Skip to main content Accessibility help

Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis

  • Jennifer C. Wolff (a1), Elizabeth Thompson (a1), Sarah A. Thomas (a1), Jacqueline Nesi (a1), Alexandra H. Bettis (a1), Briana Ransford (a1), Katie Scopelliti (a1), Elisabeth A. Frazier (a1) and Richard T. Liu (a1)...



Over the past several years there has been considerable interest in the relation between emotion dysregulation and non-suicidal self-injury (NSSI), particularly given that rates of NSSI have been increasing and NSSI is a critical risk factor for suicidal behavior. To date, however, no synthesis of empirical findings exists.


The present study presents a comprehensive meta-analytic review of the literature on the association between NSSI and emotion dysregulation. A total of 48 publications, including 49 independent samples, were included in this analysis.


Overall, a significant association was found between emotion dysregulation and NSSI (pooled OR = 3.03 [95% CI = 2.56–3.59]). This association was reduced but remained significant (OR = 2.40 [95% CI = 2.01–2.86]) after adjustment for publication bias. Emotion dysregulation subscales most strongly associated with NSSI included limited access to regulation strategies, non-acceptance of emotional responses, impulse control difficulties, and difficulties engaging goal-directed behavior. Lack of emotional awareness/clarity and cognitive aspects of dysregulation yielded weaker, yet significant, positive associations with NSSI.


Findings support the notion that greater emotion dysregulation is associated with higher risk for NSSI among individuals across settings, regardless of age or sex. Furthermore, findings reveal facets of dysregulation that may have unique implications for NSSI. This meta-analysis highlights the importance of better understanding emotion dysregulation as a treatment target for preventing NSSI.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the or variations. ‘’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis
      Available formats

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis
      Available formats

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis
      Available formats


Corresponding author

*Corresponding author. E-mail address:


