Evidence map›Paper›PMID 41878231›Full record

ArticleNeuropsychiatric disease and treatment2026

Psychosocial and Biological Factors Associated with Non-Suicidal Self-Injury in Chinese Child and Adolescent Inpatients with Major Depressive Disorder.

Chao Liu, Xue-Yan Zhu, Yan-Ni Shi, Pei-Juan Wang, Wei-Hong Jiang, Jia Zhou, Jian-Cheng Qiu, Peng-Fei Chen, Jing-Cheng Ding, Qi Yan and 1 more

Abstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 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

11 authors.

Chao Liu *Department of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.
Xue-Yan Zhu *Department of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.
Yan-Ni Shi *Department of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.ORCID 0009-0006-3960-9966
Pei-Juan WangDepartment of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.
Wei-Hong JiangDepartment of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.
Jia ZhouDepartment of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.
Jian-Cheng QiuDepartment of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.
Peng-Fei ChenDepartment of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.
Jing-Cheng DingDepartment of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.
Qi YanDepartment of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.
Ya-Qin DingDepartment of Psychiatry, the Fourth People's Hospital of Nantong, Nantong, Jiangsu, 226000, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Object: This study assessed the prevalence and associated psychosocial and biological factors of non-suicidal self-injury (NSSI) in Chinese child and adolescent inpatients diagnosed with major depressive disorder (MDD) by DSM-5 criteria. Methods: This cross-sectional study included 177 inpatients aged 10-16 years. Participants were assessed using the Childhood Trauma Questionnaire (CTQ), Hamilton Depression Scale (HAMD-24), Hamilton Anxiety Scale (HAMA), Shame Scale for Middle School Students (SS), and Mobile Phone Addiction Index (MPAI). Fasting blood levels of cortisol, thyroid hormones, and inflammatory markers were measured. Group comparisons (NSSI vs non-NSSI) used t-tests and chi-square tests, followed by binary logistic regression to identify independent associated factors of NSSI. Results: NSSI prevalence was 69.49%, with a higher proportion of females in the NSSI group. Compared to the non-NSSI patients, the NSSI group exhibited significantly higher scores on the HAMD-24, HAMA, shame, and MPAI scales, as well as higher cortisol and lower free triiodothyronine (FT3) levels. No significant differences were found in other biomarkers (Hypersensitive C-reactive protein, FT4, T3, T4, TSH, Adrenocorticotropic hormone). Regression analysis identified emotional neglect (OR = 1.223), depression severity (OR = 1.197), anxiety (OR = 1.186), shame (OR = 1.046), and cortisol (OR = 1.081) as significant factors associated with NSSI. Smartphone addiction and thyroid function-related indicators showed no significant association in the regression model. Conclusion: NSSI is highly prevalent among child and adolescent inpatients with MDD and is associated with emotional neglect, depressive and anxiety symptoms, shame-proneness, and dysregulated cortisol levels. Smartphone addiction and other biological markers (Hypersensitive C-reactive protein, FT4, T3, T4, TSH, and Adrenocorticotropic hormone) showed no independent association with NSSI in the final model. These findings highlight the importance of integrated management of psychological and biological indicators in high-risk children and adolescents.

Indexed as

child and adolescent inpatientscortisolemotional neglectmajor depressive disordernon-suicidal self-injury

Identifiers

PMID41878231
PMCPMC13006344

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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.