Skip to main content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Mindfulness 4/2022

31-01-2022 | ORIGINAL PAPER

Mindfulness, Self-compassion, Self-injury, and Suicidal thoughts and Behaviors: a Correlational Meta-analysis

Auteurs: Megan Per, Emma Schmelefske, Kyla Brophy, Sara Beth Austin, Bassam Khoury

Gepubliceerd in: Mindfulness | Uitgave 4/2022

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

While extant research indicates an inverse association between self-compassion and mindfulness with non-suicidal self-injury (NSSI) and suicidal thoughts and behaviors (STBs), estimates of magnitude remain unknown. The present systematic review and meta-analysis aim to quantify the relationship between self-compassion and mindfulness with engagement in NSSI and STBs.

Methods

Literature searches in four electronic databases (PsycINFO, MEDLINE, Scopus, ProQuest Dissertations, and Theses Global) were conducted. Effect sizes were estimated using pooled correlation coefficients and a random effects model. Meta-regressions with mixed-effect models were used to determine the moderators of the associations.

Results

Sixty-eight independent samples from 62 different articles (N = 53,797) met inclusion criteria. Analyses yielded a medium negative correlation between self-compassion and mindfulness with both NSSI and STBs. Among mindfulness facets, the nonjudging, acting with awareness, and describing facets demonstrated the largest significant correlations with both STBs and NSSI. The self-coldness dimension (vs self-warmth dimension) of self-compassion demonstrated the largest correlation to STBs. There was a stronger negative correlation between self-compassion and mindfulness with engagement in NSSI and STBs in adolescent samples (than in clinical and college student samples) and with STBs’ recency (reported within the past 12 months vs lifetime). Associations between NSSI and STBs with self-compassion and mindfulness were greater in lower-quality studies and studies with younger or male samples, although effect sizes remained modest.

Conclusions

Findings suggest that self-compassion and mindfulness may buffer against NSSI and STBs. Future study regarding the efficacy and effectiveness of self-compassion and mindfulness-based interventions among NSSI and STB populations is warranted.