Hide All
[1]Nock, MK, Self-injury. Annu Rev Clin Psychol, 2010; 6: 339363. doi: 10.1146/annurev.clinpsy.121208.131258.
[2]Swannell, SV, Martin, GE, Page, A, Hasking, P, St John, NJ, Prevalence of nonsuicidal self-injury in nonclinical samples: systematic review, meta-analysis and meta-regression. Suicide Life-Threatening Behav, 2014; 44: 273303. doi: 10.1111/sltb.12070.
[3]Briere, J, Gil, E, Self-mutilation in clinical and general population samples: prevalence, correlates, and functions. Am J Orthopsychiatry, 1998; 68: 609620.
[4]Cloutier, P, Martin, J, Kennedy, A, Nixon, MK, Muehlenkamp, JJ, Characteristics and co-occurrence of adolescent non-suicidal self-injury and suicidal behaviours in pediatric emergency crisis services. J Youth Adolesc, 2010; 39: 259269. doi:
[5]Darche, M, Psychological factors differentiating self-mutilating and non-self-mutilating adolescent inpatient females. Psychiatr Hosp, 1990; 21: 3135.
[6]Hawton, K, Saunders, KEA, O’Connor, RC, Self-harm and suicide in adolescents. Lancet, 2012; 379: 23732382. doi:
[7]Hamza, CA, Stewart, SL, Willoughby, T, Examining the link between nonsuicidal self-injury and suicidal behavior: a review of the literature and an integrated model. Clin Psychol Rev, 2012; 32: 482495. doi:
[8]Asarnow, JR, Porta, G, Spirito, A, Emslie, G, Clarke, G, Wagner, KD, et al., Suicide attempts and nonsuicidal self-injury in the treatment of resistant depression in adolescents: findings from the TORDIA study. J Am Acad Child Adolesc Psychiatry, 2011; 50: 772781.
[9]Ribeiro, JD, Franklin, JC, Fox, KR, Bentley, KH, Kleiman, EM, Chang, BP, et al., Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: a meta-analysis of longitudinal studies. Psychol Med, 2016; 46: 225236. doi:
[10]Wilkinson, P, Kelvin, R, Roberts, C, Dubicka, B, Goodyer, I, Clinical and psychosocial predictors of suicide attempts and nonsuicidal self-injury in the Adolescent Depression Antidepressants and Psychotherapy Trial (ADAPT). Am J Psychiatry, 2011; 168: 495501. doi: 10.1176/appi.ajp.2010.10050718.
[11]Gratz, KL, Roemer, L, Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess, 2004; 26: 4154. doi:
[12]Gross, JJ, Emotion regulation: affective, cognitive, and social consequences. Psychophysiology, 2002; 39: 281291. doi:
[13]Mennin, DS, Holaway, RM, Fresco, DM, Moore, MT, Heimberg, RG, Delineating components of emotion and its dysregulation in anxiety and mood psychopathology. Behav Ther, 2007; 38: 284302. doi:
[14]Thompson, RA, Emotion regulation: a theme in search of definition. Monogr Soc Res Child Dev, 1994; 59: 2552.
[15]Perez, J, Venta, A, Garnaat, S, Sharp, C, The difficulties in emotion regulation scale: factor structure and association with nonsuicidal self-injury in adolescent inpatients. J Psychopathol Behav Assess, 2012; 34: 393404. doi:
[16]Aldao, A, Gee, DG, De Los Reyes, A, Seager, I, Emotion regulation as a transdiagnostic factor in the development of internalizing and externalizing psychopathology: current and future directions. Dev Psychopathol, 2016; 28: 927946. doi:
[17]Aldao, A, Nolen-Hoeksema, S, Schweizer, S, Emotion-regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev, 2010; 30: 217237. doi:
[18]Compas, BE, Jaser, SS, Bettis, AH, Watson, KH, Gruhn, MA, Dunbar, JP, et al., Coping, emotion regulation, and psychopathology in childhood and adolescence: a meta-analysis and narrative review. Psychol Bull; 2017: 143(9)939.
[19]Gross, JJ, Emotion regulation: current status and future prospects. Psychol Inq, 2015; 26: 126. doi:
[20]Ochsner, KN, Ray, RR, Hughes, B, McRae, K, Cooper, JC, Weber, J, et al., Bottom-up and top-down processes in emotion generation: common and distinct neural mechanisms. Psychol Sci; 2009: 20(11)13221331.
[21]Phillips, ML, Ladouceur, CD, Drevets, WC, A neural model of voluntary and automatic emotion regulation: implications for understanding the pathophysiology and neurodevelopment of bipolar disorder. Mol Psychiatry, 2008; 13(9): 833.
[22]Gross, JJ, The emerging field of emotion regulation: an integrative review. Rev Gen Psychol, 1998; 2: 271299. doi:
[23]Gross, JJ, Sheppes, G, Urry, HL, Cognition and emotion lecture at the 2010 SPSP emotion preconference. Cogn Emot, 2011; 25: 765781. doi:
