Association Between Deliberate Self-Harm and Coping in Adolescents: A Critical Review of the Last 10 Years' Literature

Diogo Frasquilho Guerreiro · Diana Cruz · Diana Frasquilho · José Carlos Santos · Maria Luísa Figueira · Daniel Sampaio

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Suicide and Self-Harm Studies Grief, Bereavement, and Mental Health Homicide, Infanticide, and Child Abuse

Abstract

Coping is commonly associated with deliberate self-harm (DSH) in adolescents. This article reviews the published literature from 2000 to 2010, aiming to highlight the current evidence supporting this association. Eighteen studies met the inclusion criteria, a total sample of 24,702 subjects was obtained and 17% were DSH cases. Emotion-focused coping style and in particular avoidant coping strategies have consistently been associated with DSH in adolescents. Problem-focused coping style seems to have a negative relation. Most studies were cross-sectional, which seriously limits our conclusions on causality. There is a clear need for more systematic studies, performed in accordance with consensual methodology.

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