@article{ref1,
title="What is the relationship between rejection and self-harm or suicidality in adulthood?",
journal="Journal of affective disorders",
year="2018",
author="Cawley, Rosanne and Pontin, Eleanor E. and Touhey, Jade and Sheehy, Kate and Taylor, Peter James",
volume="242",
number="",
pages="123-134",
abstract="BACKGROUND: Rejection is an adverse experience that may help explain the heightened risk of self-harm and suicide amongst many societal groups. The aim of this systematic review was to determine the relationship between rejection experiences and self-harm and suicidal ideation. <br><br>METHOD: The databases PsychINFO, CINAHL, Medline and Web of Science were searched from inception until May 2017 using key search terms. Quantitative studies were included if they were; (i) mean sample age over 18; (ii) in the English language; (iii) and had a measure of self-harm or suicidal behaviour and a measure of rejection. The results were synthesised narratively. <br><br>RESULTS: Eighteen studies were identified for the review. Fifteen out of the eighteen studies found a significant positive association between rejection and self-harm. This association was identified within several marginalised groups known to be at risk of self-harm, including those from lesbian, gay or bisexual sexuality or those who identify as transgender. LIMITATIONS: Heterogeneity between the measures of self-harm, suicidal behaviour and rejection, as well as the lack of longitudinal analyses made it difficult to draw firm conclusions. <br><br>CONCLUSION: Perceived rejection may leave some individuals at risk of self-harm and might account for the elevated risk in marginalised societal groups. Interventions focused on modifying rejection experiences may help reduce the risk of self-harm in this population.<br><br>Copyright © 2018. Published by Elsevier B.V.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2018.08.082",
url="http://dx.doi.org/10.1016/j.jad.2018.08.082"
}