[24]Gross, JJ, Emotion regulation in adulthood: timing is everything. Curr Dir Psychol Sci, 2001; 10: 214219. doi: 10.1111/1467-8721.00152.
[25]Gross, JJ, John, OP, Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol, 2003; 85: 348362. doi:
[26]Garnefski, N, Kraaij, V, Spinhoven, P, Negative life events, cognitive emotion regulation and emotional problems. Pers Individ Dif, 2001; 30: 13111327. doi:
[27]Garnefski, N, Kraaij, V, The cognitive emotion regulation questionnaire. Eur J Psychol Assess, 2007; 23: 141149. doi:
[28]Brown, MZ, Comtois, KA, Linehan, MM, Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder. J Abnorm Psychol, 2002; 111: 198202.
[29]Chapman, AL, Gratz, KL, Brown, MZ, Solving the puzzle of deliberate self-harm: the experiential avoidance model. Behav Res Ther, 2006; 44: 371394.
[30]Klonsky, ED, The functions of deliberate self-injury: a review of the evidence. Clin Psychol Rev, 2007; 27: 226239. doi:
[31]Linehan, M, Cognitive behavioral treatment of borderline personality disorder. Guilford Press, 1993.
[32]Selby, EA, Joiner, TE, Cascades of emotion: the emergence of borderline personality disorder from emotional and behavioral dysregulation. Rev Gen Psychol, 2009; 13: 219229. doi:
[33]Fox, KR, Franklin, JC, Ribeiro, JD, Kleiman, EM, Bentley, KH, Nock, MK, Meta-analysis of risk factors for nonsuicidal self-injury. Clin Psychol Rev, 2015; 42: 156167. doi:
[34]Wolff, JC, Davis, S, Liu, RT, Cha, CB, Cheek, SM, Nestor, BA, et al., Trajectories of suicidal ideation among adolescents following psychiatric hospitalization. J Abnorm Child Psychol, 2018; 46: 355363. doi:
[35]Borenstein, M, Hedges, L, Higgins, J, Rothstein, H, Comprehensive Meta-Analysis Version 3, Englewood, NJ: Biostat, 2013.
[36]Anderson, NL, Crowther, JH, Using the experiential avoidance model of non-suicidal self-injury: understanding who stops and who continues. Arch Suicide Res, 2012; 16: 124134. doi:
[37]Anestis, MD, Kleiman, EM, Lavender, JM, Tull, MT, Gratz, KL, The pursuit of death versus escape from negative affect: an examination of the nature of the relationship between emotion dysregulation and both suicidal behavior and non-suicidal self-injury. Compr Psychiatry, 2014; 55: 18201830. doi:
[38]Arbuthnott, AE, Lewis, SP, Bailey, HN, Rumination and emotions in nonsuicidal self-injury and eating disorder behaviors: a preliminary test of the emotional cascade model. J Clin Psychol, 2015; 71: 6271. doi:
[39]Bjureberg, J, Ljótsson, B, Tull, MT, Hedman, E, Sahlin, H, Lundh, L-G, et al., Development and validation of a brief version of the difficulties in emotion regulation scale: the DERS-16. J Psychopathol Behav Assess, 2016; 38: 284296. doi:
[40]Bracken-Minor, KL, McDevitt-Murphy, ME, Differences in features of non-suicidal self-injury according to borderline personality disorder screening status. Arch Suicide Res, 2014; 18: 88103. doi:
[41]Buckholdt, KE, Parra, GR, Anestis, MD, Lavender, JM, Jobe-Shields, LE, Tull, MT, et al., Emotion regulation difficulties and maladaptive behaviors: examination of deliberate self-harm, disordered eating, and substance misuse in two samples. Cognit Ther Res, 2015; 39: 140152. doi:
[42]Burke, TA, Stange, JP, Hamilton, JL, Cohen, JN, O’Garro-Moore, J, Daryanani, I, et al., Cognitive and emotion-regulatory mediators of the relationship between behavioral approach system sensitivity and nonsuicidal self-injury frequency. Suicide Life-Threatening Behav, 2015; 45: 495504. doi: 10.1111/sltb.12145.
[43]Cerutti, R, Presaghi, F, Manca, M, Gratz, KL, Deliberate self-harm behavior among Italian young adults: correlations with clinical and nonclinical dimensions of personality. Am J Orthopsychiatry, 2012; 82: 298308. doi: 10.1111/j.1939-0025.2012.01169.x.
[44]Chaplo, SD, Kerig, PK, Bennett, DC, Modrowski, CA, The roles of emotion dysregulation and dissociation in the association between sexual abuse and self-injury among juvenile justice–Involved youth. J Trauma Dissociation, 2015; 16: 272285. doi:
[45]Duggan, J, Heath, N, Hu, T, Non-suicidal self-injury maintenance and cessation among adolescents: a one-year longitudinal investigation of the role of objectified body consciousness, depression and emotion dysregulation. Child Adolesc Psychiatry Ment Health, 2015; 9: 21, doi: 10.1186/s13034-015-0052-9.
