TY - JOUR PY - 2022// TI - A meta-analysis on the affect regulation function of real-time self-injurious thoughts and behaviours JO - Nature human behaviour A1 - Kuehn, Kevin S. A1 - Dora, Jonas A1 - Harned, Melanie S. A1 - Foster, Katherine T. A1 - Song, Frank A1 - Smith, Michele R. A1 - King, Kevin M. SP - 964 EP - 974 VL - 6 IS - 7 N2 - Prominent theories suggest that self-injurious thoughts and behaviours are negatively reinforced by decreased negative affect. The present meta-analysis quantifies effects from intensive longitudinal studies measuring negative affect and self-injurious thoughts and behaviours. We obtained data from 38 of the 79 studies (48%, 22 unique datasets) involving N = 1,644 participants (80% female, 75% white). Individual-participant data meta-analyses revealed changes in affect pre/post self-injurious thoughts and behaviours. In antecedent models, results supported increased negative affect before nonsuicidal self-injurious behaviour (k = 14, 95% CI 0.09 to 0.31) and suicidal thoughts (k = 14, 95% CI 0.03 to 0.19). For consequence models, negative affect was reduced following nonsuicidal self-injurious thoughts (k = 6, 95% CI -0.79 to -0.44), nonsuicidal self-injurious behaviours (k = 14, 95% CI -0.73 to -0.19) and suicidal thoughts (k = 13, 95% CI -0.79 to -0.23).

FINDINGS, which were not moderated by sampling strategies or sample composition, support the affect regulation function of self-injurious thoughts and behaviours.

Language: en

LA - en SN - 2397-3374 UR - http://dx.doi.org/10.1038/s41562-022-01340-8 ID - ref1 ER -