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Journals / Klinik Psikoloji Dergisi / 2026 / Cilt: 10 Sayı: 2

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

Sınırda kişilik bozukluğu tanılı bireylerde intihar dışı kendine zarar vermenin Dört İşlev Modeli çerçevesinde sistematik derleme yöntemiyle değerlendirilmesi

Şeyma Dede(YILDIRIM BEYAZIT ÜNİVERSİTESİ)0009-0001-6175-8865
Özden Yalçınkaya Alkar(ANKARA YILDIRIM BEYAZIT ÜNİVERSİTESİ)0000-0001-8484-9199
Pages
168–185
Publication Date
2026-02-04
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

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.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Non-suicidal self-injury is a serious and common problem that refers to deliberate injury to the body without the intention to kill.
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Key Findings & Data:As a result of scanning using relevant keywords from PubMed, Web of Science, and Scopus databases, 18 articles were included in this review.
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Conclusion & Impact: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.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:sınırda kişilik bozukluğu · kendine zarar verme · intihar dışı kendine zarar verme

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.

Özet

İntihar dışı kendine zarar verme, kendini öldürme niyeti olmaksızın vücudun kasıtlı yaralanmasını ifade eden ciddi ve yaygın bir sorundur. İlgili davranışlar, sıklıkla duyguları düzenlemedeki güçlüklerle ilişkilendirilmektedir. İntihar dışı kendine zarar verme, bu güçlüklerin baskın olduğu sınırda kişilik bozukluğuna sahip bireylerde özellikle belirgindir. Sınırda kişilik bozukluğunda bu davranışların işlevini anlamak, tehlikeli ve olası geri döndürülemez sonuçları önlemek için kritik önem taşır. Bu çalışmanın amacı, sınırda kişilik bozukluğu tanılı bireylerde sıklıkla gözlenen intihar dışı kendine zarar vermenin işlevlerini sistematik olarak gözden geçirmek ve davranışçı bir model olan Dört İşlev Modeli çerçevesinde sistematik derleme yöntemiyle değerlendirmektir. PubMed, Web of Science ve Scopus veri tabanlarından ilgili anahtar kelimeler kullanılarak yapılan tarama sonucu 18 makale bu incelemeye dahil edilmiştir. Sistematik gözden geçirmenin akış diyagramı oluşturulmuş ve dahil edilen çalışmaların bulguları tablo şeklinde özetlenmiştir. Sonuçlar; sınırda kişilik bozukluğuna sahip bireylerin duygularını düzenlemek ve özellikle rahatsız edici duygulardan kaçmak veya kaçınmak için intihar dışı kendine zarar verme davranışlarına yöneldiğini, yeni bir duygu ve/veya duyum hissetmenin ise daha az sıklıkta rastlanan bir işlev olduğunu göstermiştir. Bazı çalışmalarda, sosyal işlevlerin de bu davranışla ilişkili olduğu bildirilmesine rağmen, diğer işlevlere kıyasla görgül olarak daha az incelendiği görülmüştür. İntihar dahil bireyin vücut bütünlüğü üzerinde geri dönüşü olmayan ciddi riskleri nedeniyle; intihar dışı kendine zarar verme davranışları değerlendirme, vaka formülasyonu ve tedavi süreçlerinde daha yüksek düzeyde dikkat ve özen gerektirmektedir. İntihar dışı kendine zarar verme davranışlarına yönelik etkili bir önleme ve müdahale gerçekleştirebilmek için gelecek çalışmalarda bireye özgü değerlendirme yöntemleri güçlendirilmeli ve elde edilen elde edilen bulgular meta-analitik yaklaşımlarla bütünleştirilmelidir.

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Cite This Article

Dede, Ş., Alkar, Ö. Y. (2026). 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. Klinik Psikoloji Dergisi, Cilt: 10 Sayı: 2, 168–185. https://doi.org/10.57127/kpd.26024438.1595464

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