Scholarlink

Background <p>In clinical samples of adolescents with depression, the underlying causes of non-suicidal self-injury (NSSI) across different developmental stages of adolescence are not well understood. This study explored stage-specific differences by comparing psychosocial factors and investigating possible causal links between NSSI and depressive symptoms in middle adolescence (13–15&#xa0;years) versus late adolescence (16–18&#xa0;years).</p> Methods <p>A total of 1,530 Chinese adolescents with a diagnosis of depression were enrolled in the study. The presence of non-suicidal self-injury (NSSI) in the past year was assessed using the Functional Assessment of Self-Mutilation (FASM). Psychosocial factors were measured with the Patient Health Questionnaire (PHQ-9), Toronto Alexithymia Scale (TAS), Childhood Trauma Questionnaire (CTQ), Multidimensional Peer Victimization Scale (MPVS), and Multidimensional Scale of Perceived Social Support (MSPSS). To examine stage-specific differences in network centrality and causal pathways, partial correlation networks and Bayesian network analysis were applied.</p> Results <p>Depressive symptoms demonstrated a probabilistic directional association with NSSI during middle adolescence, whereas peer victimization emerged as a primary probabilistic link to NSSI in late adolescence. Gender demonstrated a stable direct edge to NSSI, with no consistent indirect paths through other measured variables. Within the directed acyclic graph, childhood trauma emerged as a putative upstream factor, exhibiting strong connections to peer victimization and social support.</p> Conclusions <p>These findings indicate that factors including depressive symptoms, gender, and peer victimization exerted distinct effects on NSSI across developmental stages. Future research should prioritize the specific influence of adolescence as a dynamic developmental period on the etiology and maintenance of NSSI.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Multifactorial associations of non-suicidal self-injury among adolescents with depression: a network analytic perspective

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月9日

查看全文
  • Shiyu Sun,
  • Lan Hong,
  • Siyu Tong,
  • Meizhi Zheng,
  • Jiaying Sun,
  • Shiyi Yan,
  • Ke Zhao,
  • Wendian Shi,
  • He He

摘要

Background

In clinical samples of adolescents with depression, the underlying causes of non-suicidal self-injury (NSSI) across different developmental stages of adolescence are not well understood. This study explored stage-specific differences by comparing psychosocial factors and investigating possible causal links between NSSI and depressive symptoms in middle adolescence (13–15 years) versus late adolescence (16–18 years).

Methods

A total of 1,530 Chinese adolescents with a diagnosis of depression were enrolled in the study. The presence of non-suicidal self-injury (NSSI) in the past year was assessed using the Functional Assessment of Self-Mutilation (FASM). Psychosocial factors were measured with the Patient Health Questionnaire (PHQ-9), Toronto Alexithymia Scale (TAS), Childhood Trauma Questionnaire (CTQ), Multidimensional Peer Victimization Scale (MPVS), and Multidimensional Scale of Perceived Social Support (MSPSS). To examine stage-specific differences in network centrality and causal pathways, partial correlation networks and Bayesian network analysis were applied.

Results

Depressive symptoms demonstrated a probabilistic directional association with NSSI during middle adolescence, whereas peer victimization emerged as a primary probabilistic link to NSSI in late adolescence. Gender demonstrated a stable direct edge to NSSI, with no consistent indirect paths through other measured variables. Within the directed acyclic graph, childhood trauma emerged as a putative upstream factor, exhibiting strong connections to peer victimization and social support.

Conclusions

These findings indicate that factors including depressive symptoms, gender, and peer victimization exerted distinct effects on NSSI across developmental stages. Future research should prioritize the specific influence of adolescence as a dynamic developmental period on the etiology and maintenance of NSSI.