[46]Emery, AA, Heath, NL, Mills, DJ, Basic psychological need satisfaction, emotion dysregulation, and non-suicidal self-injury engagement in young adults: an application of self-determination theory. J Youth Adolesc, 2016; 45: 612623. doi:
[47]Franklin, JC, Puzia, ME, Lee, KM, Lee, GE, Hanna, EK, Spring, VL, et al., The nature of pain offset relief in nonsuicidal self-injury. Clin Psychol Sci, 2013; 1: 110119. doi: 10.1177/2167702612474440.
[48]Gardner, KJ, Dodsworth, J, Selby, EA, Borderline personality traits, rumination, and self-injurious behavior: an empirical test of the emotional cascades model in adult male offenders. J Forensic Psychol Pract, 2014; 14: 398417. doi:
[49]Glenn, CR, Klonsky, ED, Nonsuicidal self-injury disorder: an empirical investigation in adolescent psychiatric patients. J Clin Child Adolesc Psychol, 2013; 42: 496507. doi:
[50]Gómez-Expósito, A, Wolz, I, Fagundo, AB, Granero, R, Steward, T, Jiménez-Murcia, S, et al., Correlates of non-suicidal self-injury and suicide attempts in bulimic Spectrum disorders. Front Psychol, 2016; 7: 1244, doi: 10.3389/fpsyg.2016.01244.
[51]Gratz, KL, Chapman, AL, The role of emotional responding and childhood maltreatment in the development and maintenance of deliberate self-harm among male undergraduates. Psychol Men Masc, 2007; 8: 114. doi:
[52]Gratz, KL, Roemer, L, The relationship between emotion dysregulation and deliberate self‐harm among female undergraduate students at an urban commuter university. Cogn Behav Ther, 2008; 37: 1425. doi:
[53]Gratz, KL, Tull, MT, The relationship between emotion dysregulation and deliberate self-harm among inpatients with substance use disorders. Cognit Ther Res, 2010; 34: 544553. doi:
[54]Gratz, KL, Breetz, A, Tull, MT, The moderating role of borderline personality in the relationships between deliberate self‐harm and emotion‐related factors. Personal Ment Health, 2010; 4(2): 96107.
[55]Muehlenkamp, JJ, Bagge, CL, Tull, MT, Gratz, KL, Body regard as a moderator of the relation between emotion dysregulation and nonsuicidal self-injury. Suicide Life-Threatening Behav, 2013; 4310.1111/sltb.12032., n/a-n/a.
[56]Hasking, P, Momeni, R, Swannell, S, Chia, S, The nature and extent of non-suicidal self-injury in a non-clinical sample of young adults. Arch Suicide Res, 2008; 12: 208218. doi:
[57]Hasking, PA, Coric, SJ, Swannell, S, Martin, G, Thompson, HK, Frost, ADJ, Brief report: emotion regulation and coping as moderators in the relationship between personality and self-injury. J Adolesc, 2010; 33: 767773. doi:
[58]Heath, N, Toste, J, Nedecheva, T, Charlebois, A, An examination of nonsuicidal self-injury among college students. J Ment Health Couns, 2008; 30: 137156. doi: 10.17744/mehc.30.2.8p879p3443514678.
[59]Horgan, M, Martin, G, Differences between current and past self-injurers: how and why do people stop? Arch. Arch Suicide Res, 2016; 20: 142152. doi:
[60]Kleiman, EM, Ammerman, BA, Kulper, DA, Uyeji, LL, Jenkins, AL, McCloskey, MS, Forms of non-suicidal self-injury as a function of trait aggression. Compr Psychiatry, 2015; 59: 2127. doi:
[61]Kranzler, A, Fehling, KB, Anestis, MD, Selby, EA, Emotional dysregulation, internalizing symptoms, and self-injurious and suicidal behavior: structural equation modeling analysis. Death Stud, 2016; 40: 358366. doi:
[62]Lear, MK, Pepper, CM, Self-concept clarity and emotion dysregulation in nonsuicidal self-injury. J Pers Dis, 2016; 30: 813827. doi: 10.1521/pedi_2015_29_232.
[63]Levesque, C, Lafontaine, M-F, Bureau, J-F, The mediating effects of emotion regulation and dyadic coping on the relationship between romantic attachment and non-suicidal self-injury. J Youth Adolesc, 2017; 46: 277287. doi:
[64]Martin, A, White, H, Flanagan, TJ, Yensel, NH, Bloomberg, TV, A multisite study of the association between emotion dysregulation and deliberate self-harm among substance use disorder inpatients. Addict Disord Their Treat, 2011; 10: 191198. doi:
[65]Muehlenkamp, JJ, Brausch, AM, Reconsidering criterion a for the diagnosis of non-suicidal self-injury disorder. J Psychopathol Behav Assess, 2016; 38: 547558. doi:
