Resilience to Self-Harm
A Scoping Review of Protective Factors That Aid in Recovery Among Marginalized Young People
Abstract
Abstract.Background: Although a wide range of studies discuss prevalence and risk factors associated with self-harm, protective factors that are equally important are rarely explored. Moreover, much of our understanding of young individuals who engage in self-harm come from studies conducted in Western countries with very little emphasis on marginalized groups. Aim: This scoping review identifies research on resilience among marginalized youth and youth living in low- and middle-income countries (LMICs) who show evidence of self-harm. Method: A scoping review following Arksey and O’Malley’s (2005) framework was conducted. This effort included drawing upon peer-reviewed research published between January 2000 and September 2020 to identify protective factors and coping strategies that are employed by individuals 10–29 years old with self-harming tendencies. Results: A total of 15 original papers met the inclusion criteria. The majority of the LMIC publications were from China. Social support, positive youth development, and religiosity were the most frequently reported protective factors. Conclusion: Despite widespread concern about self-harm, there are few peer-reviewed articles that look at resilience or recovery among youth in LMICs and among marginalized young people. In addition to various internal and external protective factors, this scoping review identifies gaps in our understanding of resilience to self-harm among youth belonging to these groups.
References
2015). Nonsuicidal self-injury in Indian adolescents: Nonexistent or unacknowledged? International Journal of Social Psychiatry, 61(5), 516–517. 10.1177/0020764015579739
(2017). Youth self-harm in low- and middle-income countries: Systematic review of the risk and protective factors. International Journal of Social Psychiatry, 63(4), 359–375. 10.1177/0020764017700175
(2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. 10.1080/1364557032000119616
(2012). Aboriginal and Torres Strait Islander suicide deaths. http://www.abs.gov.au/ausstats/[email protected]/Products/3309.0∼2010 ∼Chapter ∼Aboriginal+and+Torres+Strait+Islander+suicide+deaths?OpenDocument
. (2013). Cultural values and self-harm. Crisis, 34(4), 221–222. 10.1027/0227-5910/a000209
(2017). A systematic review: Non‐suicidal self‐injury in Australia and New Zealand's Indigenous populations. Australian Psychologist, 53(1), 3–12. 10.1111/ap.12274
(2010). Economic security arrangements in the context of population ageing in India. International Social Security Review, 63(3–4), 59–89. 10.1111/j.1468-246X.2010.01370.x
(2011). Religion, ethnicity, coping style, and self-reported self-harm in a diverse non-clinical UK population. Mental Health, Religion & Culture, 14(3), 259–269. 10.1080/13674670903485629
(2010). Differences in non-suicidal self-injury and suicide attempts in adolescents. Journal of Youth and Adolescence, 39(3), 233–242. 10.1007/s10964-009-9482-0
(2010). Lifetime suicidal ideation and suicide attempts in Asian Americans. Asian American Journal of Psychology, 1(1), 18–30. 10.1037/a0018799
(2013). Non-suicidal self-injury among ethnically and racially diverse emerging adults: Do factors unique to the minority experience matter? Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological Issues, 32(4), 318–328. 10.1007/s12144-013-9185-2
(2010). The cultural theory and model of suicide. Applied and Preventive Psychology, 14(1), 25–40. 10.1016/j.appsy.2011.11.001
(1998). Self-mutilation: Culture, contexts and nursing responses. Journal of Clinical Nursing, 7(2), 129–137. 10.1111/j.1365-2702.1998.00120.x
(2009). What are scoping studies? A review of the nursing literature. International Journal of Nursing Studies, 46(10), 1386–1400. 10.1016/j.ijnurstu.2009.02.010
(2000). The link between childhood trauma and mental illness. Sage.
(2019). International Study on Self-Harming Behaviors in Transitional Aged [ProQuest Information & Learning]. In Dissertation abstracts international: Section B: The sciences and engineering (Vol. 81, Issue 5–B). 10.1016/j.ijhm.2019.02.003
(2012). Self-harm and suicide in adolescents. The Lancet, 379(9834), 2373–2382. 10.1016/S0140-6736(12)60322-5
(2015). Does parental monitoring moderate the relationship between bullying and adolescent nonsuicidal self-injury and suicidal behavior? A community-based self-report study of adolescents in Germany. BMC Public Health, 15(1), 583. 10.1186/s12889-015-1940-x
(2017). The qualities of attachment with significant others and self-compassion protect adolescents from non suicidal self-injury. School Psychology Quarterly, 32(2), 143–155. 10.1037/spq0000187
(2008). The WHO world mental health surveys. Cambridge University Press.
