SynthesisBMC public health2017
A reversed gender pattern? A meta-analysis of gender differences in the prevalence of non-suicidal self-injurious behaviour among Chinese adolescents.
Synthesis in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Prevalence and risk factors of sleep disturbances among adolescents with non-suicidal self-injury: a systematic review and meta-analysis.BMC psychology · 2026Pooled it
- A review of the 257 meta-analyses of the differences between females and males in prevalence and risk, protective factors, and treatment outcomes for mental disorder.BMC psychiatry · 2025Pooled it
- A network analysis of depressive symptoms on childhood trauma and the relationship with non-suicidal self-injury among hearing and hard-of-hearing adolescents.BMC psychology · 2026Article
- Motivational-addictive profiles of nonsuicidal self-injury in Chinese youth: a cluster analysis with validation using external correlates.Frontiers in psychiatry · 2026Article
- Development and Validation of a Nomogram for Estimating the Risk of Suicide Tendencies Among Chinese Middle School Students: A Cross-Sectional Study.Psychology research and behavior management · 2026Article
- Assessment of suicidal risk factors in young depressed persons with non-suicidal self-injury based on an artificial intelligence.BMC psychology · 2025Article
- The effect of parental marital status on non-suicidal self-injurious behavior among middle school students in rural western China: a multicenter cross-sectional study based on propensity score matching method.Frontiers in psychiatry · 2025Article
- Prevalence and influencing factors of non-suicidal self-injury among secondary school students seeking medical treatment.Frontiers in psychology · 2025Article
- Exploration of neurometabolic alterations in adolescent patients with bipolar depression and non-suicidal self-injury based on proton magnetic resonance spectroscopy.Frontiers in psychiatry · 2024Article
- Non-suicidal self-injury in Chinese population: a scoping review of prevalence, method, risk factors and preventive interventions.The Lancet regional health. Western Pacific · 2023Article
- Current status of nonsuicidal injuries and associated factors among junior high school students in Hainan Province, China: a cross-sectional study.BMC psychology · 2023Article
- The effects of childhood maltreatment on adolescent non-suicidal self-injury behavior: mediating role of impulsivity.Frontiers in psychiatry · 2023Article
- Risky or protective? Online social support's impact on NSSI amongst Chinese youth experiencing stressful life events.BMC psychiatry · 2022Article
- Adverse childhood experiences, recent negative life events, and non-suicidal self-injury among Chinese college students: the protective role of self-efficacy.Child and adolescent psychiatry and mental health · 2022Article
- Parent-Adolescent Conflict, Depressive Symptoms, and Non-Suicidal Self-Injury among Chinese Adolescents: The Moderating Effect of the COMT Gene rs4680 Polymorphism.International journal of environmental research and public health · 2022Article
- A multilevel model of the help-seeking behaviors among adolescents with mental health problems.Frontiers in integrative neuroscience · 2022Article
- The Psychosocial Correlates of Non-suicidal Self-Injury Within a Sample of Adolescents With Mood Disorder.Frontiers in public health · 2022Article
- Non-Suicidal Self-Injury: An Observational Study in a Sample of Adolescents and Young Adults.Brain sciences · 2021Article
- Influential Factors of Non-suicidal Self-Injury in an Eastern Cultural Context: A Qualitative Study From the Perspective of School Mental Health Professionals.Frontiers in psychiatry · 2021Article
- Childhood Separation From Parents and Self-Harm in Adolescence: A Cross-Sectional Study in Mainland China.Frontiers in psychology · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA reversed gender pattern has been observed in the suicide rate in China compared to elsewhere. Like suicidal behaviour, non-suicidal self-injurious (NSSI) behaviour is a health-risk behaviour. We examined whether a reversed gender pattern existed in the prevalence of NSSI.
methodsOnline literature databases were searched for English and Chinese articles on NSSI behaviours among the Chinese. A meta-analysis with a random-effects model and a subgroup analysis were used to estimate the odds ratios of gender differences in NSSI prevalence among Chinese adolescents including college students, middle school students, and clinical samples, as well as rural, urban, and Hong Kong middle school students.
resultsThere was a male bias in NSSI prevalence among college students (OR = 1.56, 95% CI = [1.30, 1.87], p < 0.001), and a female bias among middle school students (OR = 0.83, 95% CI = [0.73, 0.94], p < 0.01), but there was no gender difference among clinical samples (OR = 0.88, 95% CI = [0.41, 1.89], p > 0.1). The NSSI prevalence among middle school students had a female bias in the rural (OR = 0.58, 95% CI = [0.47, 0.72], p < 0.001) and Hong Kong areas (OR = 0.91, 95% CI = [0.86, 0.96], p < 0.001), with the gender difference in NSSI prevalence in the Hong Kong areas being greater than in rural areas. No gender difference in NSSI prevalence was found in urban areas (OR = 1.01, 95% CI = [0.84, 1.22], p > 0.1) among middle school students.
conclusionsOur analysis indicated the existence of specific gender and age patterns in NSSI prevalence among Chinese adolescents. The sample type, age, and the areas that have different gender norms and culture could partly explain this pattern.
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