Understanding the Impact of Adverse Childhood Experiences on Non-suicidal Self-Injury in Youth: A Systematic Review.

Journal: Alpha psychiatry

Volume: 25

Issue: 2

Year of Publication: 

Affiliated Institutions:  Department of Internal Medicine, Insight Hospital and Medical Center, Chicago, IL, USA. Department of Psychiatry, Smolensk State Medical University, Smolensk Oblast, Russia. Department of Psychiatry, Dow University of Health Sciences, Karachi, Sindh, Pakistan. Department of Internal Medicine, Government Medical College, Baskshi Nagar, Jammu, Jammu and Kashmir, India. Department of Internal Medicine, Texas Woman's University, Southwestern Medical Ave., Dallas, TX, USA. Department of Psychiatry, Texas Medical Center Library, Houston, TX, USA. Department of Internal Medicine, King Edward Medical University, Nila Gumbad Chowk, Neela Gumbad, Lahore, Punjab, Pakistan. Department of Psychiatry, University of Toronto, Toronto, Canada. Department of Psychiatry, University of Texas Health Sciences Center, Houston, TX, USA. Department of Psychiatry, Wake Forest University School of Medicine Program, Winston-Salem, NC, USA. Department of Psychiatry, Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Psychiatry, ASL Teramo, Teramo, Italy. Department of Psychiatry, DH Pulwama, Kashmir, India.

Abstract summary 

Non-suicidal self-injury (NSSI), defined as a deliberate destruction of one's own body without a suicidal intent, is a global public health issue. Adverse childhood events (ACEs) have been shown to be associated with various mental illnesses; however, to date the impact of such events on NSSI in youth has not been reviewed.We conducted a systematic review, searched 5 databases for published articles evaluating ACE and NSSI in youth less than or equal to 21 years of age. After screening 247 articles, we included 21 unique articles in this systematic review.Increasing ACE score, physical, sexual or emotional abuse, parental neglect and substance use, parental separation or dysfunctional family, and death of a close family member had statistically significant correlation with NSSI.Non-suicidal self-injury is an impairing diagnosis with far reaching psychiatric manifestations and repercussions. Practitioners having high clinical suspicion for ACEs in youth with NSSI must intervene early by administering the ACEs questionnaire. Effective treatment of NSSI in those with ACEs with psychotherapy significantly improves outcomes and prevents suicide in youth.

Authors & Co-authors:  Suhail Usmani Sadia S Mehendale Meghana M Yousif Shaikh Mahnoor M Sudan Sourav S Guntipalli Prathima P Ouellette Lara L Sajid Malik Anem A Siddiqi Naila N Walia Namrata N Shah Kaushal K Saeed Fahimeh F De Berardis Domenico D Shoib Sheikh S

Study Outcome 

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Statistics
Citations :  Hawton K, Saunders KE, O’Connor RC. Self-harm and suicide in adolescents. Lancet. 2012;379(9834):2373 2382. (10.1016/S0140-6736(12)60322-5)
Authors :  13
Identifiers
Doi : 10.5152/alphapsychiatry.2024.231139
SSN : 2757-8038
Study Population
Male,Female
Mesh Terms
Other Terms
Adverse childhood experiences;non-suicidal self-injury;systematic review;youth
Study Design
Study Approach
Country of Study
Publication Country
Turkey