ArticleBMC pediatrics2026
The non-suicidal self-injury behaviour and its influencing factors in adolescents.
Article in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundNon-suicidal self-injury (NSSI) among adolescents is a growing concern in global adolescent mental health. This study examines psychosocial correlates of NSSI in adolescents presenting to a pediatric emergency department in Shanghai.
methodsA total of 612 adolescents (aged 12-18) presenting with unintentional injuries to the emergency department from July 2019 to July 2024 were enrolled. Structured interviews and validated questionnaires assessed demographic, familial, and school-related variables. NSSI behaviors were identified based on the DSM-5 criteria. Logistic regression analysis was used to examine associations with NSSI.
resultsOf the participants, 283 (46.2%) reported NSSI behaviors within the past 12 months, representing the past-year prevalence of NSSI. Female gender (OR = 7.130, junior high; OR = 6.000, high school), prior history of NSSI (OR = 8.452), single-parent household (OR = 2.934), higher parental education (OR = 2.476), and school bullying (OR = 3.195) were positively associated with NSSI. Living in suburban areas (OR = 0.581) and being cared for by non-parental caregivers (OR = 0.357) were inversely associated with NSSI.
conclusionNSSI was common in this emergency department sample, and several psychosocial characteristics were found to be associated with NSSI. These findings are descriptive and should not be interpreted causally, but they may contribute to hypothesis generation for future longitudinal research.
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