Meta-analysis registration

PROSPERO CRD42020167823.
Literatuur
go back to reference *Ali, A. (2014). We matter too! Suicidal thoughts and behaviors among youth at a therapeutic day school. Dissertation: Chicago School of Professional Psychology *Ali, A. (2014). We matter too! Suicidal thoughts and behaviors among youth at a therapeutic day school. Dissertation: Chicago School of Professional Psychology
go back to reference Borenstein, M., & Rothstein, H. (1999). Comprehensive meta-analysis. Biostat. Borenstein, M., & Rothstein, H. (1999). Comprehensive meta-analysis. Biostat.
go back to reference Chang, E. C., Martos, T., Sallay, V., Chang, O. D., Wright, K. M., Najarian, A. S.-M., & Lee, J. (2017). Examining optimism and hope as protective factors of suicide risk in Hungarian college students: Is risk highest among those lacking positive psychological protection? Cognitive Therapy and Research, 41(2), 278–288. https://​doi.​org/​10.​1007/​s10608-016-9810-0 CrossRef Chang, E. C., Martos, T., Sallay, V., Chang, O. D., Wright, K. M., Najarian, A. S.-M., & Lee, J. (2017). Examining optimism and hope as protective factors of suicide risk in Hungarian college students: Is risk highest among those lacking positive psychological protection? Cognitive Therapy and Research, 41(2), 278–288. https://​doi.​org/​10.​1007/​s10608-016-9810-0 CrossRef
go back to reference *Chesin, M. S., Benjamin-Phillips, C. A., Keilp, J., Fertuck, E. A., Brodsky, B. S., & Stanley, B. (2016). Improvements in executive attention, rumination, cognitive reactivity, and mindfulness among high–suicide risk patients participating in adjunct mindfulness-based cognitive therapy: Preliminary findings. The Journal of Alternative and Complementary Medicine, 22(8), 642-649. https://​doi.​org/​10.​1089/​acm.​2015.​0351 *Chesin, M. S., Benjamin-Phillips, C. A., Keilp, J., Fertuck, E. A., Brodsky, B. S., & Stanley, B. (2016). Improvements in executive attention, rumination, cognitive reactivity, and mindfulness among high–suicide risk patients participating in adjunct mindfulness-based cognitive therapy: Preliminary findings. The Journal of Alternative and Complementary Medicine, 22(8), 642-649. https://​doi.​org/​10.​1089/​acm.​2015.​0351
go back to reference *Cleare, S. (2019). Exploring the role of self-compassion in self-harm and suicidal ideation. Dissertation: University of Glasgow. *Cleare, S. (2019). Exploring the role of self-compassion in self-harm and suicidal ideation. Dissertation: University of Glasgow.
go back to reference *Dixon-Gordon, K. L., Chapman, A. L., & Turner, B. J. (2015). A preliminary pilot study comparing dialectical behavior therapy emotion regulation skills with interpersonal effectiveness skills and a control group treatment. Journal of Experimental Psychopathology, 6(4), 369-388. https://​doi.​org/​10.​5127/​jep.​041714 *Dixon-Gordon, K. L., Chapman, A. L., & Turner, B. J. (2015). A preliminary pilot study comparing dialectical behavior therapy emotion regulation skills with interpersonal effectiveness skills and a control group treatment. Journal of Experimental Psychopathology, 6(4), 369-388. https://​doi.​org/​10.​5127/​jep.​041714
go back to reference *Dobbins, P. J. (2014). Five facets of mindfulness and deliberate self-harm in older adolescents. Dissertation: Fielding Graduate University *Dobbins, P. J. (2014). Five facets of mindfulness and deliberate self-harm in older adolescents. Dissertation: Fielding Graduate University
go back to reference *Fang, J. (2020). Interpersonal needs and suicidal ideation: Moderating effects of self-compassion. Dissertation: University of South Dakota *Fang, J. (2020). Interpersonal needs and suicidal ideation: Moderating effects of self-compassion. Dissertation: University of South Dakota
go back to reference Fox, K. R., Huang, X., Guzmán, E. M., Funsch, K. M., Cha, C. B., Ribeiro, J. D., & Franklin, J. C. (2020). Interventions for suicide and self-injury: A meta-analysis of randomized controlled trials across nearly 50 years of research. Psychological Bulletin, 146(2), 117–1145. https://​doi.​org/​10.​1037/​bul0000305 CrossRef Fox, K. R., Huang, X., Guzmán, E. M., Funsch, K. M., Cha, C. B., Ribeiro, J. D., & Franklin, J. C. (2020). Interventions for suicide and self-injury: A meta-analysis of randomized controlled trials across nearly 50 years of research. Psychological Bulletin, 146(2), 117–1145. https://​doi.​org/​10.​1037/​bul0000305 CrossRef
go back to reference Gilbert, P. (2017). Definitions and controversies. In P. Gilbert (Ed.), Compassion: Concepts, Research and Applications (pp. 3–15). Taylor and Francis. CrossRef Gilbert, P. (2017). Definitions and controversies. In P. Gilbert (Ed.), Compassion: Concepts, Research and Applications (pp. 3–15). Taylor and Francis. CrossRef
go back to reference Hedegaard, H., & Warner, M. (2021). Suicide mortality in the United States, 1999-2019. 10.15620/cdc:101761 Hedegaard, H., & Warner, M. (2021). Suicide mortality in the United States, 1999-2019. 10.15620/cdc:101761
