Evidence map›Paper›PMID 41788151›Full record

ArticleAlpha psychiatry2026

Interrelationships Between Self-Injury Addiction, Traumatic Experiences, and Rumination Among Adolescents With Non-Suicidal Self-Injury: A Network Analysis.

Shijian Wang, Lin Zhao, Doudou Zheng, Linghua Kong, Jingya Li, Ying Yang

Abstract read
In one paragraph

Article in Alpha psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Shijian WangShandong Mental Health Center, Shandong University, 250014 Jinan, Shandong, China.ORCID https://orcid.org/0009-0006-3228-4900
Lin ZhaoShandong Mental Health Center, Shandong University, 250014 Jinan, Shandong, China.ORCID https://orcid.org/0000-0001-5329-5031
Doudou ZhengShandong Mental Health Center, Shandong University, 250014 Jinan, Shandong, China.ORCID https://orcid.org/0009-0004-0784-6313
Linghua KongSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, 250012 Jinan, Shandong, China.ORCID https://orcid.org/0000-0001-8289-4180
Jingya LiShandong Mental Health Center, Shandong University, 250014 Jinan, Shandong, China.ORCID https://orcid.org/0009-0003-3003-6557
Ying YangShandong Mental Health Center, Shandong University, 250014 Jinan, Shandong, China.ORCID https://orcid.org/0009-0004-6879-0982

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-suicidal self-injury (NSSI) is on the rise in adolescent populations and its addictive profile, marked by frequent repetition, severe damage, and higher suicide risk, has raised broad concern. Childhood trauma is a key influencing factor that enhances emotional sensitivity and increases susceptibility to NSSI. Rumination, characterized by persistent negative thoughts, may mediate this association by amplifying emotional distress, as suggested by the emotional cascade model. Guided by the Interaction of Person-Affect-Cognition-Execution (I-PACE) model, this study employed network analysis to investigate the interactive associations among childhood trauma, rumination, and NSSI addiction in adolescents, aiming to identify core and bridge symptoms. Methods: We enrolled 1169 adolescents with NSSI and collected data using demographic questionnaires along with the Ottawa Self-Injury Inventory, Childhood Trauma Questionnaire, and Ruminative Responses Scale. Undirected network and Bayesian network analyses were applied to examine the complex associations among symptoms and mediation analysis was performed guided by the directed acyclic graph structure. Results: By integrating both directed and undirected network models, symptom rumination and emotional abuse were identified as central nodes influencing the addictive nature of self-injury. Mediation analysis supported the pathway suggested by the directed acyclic graph (DAG), showing that symptom rumination mediated the relationship between emotional abuse and NSSI addiction. Network comparison further indicated that this link between self-injury addiction and symptom rumination was stronger in the addiction group than in the non-addiction group. Conclusion: In Chinese adolescents, timely identification and intervention targeting rumination on emotionally abusive experiences may reduce the onset and persistence of NSSI addiction.

Indexed as

adolescentsnetwork analysisNSSI addictionruminationtrauma

Identifiers

PMID41788151
PMCPMC12957973

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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.