[66]Muehlenkamp, JJ, Kerr, PL, Bradley, AR, Larsen, MA, Abuse subtypes and nonsuicidal self-injury: preliminary evidence of complex emotion regulation patterns. J Nerv Ment Dis, 2010; 198: 258263. doi:
[67]Muehlenkamp, JJ, Peat, CM, Claes, L, Smits, D, Self-injury and disordered eating: expressing emotion dysregulation through the body. Suicide Life-Threatening Behav, 2012; 42: 416425. doi: 10.1111/j.1943-278X.2012.00100.x.
[68]Navarro-Haro, MV, Wessman, I, Botella, C, García-Palacios, A, The role of emotion regulation strategies and dissociation in non-suicidal self-injury for women with borderline personality disorder and comorbid eating disorder. Compr Psychiatry, 2015; 63: 123130. doi:
[69]Sharp, C, Ha, C, Michonski, J, Venta, A, Carbone, C, Borderline personality disorder in adolescents: evidence in support of the Childhood Interview for DSM-IV Borderline Personality Disorder in a sample of adolescent inpatients. Compr Psychiatry, 2012; 53(6): 765774.
[70]Peters, JR, Smart, LM, Baer, RA, Dysfunctional responses to emotion mediate the cross-sectional relationship between rejection sensitivity and borderline personality features. J Pers Disord, 2015; 29: 231240. doi: 10.1521/pedi_2014_28_151.
[71]Preyde, M, Vanderkooy, J, Chevalier, P, Heintzman, J, Warne, A, Barrick, K, The psychosocial characteristics associated with NSSI and suicide attempt of youth admitted to an in-patient psychiatric unit. J Can Acad Child Adolesc Psychiatry, 2014; 23: 100110.
[72]Selby, EA, Anestis, MD, Bender, TW, Joiner, TE, An exploration of the emotional cascade model in borderline personality disorder. J Abnorm Psychol, 2009; 118: 375387. doi:
[73]Somma, A, Sharp, C, Borroni, S, Fossati, A, Borderline personality disorder features, emotion dysregulation and non-suicidal self-injury: preliminary findings in a sample of community-dwelling Italian adolescents. Personal Ment Health, 2017; 11: 2332. doi:
[74]Tatnell, R, Kelada, L, Hasking, P, Martin, G, Longitudinal analysis of adolescent NSSI: the role of intrapersonal and interpersonal factors. J Abnorm Child Psychol, 2014; 42(6): 885896.
[75]Voon, D, Hasking, P, Martin, G, The roles of emotion regulation and ruminative thoughts in non-suicidal self-injury. Br J Clin Psychol, 2014; 53: 95113. doi: 10.1111/bjc.12030.
[76]Turner, BJ, Yiu, A, Layden, BK, Claes, L, Zaitsoff, S, Chapman, AL, Temporal associations between disordered eating and nonsuicidal self-injury: examining symptom overlap over 1 year. Behav Ther, 2015; 46: 125138. doi:
[77]Vieira, AI, Ramalho, S, Brandão, I, Saraiva, J, Gonçalves, S, Adversity, emotion regulation, and non-suicidal self-injury in eating disorders. Eat Disord, 2016; 24: 440452. doi:
[78]Weinberg, A, Klonsky, ED, The effects of self-injury on acute negative arousal: a laboratory simulation. Motiv Emot, 2012; 36: 242254. doi:
[79]Wilcox, HC, Arria, AM, Caldeira, KM, Vincent, KB, Pinchevsky, GM, O’Grady, KE, Longitudinal predictors of past-year non-suicidal self-injury and motives among college students. Psychol Med, 2012; 42: 717726. doi:
[80]Williams, F, Hasking, P, Emotion regulation, coping and alcohol use as moderators in the relationship between non-suicidal self-injury and psychological distress. Prev Sci, 2010; 11: 3341. doi:
[81]Yurkowski, K, Martin, J, Levesque, C, Bureau, J-F, Lafontaine, M-F, Cloutier, P, Emotion dysregulation mediates the influence of relationship difficulties on non-suicidal self-injury behavior in young adults. Psychiatry Res, 2015; 228: 871878. doi:
[82]Zelkowitz, RL, Cole, DA, Han, GT, Tomarken, AJ, The incremental utility of emotion regulation but not emotion reactivity in nonsuicidal self-injury. Suicide Life-Threatening Behav, 2016; 46: 545562. doi: 10.1111/sltb.12236.
[83]Schäfer, , Naumann, E, Holmes, EA, Tuschen-Caffier, B, Samson, AC, Emotion regulation strategies in depressive and anxiety symptoms in youth: a meta-analytic review. J Youth Adolesc, 2017; 46(2): 261276.
[84]García-Nieto, R, Carballo, JJ, de Neira Hernando, M Díaz, de León-Martinez, V, Baca-García, E, Clinical correlates of non-suicidal self-injury (NSSI) in an outpatient sample of adolescents. Arch Suicide Res, 2015; 19: 218230. doi:
