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Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review

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  • Salome Grandclerc
  • Diane De Labrouhe
  • Michel Spodenkiewicz
  • Jonathan Lachal
  • Marie-Rose Moro

Abstract

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.

Suggested Citation

  • Salome Grandclerc & Diane De Labrouhe & Michel Spodenkiewicz & Jonathan Lachal & Marie-Rose Moro, 2016. "Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-15, April.
    • Handle: RePEc:plo:pone00:0153760
    DOI: 10.1371/journal.pone.0153760
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    References listed on IDEAS

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    1. Jonathan Lachal & Massimiliano Orri & Jordan Sibeoni & Marie Rose Moro & Anne Revah-Levy, 2015. "Metasynthesis of Youth Suicidal Behaviours: Perspectives of Youth, Parents, and Health Care Professionals," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-25, May.
    2. Herrera, A. & Dahlblom, K. & Dahlgren, L. & Kullgren, G., 2006. "Pathways to suicidal behaviour among adolescent girls in Nicaragua," Social Science & Medicine, Elsevier, vol. 62(4), pages 805-814, February.
    3. Andrea G. Hohmann & Richard L. Suplita & Nathan M. Bolton & Mark H. Neely & Darren Fegley & Regina Mangieri & Jocelyn F. Krey & J. Michael Walker & Philip V. Holmes & Jonathon D. Crystal & Andrea Dura, 2005. "An endocannabinoid mechanism for stress-induced analgesia," Nature, Nature, vol. 435(7045), pages 1108-1112, June.
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