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Review
. 2017 Aug 24:8:149.
doi: 10.3389/fpsyt.2017.00149. eCollection 2017.

The Relationship between Childhood Maltreatment and Non-Suicidal Self-Injury: A Systematic Review

Gianluca Serafini  1 , Giovanna Canepa  1 , Giulia Adavastro  1 , Jacopo Nebbia  1 , Martino Belvederi Murri  1 , Denise Erbuto  2 , Benedetta Pocai  3 , Andrea Fiorillo  3 , Maurizio Pompili  2 , Eirini Flouri  4 , Mario Amore  1
Affiliations
Review

The Relationship between Childhood Maltreatment and Non-Suicidal Self-Injury: A Systematic Review

Gianluca Serafini et al. Front Psychiatry. .

Abstract

Introduction: Childhood maltreatment (CM) has been associated with an increased risk of non-suicidal self-injury (NSSI) and suicidal behaviors. However, the exact nature of the association between CM and NSSI is currently unclear. The present review aimed to systematically investigate the association between CM and NSSI in adolescence and early adulthood.

Methods: A systematic search of four major electronic databases covering both medical and social science research (PubMed, Scopus, Science Direct, and PsycINFO) was conducted.

Results: Overall, 20 cross-sectional studies including a total of 22,517 individuals, 3 longitudinal follow-up studies including 1,728 individuals, and 3 retrospective studies including 62,089 individuals were selected. It appears that CM is a significant risk factor for both NSSI and suicide attempts. The increased vulnerability to NSSI seems to be related to experiences of CM, particularly sexual abuse. Gender differences were also found. Generally, when compared to males, females who experienced CM seem to be more vulnerable to presenting with NSSI and suicidal behaviors.

Conclusion: There is a positive association between CM and NSSI. The importance of early detection and risk reduction of self-injurious behavior for adolescents is discussed.

Keywords: childhood maltreatment; emotional neglect; non-suicidal self-injury; physical/sexual abuse; suicidal behaviors.

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Study selection flowchart.
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References

    1. Nock MK, Prinstein MJ. A functional approach to the assessment of self-mutilative behavior. J Consult Clin Psychol (2004) 72:885–90.10.1037/0022-006X.72.5.885 - DOI - PubMed
    1. Stewart JG, Esposito EC, Glenn CR, Gilman SE, Pridgen B, Gold J, et al. Adolescent self-injurers: comparing non-ideators, suicide ideators, and suicide attempters. J Psychiatr Res (2017) 84:105–12.10.1016/j.jpsychires.2016.09.031 - DOI - PMC - PubMed
    1. Grandclerc S, De Labrouhe D, Spodenkiewicz M, Lachal J, Moro MR. Relations between nonsuicidal self-injury and suicidal behavior in adolescence: a systematic review. PLoS One (2016) 11:e0153760.10.1371/journal.pone.0153760 - DOI - PMC - PubMed
    1. Martin J, Bureau JF, Cloutier P, Lafontaine MF. A comparison of invalidating family environment characteristics between university students engaging in self-injurious thoughts & actions and non-self-injuring university students. J Youth Adolesc (2011) 40:1477–88.10.1007/s10964-011-9643-9 - DOI - PubMed
    1. Johnstone JM, Carter JD, Luty SE, Mulder RT, Frampton CM, Joyce PR. Childhood predictors of lifetime suicide attempts and non-suicidal self-injury in depressed adults. Aust N Z J Psychiatry (2016) 50:135–44.10.1177/0004867415585581 - DOI - PubMed

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