ArticleBMC psychiatry2024
The impact of depressive and anxious symptoms on non-suicidal self-injury behavior in adolescents: a network analysis.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Motivations for Self-Harm in Young People and Their Correlates: A Systematic Review.Clinical child and family psychology review · 2025Pooled it
- A study on the effects of combined DBT and STEPPS interventions for adolescents with non-suicidal self-injury: a randomized controlled trial.Frontiers in public health · 2026Trial
- Acceptance-Based and ACT-Informed Interventions for Non-Suicidal Self-Injury in Adolescents: A Systematic Review and Exploratory Meta-Analysis.Children (Basel, Switzerland) · 2026Review
- Are Specific Components of Executive Function Associated with the Functions of Non-Suicidal Self-Injury? A Network Analysis of Chinese University Students with Past-Year NSSI.Behavioral sciences (Basel, Switzerland) · 2026Article
- Parent-adolescent psychological distress (in)congruence and adolescent NSSI: a dyadic response surface analysis.Child and adolescent psychiatry and mental health · 2026Article
- [Longitudinal relationships among anxiety, depression, nonZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026Article
- Associations of Physical Activity and Psychological Resilience with Non-Suicidal Self-Injury Among Chinese Adolescents: A Combined Variable- and Person-Centered Approach.Behavioral sciences (Basel, Switzerland) · 2026Article
- Network analysis of depression, anxiety, and NSSI symptoms in adolescents: a clinical sample study.BMC psychiatry · 2026Article
- A network analysis of depressive symptoms on childhood trauma and the relationship with non-suicidal self-injury among hearing and hard-of-hearing adolescents.BMC psychology · 2026Article
- Athletes' psychological strain, negative emotions, and suicidal ideation: a mixed methods study.BMC psychiatry · 2026Article
- Network analysis of school refusal behavior and internalizing and externalizing problems among Chinese adolescents.BMC psychology · 2026Article
- A multidimensional examination of pain threshold and non-suicidal self-injury: psychological and physiological determinants in adolescents.BJPsych open · 2026Article
- Anxiety development trajectories in junior high students: effects of family functioning and gender, and prediction of non-suicidal self-injury.BMC psychology · 2026Article
- Unmasking the "Mixed-Dysregulated" phenotype: latent profiles of affective temperaments and non-suicidal self-injury in adolescents with depression.BMC psychiatry · 2026Article
- Predictive value of antioxidant and thyroid function indicators for non-suicidal self-injury in adolescents with major depressive disorder.Frontiers in psychiatry · 2026Article
- Childhood maltreatment and adolescent non-suicidal self-injury: cross-sectional conditional process and network analyses of depressive symptoms and physical activity.Frontiers in psychiatry · 2026Article
- Machine learning-based nomogram for non-suicidal self-injury among depressed adolescents: a multicentre study.Frontiers in psychiatry · 2026Article
- Childhood trauma and non-suicidal self-injury among Chinese students: the mediating role of depression and the moderating role of perceived teacher legitimacy.Frontiers in psychology · 2026Article
- Recurrent non-suicidal self-injury in depressed youth with mixed features: a 6-month prospective cohort study.Child and adolescent psychiatry and mental health · 2025Article
- Understanding Social Influence of Non-Suicidal Self-Injury: The Interplay of Peer Networks and Adolescent Behavior.Journal of youth and adolescence · 2025Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
purposeConceptualizing adolescent NSSI and emotional symptoms as a system of causal elements could provide valuable insights into the development of non-suicidal self-injury (NSSI) in adolescent. This study aimed to explore the intricate relationship between NSSI, depressive symptoms, and anxious symptoms in adolescents, identifying key symptoms to establish a theoretical foundation for targeted and effective interventions addressing NSSI behaviors in this population.
methodsA total of 412 adolescents with NSSI behaviors were selected from outpatients. Generalized anxious disorder scale (GAD-7) and patient health questionnaire (PHQ-9) were employed to measure anxious symptoms and depressive symptoms, respectively. The adolescent non-suicidal self-injury assessment questionnaire (ANSSIAQ) was used to evaluate NSSI of adolescent. Using network analysis, the NSSI、depressive symptoms and anxious symptoms network were constructed to identify the most central symptoms and the bridge symptoms within the networks.
resultsThe findings revealed that the NSSI functional nodes "coping with sadness and disappointment" and "relieving stress or anxious" exhibited the strongest correlation, with a regularized partial correlation coefficient was 0.401. The symptoms "having a desire to harm oneself and unable to stop" and the node "depressive symptoms" had the highest strength centrality in the network, and their strength centrality indices were 1.267 and 1.263, respectively. The bridge nodes were "having a desire to harm oneself and unable to stop" and "expressing one's despair and hopelessness", with expected impact indices of 0.389 and 0.396, respectively.
conclusionIn adolescents, the network revealed a closer connection between NSSI and depressive symptoms. "The desire to not stop hurting oneself" is not only broadly connected to other nodes but also could activate other nodes to maintain NSSI behavior. In light of these findings, precise targets for pharmacological treatment, psychotherapy, physical therapy, etc., are identified for adolescents with NSSI. Targeting this specific aspect in interventions may contribute to preventing and reducing NSSI behavior in adolescents.
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