Rheinberger Demee, Slade Aimy, Tang Biya, Hoye Ashley, Fujimoto Hiroko, Zheng Wu-Yi, Holmes Glenn, Boydell Katherine, Calear Alison L, Christensen Helen, Tang Samantha
Black Dog Institute, UNSW Sydney, Sydney, New South Wales, Australia.
Centre for Mental Health Research, Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia.
PLoS One. 2025 Jun 13;20(6):e0325683. doi: 10.1371/journal.pone.0325683. eCollection 2025.
The last decade has seen a steady rise in self-harm rates in young people in developed countries. Understanding the experience of self-harm in young people can provide insight into what may be driving this increase. The aim of the current review was therefore to synthesise qualitative research examining precipitating and motivating factors underlying self-harm in young people. PsychInfo, Embase and Medline were systematically searched for articles published up to September 2024. A total of 50 qualitative studies (study N ranging from 3-115) were identified, and key findings were synthesised using Attride-Stirling's Thematic Network Analysis process. The quality of included studies was assessed using a modified version of two Joanna-Briggs Institute Checklists. Control was identified as a global theme. Precipitants were informed by young people's perception of an absence of control and the desire to gain control was identified as an underlying motivation for self-harm. The findings from this review highlight the need to support and educate young people to improve their distress tolerance, particularly in respect to situations outside of their control. Furthermore, therapeutic interventions, and training and educational programs targeting young people who self-harm and their family members might be effective interventions for self-harm in young people.
在过去十年中，发达国家年轻人的自我伤害率稳步上升。了解年轻人自我伤害的经历有助于洞察导致这一趋势上升的原因。因此，本次综述的目的是综合定性研究，探讨年轻人自我伤害背后的诱发因素和动机因素。我们系统检索了截至2024年9月发表在PsychInfo、Embase和Medline上的文章。共识别出50项定性研究（样本量从3至115不等），并使用阿特里德-斯特林的主题网络分析方法综合关键研究结果。纳入研究的质量使用两个乔安娜·布里格斯研究所核对清单的修改版本进行评估。“控制”被确定为一个总体主题。诱发因素源自年轻人对缺乏控制的感知，而获得控制的愿望被确定为自我伤害的潜在动机。本次综述的结果凸显了支持和教育年轻人以提高其痛苦耐受力的必要性，尤其是在面对他们无法控制的情况时。此外，针对自我伤害的年轻人及其家庭成员的治疗干预、培训和教育项目可能是预防年轻人自我伤害的有效干预措施。
