A systematic review was conducted using four different databases and seven different search terms to address the following points: (1) what types of clinical treatment programs are currently being used to address self-harming behaviors in adolescents, (2) how do each of these programs define self-harm, (3) what theory guides these intervention programs, (4) and how effective are these programs at reducing self-harming behaviors in adolescents? Nine final studies were identified and the quality of the reporting of these studies was assessed using an extension of the CONSORT 2010 (Consort Group, 2010) checklist for pragmatic studies. The results of this study found a diverse range of treatment options available, differing definitions of self-harm as well as theories guiding the treatment interventions across all 9 studies, and varying degrees of effectiveness. Finally, of the three studies that reported success, two of these studies utilized DBT (and one other pilot study using DBT found a notable reduction in self-harm, but not significance); therefore, this review highlights the fact that DBT is a promising therapeutic approach for treating adolescent self-harm and is worthy of more rigorous research designs that can more fully evaluate its efficacy.
School of Behavioral Health
Freeman, Kimberly R.
Doctor of Psychology (PsyD)
Year Degree Awarded
Date (Title Page)
Library of Congress/MESH Subject Headings
Self-Destructive Behavior in Adolescence; Adolescent Behavior; Self-Injurious Behavior -Therapy; Behavior Therapy
Subject - Local
Adolescents, Self-Injurious Behavior, Self-Harming Behaviors, Systematic Review, Clinical Treatment Programs
Loma Linda University Libraries
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
Ballinger, Rebecca E., "Treatment Options for Adolescent Non-Suicidal Self-Injurious Behavior: A Systematic Review" (2013). Loma Linda University Electronic Theses, Dissertations & Projects. Paper 113.
Loma Linda University Electronic Theses & Dissertations
Loma Linda University. Del E. Webb Memorial Library. University Archives