Rates of self-injurious thoughts and behaviors (SITBs) increase sharply across adolescence and remain high in young adulthood. Across 50 years of research, existing interventions for SITBs remain ineffective and inaccessible for many young people in particular need of mental healthcare. Briefer intervention options may increase access to care. However, many traditional interventions for SITBs take 6 months or more to complete—making it difficult for providers to target SITBs under real-world time constraints. The present review (1) identifies and (2) summarizes evaluations of brief psychosocial interventions for SITBs in young people, ages 10–24 years. We conducted searches for randomized and quasi-experimental trials conducted in the past 50 years that evaluated effects of “brief interventions” (i.e., not exceeding 240 min, or four 60-min sessions in total length) on SITBs in young people. Twenty-six articles were identified for inclusion, yielding a total of 23 brief interventions. Across all trials, results are mixed; only six interventions reported any positive intervention effect on at least one SITB outcome, and only one intervention was identified as “probably efficacious” per standard criteria for evidence-based status. While brief interventions for SITBs exist, future research must determine if, how, and when these interventions should be disseminated.

自伤思想和行为 (SITB) 的发生率在青春期急剧增加，并在成年初期仍然很高。经过 50 年的研究，现有的 SITB 干预措施对于许多特别需要心理保健的年轻人来说仍然无效且无法获得。更简短的干预方案可能会增加获得护理的机会。然而，许多针对 SITB 的传统干预措施需要 6 个月或更长时间才能完成，这使得提供者很难在现实世界的时间限制下针对 SITB。本综述 (1) 确定并 (2) 总结了针对 10-24 岁年轻人 SITB 的简短心理社会干预措施的评估。我们检索了过去 50 年进行的随机和准实验试验，这些试验评估了“短暂干预”（即不超过 240 分钟，或总长度为 4 次，每次 60 分钟）对年轻人 SITB 的影响。确定纳入 26 篇文章，总共产生 23 条简短的干预措施。在所有试验中，结果好坏参半。只有六项干预措施报告了对至少一项 SITB 结果有任何积极的干预效果，并且根据基于证据的状态标准，只有一项干预措施被确定为“可能有效”。虽然存在针对 SITB 的简短干预措施，但未来的研究必须确定是否、如何以及何时应传播这些干预措施。