Understanding Adolescent Non-Suicidal Self-Injury: A Narrative Review of Theoretical Models and Evidence-Based Psychotherapies

DBT is currently the first-line treatment for NSSIs in adolescents. However, the field must move toward personalized care. Future research should focus on validating alternative therapies through head-to-head randomized controlled trials, identifying the core change mechanisms across treatments, and implementing stepwise care models to improve accessibility.