Self-injurious thoughts and behaviors (SITBs) are significant public health problems in adolescence. The current article provides a comprehensive systematic review examining the relationship between events leading to perceived low relational evaluation (e.g. social rejection) and SITBs among adolescents. Theoretical work posits that low relational evaluation is experienced as psychologically painful, a known correlate of SITBs. Therefore, events leading to low relational evaluation may be particularly informative in understanding the context of SITBs. The current review examines how experiences of low relational evaluation that are hypothesized to elicit psychological pain, such as social rejection, low popularity, and peer victimization are related to engagement in SITBs in adolescence. A total of 56 articles meeting inclusion criteria were identified. The hypothesis of an association between indicators of low relational evaluation and SITBs was generally supported throughout the literature, with more consistency found among studies examining suicidal ideation specifically. However, interpretation of the findings is constrained by various methodological limitations of studies. The present review concludes with a theoretical conceptualization of the relationship between perceived relational value and SITBs, leveraging social and evolutionary psychological theory, to guide future research into this topic.

自伤思想和行为 (SITB) 是青春期重大的公共卫生问题。目前的文章提供了一个全面的系统评价，研究了导致感知到的低相关性评价（例如社会排斥）和青少年 SITBs 之间的关系。理论工作认为，低相关性评估会带来心理上的痛苦，这是 SITB 的已知关联因素。因此，导致低相关性评估的事件在理解 SITB 的背景方面可能特别有用。当前的审查研究了被假设会引起心理痛苦的低关系评估的经历，例如社会排斥、低受欢迎程度和同伴受害，与青春期参与 SITB 的关系如何。共有56 个确定符合纳入标准的文章。低相关性评估指标与 SITB 之间存在关联的假设在整个文献中得到普遍支持，在专门检查自杀意念的研究中发现了更多的一致性。然而，对研究结果的解释受到各种研究方法学局限性的限制。本综述总结了感知关系价值与 SITB 之间关系的理论概念化，利用社会和进化心理学理论，指导对该主题的未来研究。