go back to reference Hedges, L. V., & Olkin, I. (2014). Statistical methods for meta-analysis. Academic press. Hedges, L. V., & Olkin, I. (2014). Statistical methods for meta-analysis. Academic press.
go back to reference International Society for the Study of Self-Injury (ISSS) (2007). Definitional issues surrounding our understanding of self-injury. Conference proceedings from the annual meeting. International Society for the Study of Self-Injury (ISSS) (2007). Definitional issues surrounding our understanding of self-injury. Conference proceedings from the annual meeting.
go back to reference Kabat-Zinn, J. (2003). Mindfulness-based stress reduction (MBSR). Constructivism in the Human Sciences, 8(2), 73. Kabat-Zinn, J. (2003). Mindfulness-based stress reduction (MBSR). Constructivism in the Human Sciences, 8(2), 73.
go back to reference *Kelley, M. L., Bravo, A. J., Davies, R. L., Hamrick, H. C., Vinci, C., & Redman, J. C. (2019). Moral injury and suicidality among combat-wounded veterans: The moderating effects of social connectedness and self-compassion. Psychological Trauma: Theory, Research, Practice, and Policy, 11(6), 621. https://​doi.​org/​10.​1037/​tra0000447 *Kelley, M. L., Bravo, A. J., Davies, R. L., Hamrick, H. C., Vinci, C., & Redman, J. C. (2019). Moral injury and suicidality among combat-wounded veterans: The moderating effects of social connectedness and self-compassion. Psychological Trauma: Theory, Research, Practice, and Policy, 11(6), 621. https://​doi.​org/​10.​1037/​tra0000447
go back to reference *Lu, R., Zhou, Y., Wu, Q., Peng, X., Dong, J., Zhu, Z., & Xu, W. (2019). The effects of mindfulness training on suicide ideation among left-behind children in China: A randomized controlled trial. Child: Care, Health and Development, 45(3), 371-379. https://​doi.​org/​10.​1111/​cch.​12650 *Lu, R., Zhou, Y., Wu, Q., Peng, X., Dong, J., Zhu, Z., & Xu, W. (2019). The effects of mindfulness training on suicide ideation among left-behind children in China: A randomized controlled trial. Child: Care, Health and Development, 45(3), 371-379. https://​doi.​org/​10.​1111/​cch.​12650
go back to reference *MacIsaac, J. (2019). Group separation and classification of non-suicidal self-injury in a university student population. Dissertation: University of Windsor (Canada) *MacIsaac, J. (2019). Group separation and classification of non-suicidal self-injury in a university student population. Dissertation: University of Windsor (Canada)
go back to reference *McMain, S. F., Guimond, T., Barnhart, R., Habinski, L., & Streiner, D. L. (2017). A randomized trial of brief dialectical behaviour therapy skills training in suicidal patients suffering from borderline disorder. Acta Psychiatrica Scandinavica, 135(2), 138-148. https://​doi.​org/​10.​1111/​acps.​12664 *McMain, S. F., Guimond, T., Barnhart, R., Habinski, L., & Streiner, D. L. (2017). A randomized trial of brief dialectical behaviour therapy skills training in suicidal patients suffering from borderline disorder. Acta Psychiatrica Scandinavica, 135(2), 138-148. https://​doi.​org/​10.​1111/​acps.​12664
go back to reference Miranda-Mendizabal, A., Castellví, P., Parés-Badell, O., Alayo, I., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Piqueras, J. A., Rodríguez-Jiménez, T., Rodríguez-Marín, J., Roca, M., Soto-Sanz, V., Vilagut, G., & Alonso, J. (2019). Gender differences in suicidal behavior in adolescents and young adults: Systematic review and meta-analysis of longitudinal studies. International Journal of Public Health, 64(2), 265–283. https://​doi.​org/​10.​1007/​s00038-018-1196-1 CrossRefPubMed Miranda-Mendizabal, A., Castellví, P., Parés-Badell, O., Alayo, I., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Piqueras, J. A., Rodríguez-Jiménez, T., Rodríguez-Marín, J., Roca, M., Soto-Sanz, V., Vilagut, G., & Alonso, J. (2019). Gender differences in suicidal behavior in adolescents and young adults: Systematic review and meta-analysis of longitudinal studies. International Journal of Public Health, 64(2), 265–283. https://​doi.​org/​10.​1007/​s00038-018-1196-1 CrossRefPubMed
go back to reference *Mohammadkhani, P., Khanipour, H., Azadmehr, H., Mobramm, A., & Naseri, E. (2015). Trait mindfulness, reasons for living and general symptom severity as predictors of suicide probability in males with substance abuse or dependence. Iranian Journal of Psychiatry, 10(1), 56. *Mohammadkhani, P., Khanipour, H., Azadmehr, H., Mobramm, A., & Naseri, E. (2015). Trait mindfulness, reasons for living and general symptom severity as predictors of suicide probability in males with substance abuse or dependence. Iranian Journal of Psychiatry, 10(1), 56.
go back to reference *Nagy, L. M. (2017). An experimental investigation of the effects of self-compassion and self-criticism on implicit associations with non-suicidal self-injury. Dissertation: University of Kentucky *Nagy, L. M. (2017). An experimental investigation of the effects of self-compassion and self-criticism on implicit associations with non-suicidal self-injury. Dissertation: University of Kentucky
