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Protocol outlines qualitative review of adolescent voluntary NSSI disclosure experiencesNew plan to study how teens share self-injury experiences

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Key Takeaway
Recognize this as a protocol only; no findings on NSSI disclosure are yet available.

This publication is a protocol for a qualitative systematic review focused on adolescents aged 10 to 19 years who have voluntarily disclosed non-suicidal self-injury (NSSI) at least once. The planned review aims to synthesize lived experiences, barriers, and facilitators of voluntary NSSI disclosure, along with secondary outcomes related to disclosure decisions, recipients' responses, and subsequent experiences.

The protocol does not report any analyzed data, sample size, or setting. The authors explicitly note that formal searches have not yet been executed, so no pooled or qualitative findings are available. The main limitation is that the review is in the planning stage and cannot yet inform practice.

Once completed, the findings may help inform clinical, school, and family support for voluntary NSSI disclosure. However, at this stage, no conclusions can be drawn about disclosure experiences or effective support strategies. Clinicians should recognize that this is a protocol and not a source of evidence.

How this fits prior evidence

This protocol addresses a gap not covered by prior NSSI research summarized here, which focused on risk and protective factors such as 24-hour movement guideline adherence, social networking addiction, adverse childhood experiences, and P50 sensory gating deficits. Those studies examined associations with NSSI risk or neurophysiological correlates, whereas this protocol plans to explore the disclosure process itself. It does not confirm or contrast prior findings but extends the research agenda to the lived experience of help-seeking communication.

When a teenager hurts themselves, the hardest part is often finding the words to tell someone. For many young people, the fear of being judged or misunderstood creates a massive wall between them and the help they need. This research plan aims to break down that wall by looking closely at the lived experiences of teens who choose to speak up about non-suicidal self-injury.

The study focuses on adolescents between the ages of 10 and 19. Researchers want to identify the specific barriers that keep kids silent and the facilitators that make it easier for them to share their stories. By looking at who they tell and how those people respond, the team hopes to find better ways to support these young people in schools and families.

It is important to note that this is currently a research protocol. This means the team has designed the roadmap for the study, but they have not yet gathered or analyzed the actual data. Because the formal search for information has not started yet, there are no final results or clinical recommendations available at this time.

What this means for you:
A new research plan aims to identify what helps or hinders teens when they share experiences of self-injury.

Common questions

Who does this research help?

This study aims to help adolescents between the ages of 10 and 19 who have engaged in non-suicidal self-injury. By understanding their experiences, the goal is to improve support systems in schools, families, and clinical settings for these young people.

What specific parts of the teen experience are being studied?

The researchers plan to look at the lived experiences of teens, the specific decisions they make to share their stories, how the people they tell respond, and what happens after they disclose their self-injury.

Are there any results available from this study yet?

No results are available yet. This is a research protocol, which means it is a plan for a study. The formal search for data has not been executed yet, so no findings have been analyzed or reported.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
BackgroundNon-suicidal self-injury (NSSI) is common among adolescents and often remains concealed because of shame and stigma. Voluntary disclosure can provide access to support, but emotional and interpersonal concerns shape the decision to disclose. This review will synthesize disclosure experiences, barriers, and facilitators reported by adolescents who have voluntarily disclosed NSSI at least once.MethodsPrimary qualitative studies and separately extractable qualitative components of mixed-methods studies involving adolescents aged 10–19 years will be eligible. Searches will cover PubMed, Embase, APA PsycINFO, CINAHL, Scopus, and Web of Science Core Collection. China National Knowledge Infrastructure, Wanfang Data, and the Chinese Biomedical Literature Database will also be searched. Coverage will extend from inception through 31 March 2026, inclusive, without language restrictions; formal searches have not yet been executed. Gray literature, reference lists, and forward citations will also be searched. Two human reviewers will independently select studies, appraise them using the Joanna Briggs Institute (JBI) qualitative checklist, and extract findings. Findings will be synthesized using JBI meta-aggregation, with confidence assessed using ConQual.DiscussionThe synthesis will examine disclosure decisions, recipients' responses, and subsequent experiences from adolescents' perspectives. Findings may inform clinical, school, and family support for voluntary NSSI disclosure.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD420261355173, identifier: CRD420261355173.
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