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Self-injury and externalizing pathology: a systematic literature review

Overview of attention for article published in BMC Psychiatry, May 2017
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Title
Self-injury and externalizing pathology: a systematic literature review
Published in
BMC Psychiatry, May 2017
DOI 10.1186/s12888-017-1326-y
Pubmed ID
Authors

Gergely Meszaros, Lili Olga Horvath, Judit Balazs

Abstract

During the last decade there is a growing scientific interest in nonsuicidal self-injury (NSSI). The aim of the current paper was to review systematically the literature with a special focus on the associations between self-injurious behaviours and externalizing psychopathology. An additional aim was to review terminology and measurements of self-injurious behaviour and the connection between self-injurious behaviours and suicide in the included publications. A systematic literature search was conducted on 31st December 2016 in five databases (PubMed, OVID Medline, OVID PsycINFO, Scopus, Web of Science) with two categories of search terms (1. nonsuicidal self-injury, non-suicidal self-injury, NSSI, self-injurious behaviour, SIB, deliberate self-harm, DSH, self-injury; 2. externalizing disorder, attention deficit hyperactivity disorder, ADHD, conduct disorder, CD, oppositional defiant disorder, OD, ODD). Finally 35 papers were included. Eleven different terms were found for describing self-injurious behaviours and 20 methods for measuring it. NSSI has the clearest definition. All the examined externalizing psychopathologies had strong associations with self-injurious behaviours according to: higher prevalence rates in externalizing groups than in control groups, higher externalizing scores on the externalizing scales of questionnaires, higher symptom severity in self-injurious groups. Eight studies investigated the relationship between suicide and self-injurious behaviours and found high overlap between the two phenomena and similar risk factors. Based on the current findings the association between externalizing psychopathology and self-injurious behaviours has been proven by the scientific literature. Similarly to other reviews on self-injurious behaviours the confusion in terminology and methodology was noticed. NSSI is suggested for use as a distinct term. Further studies should investigate the role of comorbid conditions in NSSI, especially when internalizing and externalizing pathologies are both presented.

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Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 152 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 11%
Researcher 16 11%
Student > Ph. D. Student 16 11%
Student > Bachelor 16 11%
Student > Doctoral Student 8 5%
Other 26 17%
Unknown 53 35%
Readers by discipline Count As %
Psychology 43 28%
Medicine and Dentistry 17 11%
Nursing and Health Professions 8 5%
Social Sciences 7 5%
Neuroscience 6 4%
Other 12 8%
Unknown 59 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 November 2023.
All research outputs
#20,250,580
of 24,900,093 outputs
Outputs from BMC Psychiatry
#4,401
of 5,279 outputs
Outputs of similar age
#243,617
of 316,252 outputs
Outputs of similar age from BMC Psychiatry
#86
of 119 outputs
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