ArticleBJPsych open2021
Investigating prolonged social withdrawal behaviour as a risk factor for self-harm and suicidal behaviours.
Article in BJPsych open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social Anxiety and Suicidality in Youth: A Systematic Review and Meta-analysis.Research on child and adolescent psychopathology · 2023Pooled it
- Failure to Launch (FTL): A Narrative Review and Call for Research.Clinical child and family psychology review · 2026Review
- Hikikomori tendencies and belongingness in Turkish university students: the roles of online social comfort, interpersonal sensitivity, and hopelessness.BMC psychology · 2026Article
- A Quantitative Text Analysis of the 8050 Problem and Stratified Support in the Japanese Diet.Cureus · 2026Article
- Weekday-to-Weekend Sleep Differences and Poor Mental Health in Young Adulthood.Journal of Korean medical science · 2025Article
- Perceptions of Mental Health Challenges and Needs of Indonesian Adolescents: A Descriptive Qualitative Study.International journal of mental health nursing · 2025Article
- Sex Differences in Behavioral and Psychopathological Trajectories From Late Childhood to Early Adolescence: Implications for Suicidality Risk.Depression and anxiety · 2025Article
- Using Machine Learning and the HAMD-24 Scale to Predict Suicide Ideation in Depressed Patients.Psychology research and behavior management · 2025Article
- The functional heterogeneity of non-suicidal self-injury: insights from latent profile analysis.BMC psychiatry · 2024Article
- Gender differences and mental distress during COVID-19: a cross-sectional study in Japan.BMC psychiatry · 2024Article
- Psychometric Validation of the Purpose in Life Test-Short Form (PIL-SF) in Individuals Diagnosed with Severe Mental Illness.Healthcare (Basel, Switzerland) · 2024Article
- Suicidal Thoughts and Trajectories of Psychopathological and Behavioral Symptoms in Adolescence.JAMA network open · 2024Article
- Article
- Contemporary Hermits: A Developmental Psychopathology Account of Extreme Social Withdrawal (Hikikomori) in Young People.Clinical child and family psychology review · 2023Article
- Article
- Reaching hidden youth in Singapore through the Hidden Youth Intervention Program: A biopsychosocial approach integrating mental health and social work interventions.Frontiers in psychiatry · 2023Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-harm and suicidal behaviour are recognised as public health concerns. Prolonged social withdrawal behaviour, or hikikomori, is reported as a risk factor for suicidal behaviour.
aimsTo examine the occurrence and additional risk of prolonged social withdrawal behaviour on self-harm and suicidal behaviour among Chinese university students.
methodA cross-sectional online survey was conducted with three universities in southern China. A two-stage random sampling was adopted for recruitment, with students in different years of study, in different departments of each participating university. Hierarchical logistic regression analyses were conducted to investigate the sociodemographic and psychological correlates of self-harm and suicidal behaviours among male and female participants with hikikomori status.
resultsOf the students who completed the online survey, 1735 (72.23%) were included in the analysis; 11.5% (n = 200) reported self-harm behaviour and 11.8% (n = 204) reported suicidal behaviours in the past 12 months. Men showed a higher prevalence rate of self-harm than women (14.7% v. 10.8%, P = 0.048), but a similar rate of suicidal behaviours (11.9% v. 11.3%, P = 0.78). The overall prevalence rate of social withdrawal behaviour was 3.2% (7.0% for men and 2.3% for women, P < 0.001). Prolonged social withdrawal behaviour status was significantly associated with self-harm (odds ratio 2.00, 95% CI 1.22-3.29) and suicidal behaviour (odds ratio 2.35, 95% CI 1.45-3.81). However, the associations became statistically insignificant after adjustment for psychological factors in the final models in the logistic regression analyses.
conclusionsProlonged social withdrawal behaviour appears to be associated with self-harm and suicidal behaviour, but psychological factors have stronger links with suicidality.
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