de Cates, Angharad N., Rees, Karen, Jollant, Fabrice, Perry, Benjamin Ian, Bennett, Karina, Joyce, Katie, Leyden, Eimear, Harmer, Catherine, Hawton, Keith, van Heeringen, Kees and Broome, Matthew R. (2017) Are neurocognitive factors associated with repetition of self-harm? A systematic review. Neuroscience & Biobehavioral Reviews, 72 . pp. 261-277. doi:10.1016/j.neubiorev.2016.10.032

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Abstract

Background:
Prediction of self-harm is limited clinically. Early identification of individuals likely to repeat self-harm could improve outcomes and reduce suicide risk. Various neurocognitive deficits have been found in people who self-harm, but the ability of these to predict repetition has yet to be established

Aims:
Identify neurocognitive factors that may predict repetition of self-harm.

Methods:
Systematic narrative review of English language publications assessing neurocognitive functioning and self-harm repetition, searching multiple databases from inception to March 2015. Quality of studies was appraised. A narrative synthesis was performed.

Results:
7026 unique records were identified, and 169 full-texts assessed. 15 unique studies provided data. No imaging studies could be included. Most studies assessed cognitive control or problem solving, but neither factor was consistently associated with repetition. However, specific tasks may show promise. Two studies in adolescents suggest that value-based decision-making impairments could be predictive of repetition. There were too few results for memory to draw specific conclusions.

Conclusions:
Selected studies suggest promise for particular neurocognitive factors and specific cognitive tasks in terms of repetition of self-harm.

Item Type:	Journal Article
Subjects:	R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Self-mutilation -- Prevention, Suicide, Neuropsychology, Decision making, Self-control , Memory, Problem solving
Journal or Publication Title:	Neuroscience & Biobehavioral Reviews
Publisher:	Pergamon
ISSN:	0149-7634
Official Date:	January 2017
Dates:	Date Event January 2017 Published 5 December 2016 Available 27 October 2016 Accepted 8 April 2016 Submitted
Volume:	72
Page Range:	pp. 261-277
DOI:	10.1016/j.neubiorev.2016.10.032
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	National Institute for Health Research (Great Britain) (NIHR), Collaborations for Leadership in Applied Health Research and Care (CLAHRC)

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