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Are neurocognitive factors associated with repetition of self-harm? A systematic review
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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 ISSN 0149-7634.
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Official URL: http://dx.doi.org/10.1016/j.neubiorev.2016.10.032
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 | ||||||||||
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Subjects: | R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry | ||||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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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: |
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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 | ||||||||||
Date of first compliant deposit: | 20 January 2017 | ||||||||||
Date of first compliant Open Access: | 20 January 2017 | ||||||||||
Funder: | National Institute for Health Research (Great Britain) (NIHR), Collaborations for Leadership in Applied Health Research and Care (CLAHRC) |
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