Evidence map›Paper›PMID 30477603›Full record

ArticleThe British journal of psychiatry : the journal of mental science2019

Associations of adverse childhood experiences and social support with self-injurious behaviour and suicidality in adolescents.

Yuhui Wan, Ruoling Chen, Shuangshuang Ma, Danielle McFeeters, Ying Sun, Jiahu Hao, Fangbiao Tao

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 7 pooled it
12.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 7 syntheses or guidelines pooled it, 198 citations in OpenAlex.

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  2. Non-Suicidal Self-Injury in Adolescents: A Systematic Review on Prevention and Intervention Programmes.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · 2025
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Yuhui WanAssociated Professor,Department of Maternal, Child and Adolescent Health,School of Public Health,Anhui Medical University,China,Anhui Provincial Key Laboratory of Population Health and Aristogenics,Anhui Medical University, China and Faculty of Education,Health and Wellbeing,University of Wolverhampton,UK.
Ruoling ChenProfessor,Faculty of Education,Health and Wellbeing,University of Wolverhampton,UK.
Shuangshuang MaStudent,Department of Maternal, Child and Adolescent Health,School of Public Health,Anhui Medical UniversityandAnhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University,China.
Danielle McFeetersFellow,Faculty of Education,Health and Wellbeing,University of Wolverhampton,UK.
Ying SunAssociated Professor,Department of Maternal, Child and Adolescent Health,School of Public Health,Anhui Medical UniversityandAnhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University,China.
Jiahu HaoProfessor, Department of Maternal,Child and Adolescent Health,School of Public Health,Anhui Medical UniversityandAnhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University,China.
Fangbiao TaoProfessor, Department of Maternal,Child and Adolescent Health,School of Public Health,Anhui Medical UniversityandAnhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University,China.
Anhui Medical University · CNUniversity of Wolverhampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is little investigation on the interaction effects of adverse childhood experiences (ACEs) and social support on non-suicidal self-injury (NSSI), suicidal ideation and suicide attempt in community adolescent populations, or gender differences in these effects.AimsTo examine the individual and interaction effects of ACEs and social support on NSSI, suicidal ideation and suicide attempt in adolescents, and explore gender differences.

methodA school-based health survey was conducted in three provinces in China between 2013-2014. A total of 14 820 students aged 10-20 years completed standard questionnaires, to record details of ACEs, social support, NSSI, suicidal ideation and suicide attempt.

resultsOf included participants, 89.4% reported one or more category of ACEs. The 12-month prevalence of NSSI, suicidal ideation and suicide attempt was 26.1%, 17.5% and 4.4%, respectively; all were significantly associated with increased ACEs and lower social support. The multiple adjusted odds ratio of NSSI in low versus high social support was 2.27 (95% CI 1.85-2.67) for girls and 1.81 (95% CI 1.53-2.14) for boys, and their ratio (Ratio of two odds ratios, ROR) was 1.25 (P = 0.037). Girls with high ACEs scores (5-6) and moderate or low social support also had a higher risk of suicide attempt than boys (RORs: 2.34, 1.84 and 2.02, respectively; all P < 0.05).

conclusionsACEs and low social support are associated with increased risk of NSSI and suicidality in Chinese adolescents. Strategies to improve social support, particularly among female adolescents with a high number of ACEs, should be an integral component of targeted mental health interventions.Declaration of interestNone.

Indexed as

Adverse Childhood ExperiencesSocial SupportSuicidal IdeationAdolescentAdolescent BehaviorChildChinaFemaleHumansMalePrevalenceRisk FactorsSchoolsSelf-Injurious BehaviorSex FactorsStudentsAdverse childhood experiencesnon-suicidal self-injurysocial supportsuicidal ideationsuicide attempt

Identifiers

PMID30477603
PMCPMC6429251
OpenAlexW2903375108

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.