title: Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review.
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.
authors.affiliation: Maison de Solenn, Hôpital Cochin, AP-HP, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Paris, France.|Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France.
authors.forename: Salome
authors.initials: S
authors.lastname: Grandclerc
authors.affiliation: Maison de Solenn, Hôpital Cochin, AP-HP, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Paris, France.|Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France.
authors.forename: Diane
authors.initials: D
authors.lastname: De Labrouhe
authors.affiliation: Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France.|Service de Psychiatrie de l'Enfant et de l'Adolescent, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris, France.|Université Pierre et Marie Curie, Paris, France.|Institut de Systèmes Intelligents et Robotique, Paris, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Spodenkiewicz
authors.affiliation: Maison de Solenn, Hôpital Cochin, AP-HP, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Paris, France.|Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Lachal
authors.affiliation: Maison de Solenn, Hôpital Cochin, AP-HP, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Paris, France.|Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France.
authors.forename: Marie-Rose
authors.initials: MR
authors.lastname: Moro
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001293:Attitude to Death; D006801:Humans; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000523:psychology*; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology*