal behaviors. Research on these behaviors has primarily focused on correlates; however, an emerging body of research has focused on NSSI risk factors. To provide a summary of current knowledge about NSSI risk factors, we conducted a meta-analysis of published, prospective studies longitudinally predicting NSSI. This included 20 published reports across 5078 unique participants. Results from a random-effects model demonstrated significant, albeit weak, overall prediction of NSSI (OR = 1.59; 95% CI: 1.50 to 1.69). Among specific NSSI risk factors, prior history of NSSI, cluster b, and hopelessness yielded the strongest effects (ORs >3.0); all remaining risk factor categories produced ORs near or below 2.0. NSSI measurement, sample type, sample age, and prediction case measurement type (i.e., binary versus continuous) moderated these effects. Additionally, results highlighted several limitations of the existing literature, including idiosyncratic NSSI measurement and few studies among samples with NSSI histories. These findings indicate that few strong NSSI risk factors have been identified, and suggest a need for examination of novel risk factors, standardized NSSI measurement, and study samples with a history of NSSI. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:156 / 167
页数:12
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