Evidence map›Paper›PMID 42386917›Full record

SynthesisNature human behaviour2026

Interoception in self-harm and suicide: a scoping review and meta-analysis.

Bowen Liu, Zhijun Wu, Mengyu Xue, Jintao Guo, Sihan Liu, Yan Tong, Jiedi Liu, Diyang Qu, Xue Wen, Chang Lei and 2 more

Abstract readMeta-AnalysisScoping Review
PubMed Publisher
In one paragraph

Synthesis in Nature human behaviour, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Bowen Liu *Vanke School of Public Health, Tsinghua University, Beijing, China.
Zhijun Wu *Vanke School of Public Health, Tsinghua University, Beijing, China.
Mengyu XueVanke School of Public Health, Tsinghua University, Beijing, China.
Jintao GuoVanke School of Public Health, Tsinghua University, Beijing, China.
Sihan LiuVanke School of Public Health, Tsinghua University, Beijing, China.
Yan TongVanke School of Public Health, Tsinghua University, Beijing, China.
Jiedi LiuSchool of Psychology, Capital Normal University, Beijing, China.
Diyang QuVanke School of Public Health, Tsinghua University, Beijing, China.ORCID http://orcid.org/0000-0002-9999-8725
Xue WenVanke School of Public Health, Tsinghua University, Beijing, China.
Chang LeiVanke School of Public Health, Tsinghua University, Beijing, China.
Jing AnBeijing Huilongguan Hospital, Capital Medical University, Beijing, China.
Runsen ChenVanke School of Public Health, Tsinghua University, Beijing, China. runsenchen@tsinghua.edu.cn.ORCID http://orcid.org/0000-0003-3398-5750

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82471564
6 · The paper itself

Abstract

Interoception, the capacity to sense and interpret internal bodily signals, has been recognized as relevant to self-harm and suicide, but these associations and their dimensional specificity have not been quantitatively synthesized. This scoping review and meta-analysis aimed to estimate the magnitude of associations between interoceptive dimensions and self-harm (that is, non-suicidal self-injury and self-harm (mixed intent)) and suicidal outcomes (ideation, plans and attempts), and to explore the neural mechanisms implicated in these associations. We searched PubMed, Web of Science, PsycINFO and EMBASE from inception to 1 April 2025. Sixty-six studies (36,934 participants) were included, comprising 63 observational studies (59 cross-sectional and 4 longitudinal/prospective) and 3 intervention studies, of which 41 contributed a study to the meta-analysis. Interoception was classified into four previously validated dimensions: accuracy, sensibility, awareness and 'Other' (or cognitive-emotional evaluation of bodily signals). Interoceptive accuracy demonstrated weak and non-significant associations with self-harm and suicidal outcomes. Interoceptive sensibility showed generally negative associations across outcomes, with increased trust in bodily signals and self-regulation (that is, ability to regulate distress via attention to bodily sensations) associated with lower levels of suicidal ideation, suicide attempts and composite suicidal outcomes, with generally small-to-moderate effect sizes. Interoceptive awareness was not meta-analysed owing to insufficient evidence. Within the 'Other' (or cognitive-emotional evaluation) dimension, interoceptive deficits were positively associated with non-suicidal self-injury and suicidal ideation. Neuroimaging studies implicated altered interoceptive processing in the insula and prefrontal cortex, suggesting shared neural substrates of interoceptive abnormalities and suicide risk, although the evidence remains preliminary. These findings highlight interoception as a potentially informative domain for advancing the understanding of risk processes underlying self-harm and suicidality, and for informing future research on how bodily awareness and regulation relate to self-harm and suicidal risk.

Indexed as

InteroceptionSelf-Injurious BehaviorSuicideAwarenessHumansSuicidal Ideation

Identifiers

PMID42386917

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.