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Table 5 Overview of findings by type of self-harm

From: Peripheral and neural correlates of self-harm in children and adolescents: a scoping review

Correlate Category

Type of Self-Harm Study

 

Suicidality

NSSI

Any Type of Self-Harm

Peripheral

HPA Axis, Circadian rhythm, cortisol: not associated (3/6). Associated with cortisol dysregulation (3/6).

HPA Axis, Reactivity, cortisol: associated with hyperreactivity (1/3), hyporeactivity (1/3), different pattern (1/3).

ANS, Reactivity, cardiovascular measures: Not associated (1/3). Decreased parasympathetic function (2/3), including symptom prediction.

Serotonin System, platelets: not associated imipramine binding sites (1/4). Not associated with serotonin uptake (1/4). Not associated with serotonin-induced aggregation (1/4). Associated with decreased imipramine binding sites (1/4).

Serotonin System, serotonin levels: Not associated with levels (1/2). Associated with higher levels (1/2).

Serotonin System, precursor levels: associated with lower tryptophan levels (1/2). 5-year suicidality associated with low ratio tryptophan to other amino acids, not baseline tryptophan levels (1/2).

Sleep Characteristics: not associated (2/6). Associated with longer sleep, shorter Stage 3, shorter delta sleep, more rapid eye movement (REM) after scopolamine (1/6). Associated with longer sleep latency (2/6), longer REM latency, higher percentage NREM1, higher REM density (1/6), higher percentage REM sleep (1/6).

Neuromodulators: Not associated with BDNF (2/2), or GDNF, NGF, NTF3 (1/2). Associated with increased levels of S100B protein (2/2).

Immune System, cytokine levels: associated with decreased TNFα, increased IFN- (1/3), increased IL-ß, IL-8 (1/3). Antidepressant suicidality associated with higher increase IL-6 (1/3).

Lipid Metabolism: not associated with triglyceride levels (1). Associated with lower cholesterol (2/2).

Growth Hormone: associated with blunted reactivity (1). Associated with dysregulated circadian secretion (1).

HPA Axis, Circadian rhythm, cortisol: associated with cortisol dysregulation (2/2).

HPA Axis, Reactivity, cortisol: associated with hyporeactivity (2/4), hyperreactivity (1/4), different pattern (1/4).

ANS, Resting, cardiovascular measures: not associated (1).

HPA Axis, Circadian rhythm, cortisol: associated with cortisol dysregulation (1).

HPA Axis, Reactivity, cortisol: associated with hyporeactivity (1).

ANS, Resting, cardiovascular measures: not associated with parasympathetic tone (1/2). Associated with lower parasympathetic tone (1/2).

ANS, Reactivity, cardiovascular measures: not associated with parasympathetic function (1).

ANS, Resting, skin conductance: not associated with abnormal sympathetic system arousal (1/2). Associated with lower sympathetic arousal (1/2).

ANS, Reactivity, skin conductance: reactivity not associated with prediction symptoms (1/2). Not associated with abnormal sympathetic system arousal (1/2).

Serotonin System, serotonin levels: associated with lower blood levels (2/2).

Neural

Activity, Response inhibition: not associated (1).

Activity, Emotion processing: angry faces – increased activation in ACG, bilateral sensory cortices, left dlPFC, right MTG, happy faces – decreased activation visual, sensory cortices, PFC, ACG.(1)

Activity, Decision-making: not associated (1).

Activity, Self-identity processing: decreased activation in midline cortical, limbic structures for self-happy vs. other-happy faces (1)

Activity, Social interaction: associated in all scenarios with decreased activity insula, putamen, ACC, caudate, postcentral, precentral gyri (1). Associated with greater activation insula only if more peer victimization or daily negative experiences (1).

Functional Connectivity, Emotion processing: angry faces - decreased connectivity ACG to bilateral insulae (1).

Functional Connectivity, Self-identity processing: greater connectivity between amygdala, dlPFC, dmPFC, precuneus (1).

