Training adolescents with self-injury to regulate emotions using neurofeedback and biofeedback

Examining the Effects of Real-time fMRI Neurofeedback and Biofeedback in Adolescents With Nonsuicidal Self-injury

Not applicable Interventional Region Östergötland · NCT05656001

This study is testing whether teaching teens who self-injure to manage their emotions using special brain and body feedback can help them stop hurting themselves.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment60 (estimated)
Ages15 Years to 19 Years
SexAll
SponsorRegion Östergötland Academic / other
Locations1 site (Linköping)
Trial IDNCT05656001 on ClinicalTrials.gov

What this trial studies

This study focuses on adolescents who engage in nonsuicidal self-injury (NSSI) and aims to teach them emotion regulation skills through neurofeedback and biofeedback techniques. By targeting the salience network involved in emotional processing, the study seeks to help participants learn to manage their emotions without resorting to self-injury. The interventions include real-time functional magnetic resonance imaging neurofeedback and biofeedback, as well as sham versions for comparison. The goal is to enhance limbic-prefrontal cortex connectivity and improve emotional regulation in these adolescents.

Who should consider this trial

Good fit: Ideal candidates are adolescents aged 15 to 19 who have engaged in nonsuicidal self-injury at least five times in the past six months.

Not a fit: Patients with severe psychiatric conditions such as psychosis or those with anorexia in starvation may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could provide adolescents with effective tools to manage their emotions and reduce self-injurious behaviors.

How similar studies have performed: While the use of neurofeedback and biofeedback in emotion regulation is gaining interest, this specific application in adolescents with NSSI is relatively novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ongoing contact at the child- and adolescent psychiatric clinics in both Linköping and Norrköping, Sweden
* ongoing contact at the primary care facilities in Linköping and Norrköping (Ungdomshälsan, Råd, Stöd \& Hälsa)
* NSSI, independent of psychiatric diagnosis
* between 15 and 19 years of age
* having engaged in five or more instances of NSSI during the last six months
* the patient is cognitively capable to decide for him- or herself

Exclusion Criteria:

* anorexia in starvation with BMI 16 or under
* substance abuse disorder
* psychosis
* needing interpreter
* intellectual disability
* and for those who do the neurofeedback, severe claustrophobia, pregnancy and braces

Where this trial is running

Linköping

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Nonsuicidal Self InjuryEmotion Regulationnonsuicidal self-injuryemotion regulationadolescentsneurofeedbackbiofeedback
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.