ArticleMedicine2026
Effect of a nurse-led caring contact program on 90-day recurrence of nonsuicidal self-injury in youth.
Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Care pathways following disclosure of adolescent non-suicidal self-injury: a dyadic qualitative study.Frontiers in psychiatry · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nonsuicidal self-injury (NSSI) is highly prevalent among adolescents and is associated with significant emotional dysregulation and elevated suicide risk. The post-discharge period, particularly the first 90 days, represents a high-risk window for relapse. Caring contact - a brief, supportive, nonclinical follow-up after discharge - has shown potential in reducing self-harm among adults, but evidence in adolescents with NSSI remains limited. This study aimed to evaluate the effectiveness of a nurse-led caring contact program in reducing 90-day NSSI recurrence and improving psychological outcomes among adolescents. A retrospective cohort study was conducted including 102 adolescents hospitalized for NSSI between January 2023 and December 2024. Participants were assigned to the intervention group (n = 52; structured caring contact at weeks 1, 2, 4, 8, and 12) or control group (n = 50; routine post-discharge care). Primary outcome was 90-day NSSI recurrence. Secondary outcomes included changes in depression (patient health questionnaire-9 item), anxiety (generalized anxiety disorder 7-item scale), and perceived social support (perceived social support scale). Logistic regression was used to identify independent predictors of recurrence. Nurse-led caring contact substantially reduces short-term NSSI recurrence and improves emotional symptoms and perceived social support in adolescents following psychiatric hospitalization. As a low-cost, scalable intervention, caring contact should be considered for integration into routine post-discharge management to enhance continuity of care and prevent early relapse in this high-risk population. The 90-day recurrence rate was significantly lower in the intervention group compared with controls (21.15% vs 42.00%, χ2 = 5.17, P = .023). The intervention group showed greater reductions in patient health questionnaire-9 item and generalized anxiety disorder 7-item scale scores and a greater increase in perceived social support scale scores (all P < .001). In multivariable analysis, nurse-led caring contact remained an independent protective factor against recurrence (odds ratio = 0.38, 95% confidence interval: 0.16-0.91, P = .031).
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