Relationship between Sleep Problems and Self-Injury: A Systematic Review

Habibolah Khazaie, Ali Zakiei, William Vaughn McCall, Khadijeh Noori, Masoumeh Rostampour, Dena Sadeghi Bahmani, Serge Brand

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Objective/Background: Previous studies suggested that sleep problems were related to non-suicidal self-injury. The current systematic review investigated more thoroughly this relationship. Methods: PubMED and Embase databases were searched. The keywords were “self-injury” OR “self-harm” OR “non-suicidal self-injury” OR “self-injurious behavior” OR “self-destructive behavior” OR “self-mutilation” AND “sleep problem” OR “sleep disturbance” OR insomnia OR nightmare OR “poor sleep quality” or “sleep disorders.” A total of 16 studies were included in the present review. Results: The pattern of results indicated that sleep problems such as short sleep duration, sleep disturbances, and poor sleep quality were associated with non-suicidal self-injury. Additionally, emotional dysregulation, depression, and post-traumatic stress disorder appeared to mediate this relationship. Above all adolescents and young adults with sleep disruptions were at higher risk of non-suicidal self-injury. Conclusions:g Interventions to improve sleep quality and sleep duration might concomitantly decrease the risk of non-suicidal self-injury.

Original languageEnglish (US)
Pages (from-to)1-16
Number of pages16
JournalBehavioral Sleep Medicine
Early online dateSep 29 2020
StatePublished - Sep 29 2020

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Medicine (miscellaneous)
  • Psychology (miscellaneous)
  • Clinical Neurology


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