Risk factors for and functions of deliberate self-harm: An empirical and conceptual review

Given the clinical importance of deliberate self-harm and the need for further research informing the treatment and prevention of this behavior, a review of the extant literature on the risk factors for and functions of self-harm is needed. In this article, I review empirical and theoretical literature on the following potential risk factors for self-harm: childhood sexual and physical abuse, neglect, childhood separation and loss, security of attachment to caregivers, and emotional reactivity and intensity. Literature on the emotion regulating function of self-harm behavior is also reviewed. Future research is needed on the interaction of individual and environmental risk factors in the development of self-harm, as well as on the experientially avoidant function of this behavior.