Functional Connectivity, Intrinsic network coherence: lower Executive Control Network coherence during resting state (1/2). Symptom improvement associated with increased coherence Salience Network (1/2).

Functional Connectivity, Resting state: associated with increased connectivity between left precuneus and primary motor, somatosensory cortices, MFG, SFG; decreased connectivity between left PCC, left cerebellum, left OC, temporal-occipital fusiform gyrus (1).

Event-Related Potential, Attention capture: associated with lower threshold involuntary attention switching (1).

Event-Related Potential, Reward-loss: associated with more activation to reward and loss (2/2).

Brain Waves, Symmetry: associated with left > right posterior alpha asymmetry (1).

Cortical Inhibition, Post-treatment: associated with increase cortical inhibition (1).

Brain Structures, Gray matter volume: prediction of symptoms associated with decreased volume of bilateral putamen, left caudate (1).

Brain Structures, Gray and matter volume: Not associated with white matter differences; associated reduced thickness in rSTG (1).

Pituitary gland volume: associated with increased volume (1).

Activity, Emotion processing: associated with greater activation amygdala, hippocampus, bilateral ACC, but MDD explained findings (1).

Activity, Social interaction: associated with increased activation mPFC, vlPFC, parahippocampus (1/3). Associated with increase activation putamen (1/3). dmPFC, PCC, sgACC function during social anticipation predicted NSSI group (1/3).

Activity, Self-identity processing: Associated with greater activation limbic and cortical midline structures (1).

Activity, Reward processing: associated with greater activation bilateral putamen (1).

Functional Connectivity, Resting state: associated with reduced connectivity amygdala-mPFC network, predicted better response to treatment (1).

Event-Related Potential, Reward-loss: associated with more negative response to losses (1).

Brain Structures, Gray matter volume: associated with decreased volume ACC, insula (1).

Activity, Reward processing: Associated with decreased activation putamen, OFC, bilateral amygdalae (1).

Brain Structures, Gray matter volume: associated with decreased volume bilateral insula cortices, rIFG (1).

Brain Structures, Gray and matter volume: associated with decreased gray and white matter volumes in BA24, higher white matter volume in BA23, but no difference in gray matter volume (1).

Brain Structures, Pituitary gland: associated with greater volume (1).

  1. ACC Anterior Cingulate Cortex, ACG anterior cingulate gyrus, BDNF Brain-Derived Neurotrophin Factor, BA23, BA 24 Brodmann Area 23 and 24 (ventral posterior cingulate area), dlPFC Dorsolateral Prefrontal Cortex, dmPFC Dorsomedial Prefrontal Cortex, GDNF Glial-Derived Neurotrophin Factor, GMV Gray Matter Volume, IFN-𝛾 Interferon-Gamma, IL-10 Interleukin 10, IL-1α Interleukin 1-Alpha, IL-1β Interleukin 1-Beta, IL-2 Interleukin 2, IL-4 interleukin 4, IL-6 Interleukin 6, IL-8 Interleukin 8, OC Occipital Cortex, mFC medial frontal cortex, mOFC Medial Orbitofrontal Cortex, mPFC medial prefrontal cortex, NGF Nerve Growth Factor, NTF3 Neurotrophin-3 Factor, OFC Orbitofrontal Cortex, PCC Posterior Cingulate Cortex, PF Prefrontal, rACC Rostral Anterior Cingulate Cortex, rdACG Right Dorsal Anterior Cingulate Gyrus, rIFG Right Inferior Frontal Gyrus, rMTG Right Medial Temporal Gyrus, rSTG Right Superior Temporal Gyrus, S100B S100 - calcium-binding protein B, sgACC Subgenual Anterior Cingulate Cortex, SN Salience Network, TNFα Tumour Necrosing Factor-Alpha, vLPFC Ventrolateral Prefrontal Cortex, WMV White Matter Volume