ArticleSocial psychiatry and psychiatric epidemiology2021
Repeat self-harm among Chinese adolescents: 1-year incidence and psychosocial predictors.
Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 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
- Self-injury and suicide among people living with HIV/AIDS in China: a systematic review and meta-analysis.BMC public health · 2024Pooled it
- Sleep Problems and Non-Suicidal Self-Injury in Adolescents: A Systematic Review and Meta-Analysis of Longitudinal Studies.Child psychiatry and human development · 2026Review
- Prevalence and Associated Factors of Premenstrual Syndrome in Chinese Adolescent Girls.Child psychiatry and human development · 2025Article
- Profiles of Intolerance of Uncertainty Among 108,540 Adolescents: Associations with Sociodemographic Variables and Mental Health.Child psychiatry and human development · 2025Article
- Variation in and Factors Associated with Youth Self-Harm in College Students - Jiangsu Province, China, 2019-2023.China CDC weekly · 2025Article
- Gender-Specific Trajectories of Non-Suicidal Self-Injury among Adolescents: Predictive Roles of Distal and Proximal Risk Factors.Journal of youth and adolescence · 2025Article
- Profiles of caregiver burden among adolescents with non-suicidal self-injury: a latent profile analysis.Frontiers in psychiatry · 2025Article
- Path to Suicidality in Korean Adolescents: Mediating Role of Self-Esteem, Somatic Symptoms, and Self-Harm Amid Depressive Symptoms.Healthcare (Basel, Switzerland) · 2024Article
- Case fatality of repeated suicidal acts among suicide attempters in rural China: a retrospective cohort study.The Lancet regional health. Western Pacific · 2024Article
- Current status of nonsuicidal injuries and associated factors among junior high school students in Hainan Province, China: a cross-sectional study.BMC psychology · 2023Article
- Profiles of depressive symptoms and influential factors among people living with HIV in China.BMC public health · 2023Article
- Depression and Deliberate Self-Harm Among Rural Adolescents of Sichuan Province in Western China: A 2-Year Longitudinal Study.Frontiers in psychiatry · 2021Article
- A meta-analysis of longitudinal studies on the interplay between sleep, mental health, and positive well-being in adolescents.International journal of clinical and health psychology : IJCHPArticle
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Authors and funding
3 authors at 2 institutions in 2 countries.
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Abstract
purposeSelf-harm in adolescents is prevalent and is the most significant predictor of future self-harm and suicide. Longitudinal data on the incidence and predictors of repeat self-harm in the general population of adolescents are limited. This study investigated 1-year incidence and psychosocial predictors of repeat self-harm in Chinese adolescents.
methodsShandong Adolescent Behavior and Health Cohort is a longitudinal study of behavior and health in adolescents in Shandong Province, China. Of 7072 participants who were assessed in 2015 and again 1 year later in 2016, 1879 reported a history of self-harm at the baseline survey and were included for this analysis. A self-administered structured questionnaire was used to assess behavioral and emotional problems, sleep, life stress, previous history of self-harm and suicidal thought, and family factors at baseline and self-harm at 1-year follow-up.
resultsMean age of the sample was 14.86 (SD 1.36) years and 54.6% were female. At 1-year follow-up, 22.1% participants engaged in repeat self-harm. Multiple logistic regression analyses showed that female gender (OR 1.45, 95% CI 1.11-1.89), alcohol use (OR 1.95, 95% CI 1.48-2.57), frequent nightmares (OR 1.61, 95% CI 1.14-2.28), elevated depression score (OR 1.59, 95% CI 1.05-2.42), and prior suicidal thought (OR 1.79, 95% CI 1.37-2.34) were independently and significantly associated with an increased risk of repeat self-harm.
conclusionMore than one in five Chinese adolescents who had a history of self-harm engaged in self-harm at 1-year follow-up. Multiple psychosocial factors including female gender, alcohol use, frequent nightmares, depression, and prior suicidal thought appeared to be significant predictors of repeat self-harm. Our findings highlight the importance of comprehensive psychosocial assessment and intervention of repeat self-harm in adolescents.
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