Cognition and self-injurious thoughts and behaviors: A systematic review of longitudinal studies

Clinical Psychology Review
Christine B ChaGabrielle K Tolchin

Abstract

There is a long tradition in suicide research, accompanied by recent developments in nonsuicidal self-injury (NSSI) research, of examining cognitive processes as potential precursors of risk. But these cognitive processes are often studied separately, and are rarely integrated or directly compared with each other. In an effort to synthesize this literature, this systematic review (n=109 longitudinal studies conducted over the past 10 years) demonstrates how specific cognitive processes predict self-injurious thoughts and behaviors (SITBs), and examines whether intervening on features of cognition may help mitigate SITB risk. Our review reveals that cognitive processes, measured using self-report and behavioral measures, are most often linked to recurrent suicidal ideation. Overall, several patterns emerged. First, SITB-themed cognitions were robust risk factors and proximally associated with SITB outcomes. Second, negatively-valenced cognitive risk factors were the most commonly studied risk factors, relatively robust, and modestly related to SITB outcomes. Third, cognitive deficits (i.e., basic cognitive processes not characterized by thematic content or negative valence) produced mixed findings that suggest a more distal rela...Continue Reading

Citations

Jan 12, 2019·Annual Review of Clinical Psychology·Bethany A TeachmanAlexandra Werntz
Jun 23, 2020·Child and Adolescent Mental Health·Mei-Sing OngDennis Ross-Degnan
Aug 3, 2019·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Catherine R GlennAnne E Boatman
Feb 13, 2021·Frontiers in Psychiatry·Elizabeth D BallardCarlos A Zarate
Apr 7, 2021·Biological Psychiatry·Jennifer BarredoNoah S Philip
Apr 26, 2021·Journal of Psychiatric Research·Thanh P LeAlex S Cohen
May 20, 2021·Wiley Interdisciplinary Reviews. Cognitive Science·Alexandre Y Dombrovski, Michael N Hallquist
Jun 2, 2021·Suicide & Life-threatening Behavior·Katherine M TezanosChristine B Cha
Dec 1, 2021·The American Journal of Bioethics : AJOB·Hilary Bowman-SmartJulian Savulescu
Jan 4, 2022·Suicide & Life-threatening Behavior·Christine B ChaMatthew K Nock

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