Background: Self-harm is a growing issue with increasing prevalence rates; however, individuals who self-harm do not often receive treatment. Mobile health (mHealth) interventions are a possible solution to some of the barriers that individuals face when seeking support, and they have also been found to be effective in improving mental health. Thus far, reviews of mHealth interventions for self-harm have been limited by study type. Therefore, we determined that a broader scoping review will provide a more exhaustive understanding of mHealth interventions for self-harm. Objective: This scoping review aims to identify mHealth interventions for self-harm within the literature, understand the types and features of interventions that have been developed and evaluated, highlight research findings around mHealth interventions for self-harm, and determine what outcomes are typically used to assess the efficacy of interventions. Methods: A search was conducted using Embase, PubMed, PsycINFO, PsycEXTRA, Web of Science, and the Cochrane Library. Studies were included if they described an mHealth intervention designed to have a direct (ie, if the intervention was designed for self-harm or for people who self-harm) or indirect (ie, if self-harm was measured as an outcome) treatment effect and if the paper was available in English. There were no exclusion criteria based on the study design. Results: A total of 36 papers were included in the review, and most of them were randomized controlled trials published within the last 4 years. The interventions were mostly smartphone apps and calling or texting services, with 62% (21/34) having underlying therapeutic models to inform the intervention content. They were generally shown to be promising and appealing, but only 5 were widely available for use. Outcomes focused on a reduction of self-harm and suicidality, mood, and the users’ experiences of the intervention. Samples were typically nondiverse, and there was limited variety in the study designs and in the measurements of self-harm recovery. Conclusions: Promising and appealing mHealth interventions have been developed but are not widely available. Research could benefit from greater diversity as well as a broader and more nuanced understanding of recovery from self-harm. Trial Registration:

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中文翻译：

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自我伤害的移动医疗干预：范围审查

背景：随着患病率的增加，自残是一个日益严重的问题；然而，自残者通常不接受治疗。移动健康 (mHealth) 干预措施可能是解决个人在寻求支持时面临的一些障碍的一种方法，并且还发现它们在改善心理健康方面是有效的。迄今为止，针对自我伤害的移动医疗干预措施的评论受到研究类型的限制。因此，我们确定更广泛的范围审查将提供对自我伤害的移动医疗干预措施的更详尽的理解。目标：本范围审查旨在确定文献中针对自我伤害的移动医疗干预措施，了解已开发和评估的干预措施的类型和特征，突出围绕移动医疗自我伤害干预措施的研究结果，并确定通常使用哪些结果来评估干预措施的有效性。方法：使用 Embase、PubMed、PsycINFO、PsycEXTRA、Web of Science 和 Cochrane 图书馆进行搜索。如果研究描述了旨在进行直接（即，如果干预是为自残或自残者）或间接（即，如果将自残作为结果衡量）治疗的移动医疗干预，则纳入研究效果以及论文是否有英文版。没有基于研究设计的排除标准。结果：共纳入36篇论文，大部分为近4年内发表的随机对照试验。干预主要是智能手机应用程序和电话或短信服务，62% (21/34) 有潜在的治疗模型来告知干预内容。它们通常被证明是有前途和有吸引力的，但只有 5 个被广泛使用。结果集中在减少自我伤害和自杀、情绪和干预的用户体验上。样本通常是非多样性的，研究设计和自我伤害恢复测量的多样性有限。结论：已经开发出有前景和吸引力的移动医疗干预措施，但并未广泛应用。研究可以受益于更大的多样性以及对从自我伤害中恢复的更广泛和更细致的理解。试用注册：结果集中在减少自我伤害和自杀、情绪和干预的用户体验上。样本通常是非多样性的，研究设计和自我伤害恢复测量的多样性有限。结论：已经开发出有前景和吸引力的移动医疗干预措施，但并未广泛应用。研究可以受益于更大的多样性以及对从自我伤害中恢复的更广泛和更细致的理解。试用注册：结果集中在减少自我伤害和自杀、情绪和干预的用户体验上。样本通常是非多样性的，研究设计和自我伤害恢复测量的多样性有限。结论：已经开发出有前景和吸引力的移动医疗干预措施，但并未广泛应用。研究可以受益于更大的多样性以及对从自我伤害中恢复的更广泛和更细致的理解。试用注册：研究可以受益于更大的多样性以及对从自我伤害中恢复的更广泛和更细致的理解。试用注册：研究可以受益于更大的多样性以及对从自我伤害中恢复的更广泛和更细致的理解。试用注册：

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