(K. HawtonK. Van Heeringen (Eds.), (2000) The international handbook of suicide and attempted suicide. John Wiley & Sons. 10.1002/9780470698976
2017). Self-harm in adolescence: Protective health assets in the family, school and community. International Journal of Public Health, 62(6), 631–638. 10.1007/s00038-016-0900-2
(2014). Nonsuicidal self-Injury: What we know, and what we need to know. The Canadian Journal of Psychiatry/La Revue Canadienne de Psychiatrie, 59(11), 565–568. 10.1177/070674371405901101
(2012). Coping strategies of street-involved youth: Exploring contexts of resilience. Journal of Youth Studies, 15(6), 744–760. 10.1080/13676261.2012.677814
(2012). Nonsuicidal self‐injury in an ethnically diverse college sample. American Journal of Orthopsychiatry, 82(3), 291–297. 10.1111/j.1939-0025.2012.01167.x
(2006). Family, community, and school influences on resilience among American Indian adolescents in the upper Midwest. Journal of Community Psychology, 34(2), 193–209. 10.1002/jcop.20090
(2013). Self-harm and suicide attempts among young Chinese adolescents in Hong Kong: Prevalence, correlates, and changes. Journal of Pediatric and Adolescent Gynecology, 26(3), S26–S32. 10.1016/j.jpag.2013.03.012
(2011). Suicide facts: Deaths and intentional self-harm hospitalisations 2011. Ministry of Health.
. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 6(1), 1–9. 10.1186/1753-2000-6-10
(1999). The motivations for self-Injury in psychiatric inpatients. Psychiatry, 62(4), 334–346. 10.1080/00332747.1999.11024881
(2011). Deliberate self-harm in an incarcerated population of youth: an examination of prevalence rates, risk, and protective factors (Publication No. 1223528158) [Doctoral dissertation]. ProQuest Dissertations & Theses Global.
(2015). Guidance for conducting systematic scoping reviews. International Journal of Evidence-Based Healthcare, 13(3), 141–146. 10.1097/XEB.0000000000000050
(2020). Suicide prevention in the Western Pacific region. Crisis, 41(Suppl 1), S80–S98. 10.1027/0227-5910/a000670
(2014). Ethnic differences in prevalence and correlates of self-harm behaviors in a treatment-seeking sample of emerging adults. Psychiatry Research, 220(3), 927–934. 10.1016/j.psychres.2014.09.017
(2020). Adolescent self-harm in Ghana: A qualitative interview-based study of first-hand accounts. BMC Psychiatry, 20(1), 1–14. 10.1186/s12888-020-02599-9
(2012). Deliberate self-poisoning: A study from Nablus. International Journal of Adolescent Medicine and Health, 24(4), 373–377. 10.1515/ijamh.2012.054
(2010). Self-injury, substance use, and associated risk factors in a multi-campus probability sample of college students. Psychology of Addictive Behaviors, 24(1), 119–128. 10.1037/a0017210
(2002). Shifting conversations on girls' and women's self-injury: An analysis of the clinical literature in historical context. Feminism & Psychology, 12(2), 191–219. 10.1177/0959353502012002010
(2012). Self-harm and suicidal behaviors in Hong Kong adolescents: Prevalence and psychosocial correlates. The Scientific World Journal, 932540. 10.1100/2012/932540
(2005). Self-harm. The Lancet, 366(9495), 1471–1483. 10.1016/S0140-6736(05)67600-3
(2016). Risk and protective factors for suicidal behaviors among Pacific youth in New Zealand. Crisis, 37(5), 335–346. 10.1027/0227-5910/a000396
(2014). Non-suicidal self-injury in Latin America. Salud Mental, 37(2), 151–155. 10.17711/sm.0185-3325.2014.019
(2019). Resilience and self-harm among left-behind children in Yunnan, China: A community-based survey. BMC Public Health, 19(1), 1728. 10.1186/s12889-019-8075-4
(2013). The impact of youth-adult relationships on resilience. International Journal of Child, Youth and Family Studies, 4(3), 328–336. 10.18357/ijcyfs43201312431
(2019). Resilience and mental health: How multisystemic processes contribute to positive outcomes. Lancet Psychiatry, 7(5), 441–448. 10.1016/S2215-0366(19)30434-1
(1991). Childhood origins of self-destructive behavior. American Journal of Psychiatry, 148(12), 1665–1671. 10.1176/ajp.148.12.1665
(2018). Social support-oriented coping and resilience for self-harm protection among adolescents. Journal of Psychology in Africa, 28(3), 237–241. 10.1080/14330237.2018.1475508
(2019). Surveillance for self-harm: An urgent need in low-income and middle-income countries. The Lancet Psychiatry, 6(8), 633–634. 10.1016/S2215-0366(19)30207-X
(2007). Ethnic and racial identity and adolescent well-being. Theory Into Practice, 46(2), 147–154. 10.1080/00405840701233099
(2021). Mental health in Somali youth in the United States: The role of protective factors in preventing depressive symptoms, suicidality, and self-injury. Ethnicity & Health, 26(4), 530–553. 10.1080/13557858.2018.1514451
(2005). Suicidality in African American men: The roles of southern residence, religiosity, and social support. Suicide and Life-Threatening Behavior, 35(6), 615–629. 10.1521/suli.2005.35.6.615
(2019). Features of nonsuicidal self-injury and relationships with coping methods among college students. Iranian Journal of Public Health, 48(2), 270–277. 10.18502/ijph.v48i2.825
(2016). Big Five personality traits in the occurrence and repetition of nonsuicidal self-injury among adolescents: The mediating effects of depressive symptoms. Personality and Individual Differences, 101, 227–231. 10.1016/j.paid.2016.05.057
(2014). Why alternative teenagers self-harm: Exploring the link between non-suicidal self-injury, attempted suicide and adolescent identity. BMC Psychiatry, 14(1), 137. 10.1186/1471-244X-14-137
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