[85]Lloyd-Richardson, EE, Perrine, N, Dierker, L, Kelley, ML, Characteristic and functions on non-suicidal self-injury in a community sample of adolescents. Psychol Med, 2007; 37: 11831192. doi:
[86]Folkman, S, Moskowitz, JT, Coping: pitfalls and promise. Annu Rev Psychol, 2004; 55: 745774.
[87]Beauchaine, TP, Respiratory sinus arrhythmia: a transdiagnostic biomarker of emotion dysregulation and psychopathology. Curr Opin Psychol, 2015; 3: 4347.
[88]Wielgus, MD, Aldrich, JT, Mezulis, AH, Crowell, SE, Respiratory sinus arrhythmia as a predictor of self-injurious thoughts and behaviors among adolescents. Int J Psychophysiol, 2016; 106: 127134. doi:
[89]Laborde, S, Mosley, E, Thayer, JF, Heart rate variability and cardiac vagal tone in psychophysiological research – recommendations for experiment planning, data analysis, and data reporting. Front Psychol, 2017; 8: 213, doi: 10.3389/fpsyg.2017.00213.
[90]Franklin, JC, Hessel, ET, Aaron, RV, Arthur, MS, Heilbron, N, Prinstein, MJ, The functions of nonsuicidal self-injury: support for cognitive–affective regulation and opponent processes from a novel psychophysiological paradigm. J Abnorm Psychol, 2010; 119: 850862. doi:
[91]Glenn, CR, Blumenthal, TD, Klonsky, ED, Hajcak, G, Emotional reactivity in nonsuicidal self-injury: divergence between self-report and startle measures. Int J Psychophysiol, 2011; 80: 166170. doi:
[92]Kaess, M, Hille, M, Parzer, P, Maser-Gluth, C, Resch, F, Brunner, R, Alterations in the neuroendocrinological stress response to acute psychosocial stress in adolescents engaging in nonsuicidal self-injury. Psychoneuroendocrinology, 2012; 37: 157161. doi:
[93]Crowell, SE, Butner, J, Wiltshire, TJ, Munion, AK, Yaptangco, M, Beauchaine, TP, Evaluating emotional and biological sensitivity to maternal behavior among depressed and self-injuring adolescent girls using nonlinear dynamics. Clin Psychol Sci, 2017; 5: 272285.
[94]Stange, JP, Hamilton, JL, Fresco, DM, Alloy, LB, Flexible parasympathetic responses to sadness facilitate spontaneous affect regulation. Psychophysiology, 2017; 54(7): 10541069.
[95]Yaroslavsky, I, Rottenberg, J, Bylsma, LM, Jennings, JR, George, C, Baji, I, et al., Parasympathetic nervous system activity predicts mood repair use and its effectiveness among adolescents with and without histories of major depression. J Abnorm Psychol; 2016: 125(3)323.
[96]Pagliaccio, D, Luby, JL, Luking, KR, Belden, AC, Barch, DM, Brain–behavior relationships in the experience and regulation of negative emotion in healthy children: implications for risk for childhood depression. Dev Psychopathol, 2014; 26 4 pt 2 12891303.
[97]Sheppes, G, Scheibe, S, Suri, G, Radu, P, Blechert, J, Gross, JJ, Emotion regulation choice: a conceptual framework and supporting evidence. J Exp Psychol Gen, 2014; 143(1): 163.
[98]Kraemer, HC, Kazdin, AE, Offord, DR, Kessler, RC, Jensen, PS, Kupfer, DJ, Coming to terms with the terms of risk. Arch Gen Psychiatry, 1997; 54: 337343.
[99]Nock, MK, Prinstein, MJ, Sterba, SK, Revealing the form and function of self-injurious thoughts and behaviors: a real-time ecological assessment study among adolescents and young adults. J Abnorm Psychol, 2009; 118(4): 816827. doi:
[100]Solhan, MB, Trull, TJ, Jahng, S, Wood, PK, Clinical assessment of affective instability: comparing EMA indices, questionnaire reports, and retrospective recall. Psychol Assess, 2009; 21: 425436. doi:


Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis

  • Jennifer C. Wolff (a1), Elizabeth Thompson (a1), Sarah A. Thomas (a1), Jacqueline Nesi (a1), Alexandra H. Bettis (a1), Briana Ransford (a1), Katie Scopelliti (a1), Elisabeth A. Frazier (a1) and Richard T. Liu (a1)...


Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis

  • Jennifer C. Wolff (a1), Elizabeth Thompson (a1), Sarah A. Thomas (a1), Jacqueline Nesi (a1), Alexandra H. Bettis (a1), Briana Ransford (a1), Katie Scopelliti (a1), Elisabeth A. Frazier (a1) and Richard T. Liu (a1)...
Submit a response


No Comments have been published for this article.


Reply to: Submit a response

Your details

Conflicting interests

Do you have any conflicting interests? *