Evidence map›Paper›PMID 37491681›Full record

ArticleChild psychiatry and human development2025

Substance Use, Internet Risk Behavior, and Depressive Symptoms as Predictors of Self-harm Thoughts in Adolescents: Insights from the 2019 ESPAD Survey in Croatia.

Ljiljana Muslić, Tina Rukavina, Martina Markelić, Sanja Musić Milanović

Abstract read
PubMed Publisher
In one paragraph

Article in Child psychiatry and human development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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

4 authors at 1 institution in 1 country.

Ljiljana MuslićDivision for Health Promotion, Croatian Institute of Public Health, Rockefeller St. 7, 10 000, Zagreb, Croatia.ORCID https://orcid.org/0000-0002-2379-6270
Tina RukavinaDivision for Health Promotion, Croatian Institute of Public Health, Rockefeller St. 7, 10 000, Zagreb, Croatia. tina.rukavina3@gmail.com.ORCID https://orcid.org/0000-0003-0448-1860
Martina MarkelićDivision for Health Promotion, Croatian Institute of Public Health, Rockefeller St. 7, 10 000, Zagreb, Croatia.ORCID https://orcid.org/0000-0001-5237-0028
Sanja Musić MilanovićDivision for Health Promotion, Croatian Institute of Public Health, Rockefeller St. 7, 10 000, Zagreb, Croatia.ORCID https://orcid.org/0000-0003-4643-1052
Hrvatski zavod za javno zdravstvo · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Self-harm has become a nonspecific symptom of mental distress that is most prevalent in the adolescent population. Since it is often a hidden problem, it is important to focus on preventing it. This study used the data from the Croatian leg of the European School Survey Project on Alcohol and Other Drugs to assess certain risk factors and possible protective factors for self-harm thoughts among 16-year-olds in Croatia. Using binary logistic regression, we identified that being female, having less family support and less parental knowledge of adolescents' activities, more frequent cannabis use, more compulsive Internet use and more frequent depressive symptoms significantly increased the likelihood of self-harm thoughts in this sample. Identifying factors that lead to thoughts of self-harm may open a potential space for self-harm prevention before those thoughts progress into behavior.

Indexed as

Adolescent BehaviorDepressionInternet UseRisk-TakingSelf-Injurious BehaviorSubstance-Related DisordersAdolescentCroatiaFemaleHumansInternetMaleRisk FactorsAdolescentsCompulsive Internet useDepressionESPADSelf-harmSubstance use

Identifiers

PMID37491681
OpenAlexW4385237922

What OpenQuestion holds

Textmetadata
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.