ArticleSchizophrenia bulletin2023
Auditory Hallucinations and Self-Injurious Behavior in General Population Adolescents: Modeling Within-Person Effects in the Tokyo Teen Cohort.
Article in Schizophrenia bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Social environmental risk factors for persistent self-harm in early-to-middle adolescence: data from the Tokyo Teen Cohort study.Child and adolescent psychiatry and mental health · 2026Article
- Psychotic-like experiences and non-suicidal self-injury in the community population: a systematic review and meta-analysis.Child and adolescent psychiatry and mental health · 2026Review
- Machine learning-based nomogram for non-suicidal self-injury among depressed adolescents: a multicentre study.Frontiers in psychiatry · 2026Article
- The bidirectional relationships between social isolation and cognitive function among older adults in China: separating between-person effects from within-person effects.Scientific reports · 2024Article
- Longitudinal relationships of psychotic-like experiences with suicidal ideation and self-harm in adolescents.European child & adolescent psychiatry · 2024Article
- Article
- The longitudinal relationship between dissociative symptoms and self-harm in adolescents: a population-based cohort study.European child & adolescent psychiatry · 2024Article
- A call to action: informing research and practice in suicide prevention among individuals with psychosis.Frontiers in psychiatry · 2024Article
Corrections and comments
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Authors and funding
18 authors at 9 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and hypothesesA wealth of evidence suggests that adolescent psychotic experiences (PEs), and especially auditory hallucinations (AHs), are associated with an increased risk for self-injurious behavior (SIB). However, the directionality and specificity of this association are not well understood, and there are no published studies investigating within-person effects over time. The present study aimed to test whether AHs and SIB prospectively increase reciprocal risk at the individual level during early-to-middle adolescence. STUDY
designThree waves (12y, 14y, and 16y) of self-reported AHs and SIB data from a large Tokyo-based adolescent birth cohort (N = 2825) were used. Random Intercept Cross-Lagged Panel Model (RI-CLPM) analysis was conducted to test the within-person prospective associations between AHs and SIB. STUDY
resultsAt the within-person level, AHs were associated with subsequent SIB over the observation period (12y-14y: β = .118, P < .001; 14-16y: β = .086, P = .012). The reverse SIB->AHs relationship was non-significant at 12-14y (β = .047, P = .112) but emerged from 14y to 16y as the primary direction of influence (β = .243, P < .001). Incorporating depression as a time-varying covariate did not meaningfully alter model estimates.
conclusionsA complex bi-directional pattern of relationships was observed between AHs and SIB over the measurement period, and these relationships were independent of depressive symptoms. Adolescent AHs may be both a predictor of later SIB and also a manifestation of SIB-induced psychological distress.
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