Arch Suicide Res. 2019 Oct-Dec;23(4):527-550. doi: 10.1080/13811118.2018.1486251. Epub 2018 Jul 31.
Self-injurious behaviors (SIB) continue to afflict a significant segment of the clinical and general population, sometimes with fatal consequences. The development of SIB seems to share developmental pathways and mechanisms similar to attachment insecurity. To date, no reviews have explored their relationship. A search of publication databases PubMed and PsychInfo from 1969 through April 2018 was conducted and 17 papers met inclusion criteria. Of the 17 articles identified, 13 reported a positive relationship and 1 reported a negative relationship between attachment insecurity and SIB. Both attachment anxiety and avoidance seem to play a role in the risk for SIB, possibly through different mechanisms and likely with different impacts on the choice for either self-harm or suicide attempts.
自伤行为（SIB）继续困扰着相当一部分临床和普通人群，有时甚至会导致致命后果。SIB 的发展似乎与依恋不安全感共享发展途径和机制。迄今为止，尚无文献探讨它们之间的关系。本研究检索了 1969 年至 2018 年 4 月期间的 PubMed 和 PsychInfo 两个出版数据库，并纳入了 17 篇符合标准的文献。在确定的 17 篇文章中，有 13 篇报道了依恋不安全感与 SIB 之间存在正相关关系，1 篇报道了两者之间存在负相关关系。依恋焦虑和回避似乎都与 SIB 的风险有关，可能通过不同的机制，并且可能对选择自我伤害或自杀企图产生不同的影响。
