ArticleFrontiers in psychiatry2022
Associations of depressive and anxiety symptoms with non-suicidal self-injury and suicidal attempt among Chinese adolescents: The mediation role of sleep quality.
Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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 meta-analysis on the lifetime and period prevalence of self-injury among adolescents with depression.Frontiers in public health · 2024Pooled it
- Anxiety influences the addictive feature of non-suicidal self-injury behavior via somatic symptom in adolescents with major depressive disorder.Molecular psychiatry · 2026Article
- Network analysis of depression, anxiety, and NSSI symptoms in adolescents: a clinical sample study.BMC psychiatry · 2026Article
- A Network Analysis of the Interrelationships Between Depression, Anxiety, Insomnia and Non-Suicidal Self-Injury in Middle School Students.Psychology research and behavior management · 2026Article
- The relationship between self-compassion and non-suicidal self-injury among Chinese college students: the chain mediating roles of psychological resilience and well-being.Frontiers in psychology · 2026Article
- A novel approach to exploring youth non-suicidal self-injury heterogeneity: individual differential psychopathology network analysis.Annals of general psychiatry · 2025Article
- A longitudinal study on problematic smartphone use and Non-Suicidal Self-Injury: the mediating role of academic procrastination and anxiety.BMC psychology · 2025Article
- Decoding the adolescent non-suicidal self-injury: understanding with interpretable machine learning insights.BMC public health · 2025Article
- Adolescent non-suicidal self-injury: The moderating influence of social support utilization on depression.World journal of psychiatry · 2025Article
- Mediation of DNA methylation (cg04622888 and cg05037505) in the association between childhood maltreatment and non-suicidal self-injury in early adolescents.European child & adolescent psychiatry · 2025Article
- Mediating Role of Depression Severity in the Relationship Between Childhood Trauma and Non-Suicidal Self-Injury Among Adolescents With Mood Disorders.Brain and behavior · 2025Article
- The mediation of depressive symptoms between different types of childhood maltreatment and non suicidal self-injury.Scientific reports · 2025Article
- Prevalence and correlates of nonsuicidal self-injury among youths in Singapore: findings from the National Youth Mental Health Study.Child and adolescent psychiatry and mental health · 2025Article
- Non-suicidal self-injury risk among left-behind children and adolescents in China: A systematic review and meta-analysis.World journal of psychiatry · 2025Article
- Cutting into the Mirror: Association of Body Image Concerns with Non-Suicidal Self-Injury in Adolescents and Young Adults with Eating Disorders.European journal of investigation in health, psychology and education · 2025Article
- The Relationship Between Self-Control and Non-Suicidal Self-Injury in Adolescent Psychiatric Outpatients: Exploring the Role of Self-Control.Children (Basel, Switzerland) · 2025Article
- Network Analysis of Anxiety, Insomnia, Depression, and Suicide Attempts in Chinese Outpatients with Somatic Symptom Disorder.Neuropsychiatric disease and treatment · 2025Article
- Bridging symptoms between problematic social networking and generalized anxiety in adolescents with non-suicidal self-injury: a network analysis.Frontiers in psychiatry · 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
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9 authors.
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Abstract
Background: Associations of depressive and anxiety symptoms with non-suicidal self-injury (NSSI) and suicide attempt (SA) are not well understood. We aimed to examine these associations among Chinese adolescents, and whether any potential association is mediated through sleep quality. Methods: We conducted a cross-sectional study among 1,771 (994 boys [56.1%] and 777 girls [43.9%], mean [SD] age was 12.9 [0.6] years) adolescents who participated in the baseline survey of the Chinese Adolescent Health Growth Cohort (CAHGC) study. Depressive symptoms, anxiety symptoms, NSSI, SA and sleep quality were measured by validated questionnaire. Logistic regression models were employed to estimate the associations of depression and anxiety with NSSI and SA. Mediation analyses were conducted to explore the mediate effect of sleep quality. Results: The 12-month prevalence of NSSI and SA was 17.1 and 8.3%, respectively. Depressive and anxiety symptoms were significantly associated with NSSI (the adjusted odds ratio [aOR] was 1.89 [95% CI 1.34-2.65] for depressive symptoms and 2.84 [95% CI 2.05-3.94] for anxiety symptoms) and SA (the aOR was 3.20 [95% CI 2.03-5.05] for depressive symptoms and 2.98 [95% CI 1.84-4.84] for anxiety symptoms). No significant gender differences were found in the associations. The mediation proportion of sleep quality on the association of depressive and anxiety symptoms with NSSI, as well as depressive and anxiety symptoms with SA were 21.1, 13.9, 13.6, and 14.7, respectively. Conclusion: Independent associations of depressive and anxiety symptoms with NSSI and SA were observed in Chinese adolescents, and there were no significant gender differences in the associations. Moreover, these associations were partially mediated through sleep quality. Targeted interventions for adolescents' NSSI and SA should focus on those who have depressive and anxiety symptoms, and poor sleep quality.
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