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. 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. 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. 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.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
Cawley R,Pontin EE,Touhey J,Sheehy K,Taylor PJdoi
10.1016/j.jad.2018.08.082subject
Has Abstractpub_date
2019-01-01 00:00:00pages
123-134eissn
0165-0327issn
1573-2517pii
S0165-0327(18)31179-0journal_volume
242pub_type
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