Sınırda kişilik bozukluğu tanılı bireylerde intihar dışı kendine zarar vermenin Dört İşlev Modeli çerçevesinde sistematik derleme yöntemiyle değerlendirilmesi
Evaluation of non-suicidal self-injury in individuals diagnosed with borderline personality disorder within the framework of the Four Function Model with a systematic review method

Summary/Abstract: Non-suicidal self-injury is a serious and common problem that refers to deliberate injury to the body without the intention to kill. Related behaviors are often associated with difficulties in emotional regulation. Self-injury is particularly evident in individuals with borderline personality disorder, where these difficulties predominate. Understanding the function of these behaviors in borderline personality disorder is critical for preventing dangerous and potentially irreversible consequences. This study aims to systematically review the functions of non-suicidal self-injury, which is frequently observed in individuals diagnosed with borderline personality disorder, and to evaluate them through the Four Function Model which is a behavioral model. As a result of scanning using relevant keywords from PubMed, Web of Science, and Scopus databases, 18 articles were included in this review. A flow diagram of the systematic review was created, and the findings of the included studies were summarized in tabular form. Results show that individuals with borderline personality disorder tend to engage in non-suicidal self-injurious behaviors to regulate their emotions, and especially, to escape or avoid disturbing emotions, while feeling a new emotion and/or sensation is a less common function. Although some studies have reported that social functions are also related to their behaviors, they have been empirically examined less compared to other functions. Because non-suicidal self-harm behaviors, including suicide, pose irreversible and serious risks to an individual's bodily integrity; their assessment, case formulation, and treatment processes require a higher level of attention and care. To achieve effective prevention and intervention for non-suicidal self harm behaviors, future studies should strengthen individualized assessment methods and integrate findings with meta-analytic approaches.

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