ArticleChild and adolescent psychiatry and mental health2024
Prevalence of unhealthy behaviors and their associations with non-suicidal self-injury, suicidal ideation and suicide attempt among Chinese adolescents.
Article in Child and adolescent psychiatry and mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Substance Use and Non-Suicidal Self-Injury among Adolescents: A Meta-Analysis of Association Patterns and Moderating Factors.Journal of youth and adolescence · 2026Pooled it
- Effect of parallel adolescent and parent dialectical behavior therapy skills training vs. adolescent-only skills training on nonsuicidal self-injury: a pilot randomized trial.BMC psychiatry · 2026Trial
- Implicit Health Beliefs and Suicidal Ideation in Chinese College Students: The Serial Mediating Roles of Lifestyle Behaviors and Anxiety Symptoms.Behavioral sciences (Basel, Switzerland) · 2026Article
- Associations in Both Directions Between Internet Gaming Disorder and Suicidal Ideation and Attempts Among Chinese Adolescent Gamers: Two-Wave Prospective Cohort Study.Journal of medical Internet research · 2026Article
- Associations between 24-hour movement behavior and non-suicidal self-injury in adolescents: based on compositional data and isotemporal substitution analysis.BMC psychology · 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
- The impact of a growth mindset on adolescents' health risk behaviors: the chain mediating role of core self-evaluation and coping style.BMC psychology · 2026Article
- Article
- Associations between adherence to 24-h movement guidelines and non-suicidal self-injury in adolescents: separate moderation by sex and mediation by psychological health.Frontiers in public health · 2026Article
- Psychological, social, and neurobiological correlates of non-suicidal self-injury and suicidal behavior in adolescents: a narrative review.Frontiers in psychiatry · 2026Review
- Association between screen time and non-suicidal self-injury among adolescents: a compositional isotemporal substitution analysis.Frontiers in public health · 2026Article
- The Association Between Presleep and Postwake Mobile Phone Use and Nonsuicidal Self-Injury Among University Students: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Prevalence rate of perceived gender discrimination and its associations with suicide behaviors in Chinese adolescents: the mediating roles of depressive symptoms and anxiety symptoms.European child & adolescent psychiatry · 2025Article
- Internet gaming disorder and suicidal behaviors mediated by sleep disturbance: a large-scale school-based study in 135,174 Chinese middle school students.European child & adolescent psychiatry · 2025Article
- Domain-specific physical activity and risk of suicidal ideation in adults: a population-based study.BMC public health · 2025Article
- Associations of Involuntary Smoking with Non-Suicidal Self-Injury and Suicidal Behaviors in Early Adulthood.Toxics · 2025Article
- Adverse Childhood Experiences and Nonsuicidal Self-Injury and Suicidality in Chinese Adolescents.JAMA network open · 2024Article
Corrections and comments
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10 authors.
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Abstract
backgroundUnhealthy lifestyle behaviors among adolescents have emerged as a significant public health concern worldwide, however, there is little investigation on the impact of unhealthy behaviors on non-suicidal self-injury (NSSI), suicidal ideation (SI) and suicide attempt (SA). This study aimed to investigate the prevalence of seven unhealthy behaviors as well as their associations with NSSI, SI and SA, and to explore whether the aforementioned associations differ across sex.
methodsA total of 74,152 adolescents were included in this study via a multi-stage, stratified cluster, random sampling method in 2021. Information about unhealthy behaviors (insufficient physical activity, current smoking, current drinking, excessive screen time, long homework time, insufficient sleep and unhealthy BMI), NSSI, SI, SA and other demographics was collected. Sampling weights were used to estimate the prevalence, and the weighted logistic regression models were performed. Stratified analyses by sex and sensitive analyses were conducted.
resultsOverview, the weighted prevalence of adolescents had more than five unhealthy behaviors were 5.2%, with boys showing a higher prevalence than girls (6.5% vs.3.8%). Current smoking, current drinking, excessive screen use, long homework time, insufficient sleep, and unhealthy BMI were significantly associated with NSSI, SI and SA. Moreover, adolescents with high lifestyle risk scores were associated with an increased risk of NSSI (5-7 vs. 0: OR 6.38, 95% CI 5.24-7.77), SI (5-7 vs. 0: OR 7.67, 95% CI 6.35-9.25), and SA (5-7 vs. 0: OR 9.57, 95% CI 6.95-13.17). Significant sex differences were found in the associations of unhealthy behaviors with NSSI, SI and SA.
conclusionUnhealthy behaviors are quite common among Chinese adolescents. Adolescents with multiple unhealthy behaviors are associated with increased risks of NSSI, SI, and SA. The implementation of school and family-based interventions to promote healthy lifestyles is recommended as a preventive measure against self-injurious behavior and suicidality in adolescents.
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