Impulsivity and self-harm in adolescence: a systematic review

摘要: Research supports an association between impulsivity and self-harm, yet inconsistencies in methodology across studies have complicated understanding of this relationship. This systematic review examines the self-harm community-based adolescents aged 11–25 years aims to integrate findings according differing concepts methods. Electronic searches EMBASE, MEDLINE, PsychINFO, CINAHL, PubMed The Cochrane Library, manual reference lists relevant reviews identified 4496 articles published up July 2015, which 28 met inclusion criteria. Twenty-four reported broadly specified self-harm. However, varied conception measurement precision with behaviours were specified. Specifically, lifetime non-suicidal self-injury was most consistently associated mood-based impulsivity-related traits. cognitive facets (relating difficulties maintaining focus or acting without forethought) differentiated current from past These also distinguished those thoughts (ideation) who acted on (enaction). suggested that is related initiation while are maintenance In addition, behavioural under conditions negative affect. Collectively, indicate distinct confer unique risks life-course From a clinical perspective, suggests interventions focusing reducing rash reactivity emotions improving self-regulation decision making may offer benefit supporting