This narrative literature review focuses on family factors that might be amenable to intervention using family therapy (n=126). Domains of interest include parent/child interactions, inter‐parental relationships, child characteristics, parental characteristics, wider system factors, treatment needs and moderators. The focus of family‐orientated treatment with this population should focus on maximizing cohesion, attachment, adaptability, family support, parental warmth while reducing maltreatment, scapegoating and moderating parental control. Close working relationships with child protection services and schools represent additional opportunities. Practitioner points Over and above any inherited risk, a range of family interactional factors are strongly associated with self‐harming behaviours in young people Therapy has the potential to make a positive difference by focusing on enhancing family cohesion and adaptability, whilst reducing discord and violence. Discussions that enhance perceived parental support and warmth may be particularly helpful Therapists should attend to issues of perceived difference and potential victimization (bullying, gender orientation and identity, ethnic minority status) as these may play an important role in self‐harm 和青少年自残相关的家庭因素：一个叙述性的回顾 摘要: 这个叙述性的文献回顾集中在用于家庭治疗干预中的可能被修复的家庭因素（数量=126）。这里涉及到父母/儿童的交互, 父母之间的关系, 儿童的特点, 家长的特点, 更广泛的系统特点, 干预需要和催化因素。针对这一群体的家庭为导向的干预应该集中在最大化凝聚力, 依恋, 适应性, 家庭支持, 父母温暖, 与此同时减少错误对待, 迁怒, 和调解家庭的控制。和儿童保护服务和学校的亲密工作关系呈现了额外的机会。 对实践者有用的几点建议 除了遗传的风险外, 一系列的家庭互动因素和青年人的自残行为有很强烈的相关。 治疗有潜力促使积极转变的发生, 这可以通过加强家庭的凝聚力和适应性, 同时减少不和谐和暴力。对加强感知到的家长的支持和温暖的讨论可能尤其有帮助 治疗师应该关注感知到的不同和潜在的欺骗（欺凌, 性别取向和认知, 少数民族身份）因为这些可能对自残行为的发生起到了作用。 关键词：自残, 儿童和青少年精神健康, 家庭事实