go back to reference Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body: A sensorimotor approach to psychotherapy (norton series on interpersonal neurobiology). WW Norton & Company. Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body: A sensorimotor approach to psychotherapy (norton series on interpersonal neurobiology). WW Norton & Company.
go back to reference *Paulus, D. J., Kauffman, B. Y., Garey, L., Jardin, C., Manning, K., Bakhshaie, J., Garza, M., Ochoa-Perez, M., Lemaire, C., & Zvolensky, M. J. (2018). Examining the synergistic effects of two transdiagnostic vulnerability factors in relation to anxiety and depressive symptoms and disorders among Latinos in a community health care setting. Behavior Modification, 42(5), 661-683. https://​doi.​org/​10.​1177/​0145445517725867​ *Paulus, D. J., Kauffman, B. Y., Garey, L., Jardin, C., Manning, K., Bakhshaie, J., Garza, M., Ochoa-Perez, M., Lemaire, C., & Zvolensky, M. J. (2018). Examining the synergistic effects of two transdiagnostic vulnerability factors in relation to anxiety and depressive symptoms and disorders among Latinos in a community health care setting. Behavior Modification, 42(5), 661-683. https://​doi.​org/​10.​1177/​0145445517725867​
go back to reference *Riquino, M. R. (2019). A mixed methods investigation of attention and mindfulness among young adults with a history of nonsuicidal self-injury. Dissertation: The University of Utah *Riquino, M. R. (2019). A mixed methods investigation of attention and mindfulness among young adults with a history of nonsuicidal self-injury. Dissertation: The University of Utah
go back to reference Rufino, N. C., Fidalgo, T. M., Dos Santos, J. P., Tardelli, V. S., Lima, M. G., Frick, L. P., Mirkovic, B., da Silveira, D. X., & Cohen, D. (2021). Treatment compliance and risk and protective factors for suicide ideation to completed suicide in adolescents: A systematic review. Brazilian Journal of Psychiatry. https://​doi.​org/​10.​1590/​1516-4446-2020-1026 Rufino, N. C., Fidalgo, T. M., Dos Santos, J. P., Tardelli, V. S., Lima, M. G., Frick, L. P., Mirkovic, B., da Silveira, D. X., & Cohen, D. (2021). Treatment compliance and risk and protective factors for suicide ideation to completed suicide in adolescents: A systematic review. Brazilian Journal of Psychiatry. https://​doi.​org/​10.​1590/​1516-4446-2020-1026
go back to reference *Stanley, I. H., Boffa, J. W., Tran, J. K., Schmidt, N. B., Joiner, T. E., & Vujanovic, A. A. (2019). Posttraumatic stress disorder symptoms and mindfulness facets in relation to suicide risk among firefighters. Journal of Clinical Psychology, 75(4), 696-709. https://​doi.​org/​10.​1002/​jclp.​22748 *Stanley, I. H., Boffa, J. W., Tran, J. K., Schmidt, N. B., Joiner, T. E., & Vujanovic, A. A. (2019). Posttraumatic stress disorder symptoms and mindfulness facets in relation to suicide risk among firefighters. Journal of Clinical Psychology, 75(4), 696-709. https://​doi.​org/​10.​1002/​jclp.​22748
go back to reference *Vigna, A. (2016). Self-compassion as a resilience factor in gender and sexual minority youth. Dissertation: The University of Wisconsin-Madison *Vigna, A. (2016). Self-compassion as a resilience factor in gender and sexual minority youth. Dissertation: The University of Wisconsin-Madison
go back to reference *Warner, A. (2015). Mindfulness as a protective factor for the relationship between self-injury and suicide. Dissertation: The Florida State University *Warner, A. (2015). Mindfulness as a protective factor for the relationship between self-injury and suicide. Dissertation: The Florida State University
go back to reference Weissman, M. M., Bland, R. C., Canino, G. J., Greenwald, S., Hwu, H.-G., Joyce, P. R., Karam, E. G., Lee, C.-K., Lellouch, J., Lepine, J.-P., Newman, S. C., Rubio-Stipec, M., Wells, J. E., Wickramaratne, P. J., Wittchen, H.-U., & Yeh, E.-K. (1999). Prevalence of suicide ideation and suicide attempts in nine countries. Psychological Medicine, 29(1), 9–17. https://​doi.​org/​10.​1017/​s003329179800786​7 CrossRefPubMed Weissman, M. M., Bland, R. C., Canino, G. J., Greenwald, S., Hwu, H.-G., Joyce, P. R., Karam, E. G., Lee, C.-K., Lellouch, J., Lepine, J.-P., Newman, S. C., Rubio-Stipec, M., Wells, J. E., Wickramaratne, P. J., Wittchen, H.-U., & Yeh, E.-K. (1999). Prevalence of suicide ideation and suicide attempts in nine countries. Psychological Medicine, 29(1), 9–17. https://​doi.​org/​10.​1017/​s003329179800786​7 CrossRefPubMed
Metagegevens
Titel
Mindfulness, Self-compassion, Self-injury, and Suicidal thoughts and Behaviors: a Correlational Meta-analysis
Auteurs
Megan Per
Emma Schmelefske
Kyla Brophy
Sara Beth Austin
Bassam Khoury
Publicatiedatum
31-01-2022
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 4/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-021-01815-1

Andere artikelen Uitgave 4/2022

Mindfulness 4/2022 Naar de uitgave