Department of Psychology and Neuroscience, Duke University, Durham, North Carolina, United States of America.
Department of Psychological Science, University of Vermont, Burlington, Vermont, United States of America.
Clin Psychol Rev. 2020 Dec;82:101936. doi: 10.1016/j.cpr.2020.101936. Epub 2020 Oct 20.
Self-injurious thoughts and behaviors (SITBs) are significant public health problems in adolescence. The current article provides a comprehensive systematic review examining the relationship between events leading to perceived low relational evaluation (e.g. social rejection) and SITBs among adolescents. Theoretical work posits that low relational evaluation is experienced as psychologically painful, a known correlate of SITBs. Therefore, events leading to low relational evaluation may be particularly informative in understanding the context of SITBs. The current review examines how experiences of low relational evaluation that are hypothesized to elicit psychological pain, such as social rejection, low popularity, and peer victimization are related to engagement in SITBs in adolescence. A total of 56 articles meeting inclusion criteria were identified. The hypothesis of an association between indicators of low relational evaluation and SITBs was generally supported throughout the literature, with more consistency found among studies examining suicidal ideation specifically. However, interpretation of the findings is constrained by various methodological limitations of studies. The present review concludes with a theoretical conceptualization of the relationship between perceived relational value and SITBs, leveraging social and evolutionary psychological theory, to guide future research into this topic.
自伤思想和行为（SITBs）是青少年中严重的公共卫生问题。本文提供了一项全面的系统综述，考察了导致感知关系评估降低（例如社会排斥）的事件与青少年 SITBs 之间的关系。理论工作认为，关系评估降低会被体验为心理上的痛苦，这是 SITBs 的已知相关因素。因此，导致关系评估降低的事件可能对理解 SITBs 的背景特别有帮助。本综述考察了被假设会引起心理痛苦的关系评估降低的体验，例如社会排斥、低人气和同伴侵害，与青少年 SITBs 的发生有何关系。符合纳入标准的共有 56 篇文章。文献普遍支持关系评估降低的指标与 SITBs 之间存在关联的假设，特别是在专门研究自杀意念的研究中发现了更一致的结果。然而，由于研究的各种方法限制，对研究结果的解释受到了限制。本综述最后从社会和进化心理学理论的角度，对感知关系价值与 SITBs 之间的关系进行了理论概念化，以指导该主题的未来研究。
