Non-suicidal self-injury in Chinese population: a scoping review of prevalence, method, risk factors and preventive interventions

Qu, Diyang; Wang, Xue; Liu, Bowen; Zhang, Xuan; He, Yabai; Chen, Dongyang; Duan, Xueer; Yu, Jun; Liu, Dongyu; Zhang, Xiaoqian; Ou, Jianjun; Zhou, Jiansong; Cui, Zaixu; An, Jing; Wang, Yuanyuan; Zhou, Xinyu; Yuan, Ti‐Fei; Jing, Tang; Yue, Weihua; Chen, Runsen

doi:10.1016/j.lanwpc.2023.100794

Cited by 16 publications

(14 citation statements)

References 73 publications

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“…Around 23.8% of the participants disclosed involvement in NSSI in the preceding six months, a rate akin to the 24.7% NSSI prevalence documented in the study conducted by Qu and colleagues in relation to the identical COVID-19 pandemic [42] . In comparison to the NSSI rate of 8.8% found among Chinese adolescents before the COVID-19 pandemic in the study by Liu [43] , the adolescents in our present sample reported a signi cantly higher NSSI rate.…”

Section: Discussionsupporting

confidence: 56%

Associations between parenting styles and non-suicidal self-injury in children aged 10-12: the mediating role of negative attentional biases and emotional symptoms

Dai,

Yan,

et al. 2023

Preprint

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Background: Non-suicidal self-injury (NSSI) in children aged 10-12 is often associated with increased suicide risk and more severe clinical presentation, yet research on the mechanisms and factors influencing NSSI in this group is extremely limited. The aim of this study was to examine the relationship between parenting styles and non-suicidal self-injury in children aged 10-12, and to further explore the mediating role of negative attentional bias and emotional symptoms in this context. Methods: A total of 1452 children from eight primary schools in Tianjin, China, were surveyed using handy sampling and assessed for NSSI, emotional and behavioural problems by self-report and parent report. Logistic regression was used to examine the effects of parenting style, negative attentional bias, and emotional symptoms on NSSI. Chained mediation model analyses were conducted using the PROCESS macro program developed by Hayes. Results: The detection rate of self-injury in children aged 10-12 was 23.8% (346/1452); Verbosity was significantly positively correlated (r = 0.06, p < 0.05); and there was a significant positive correlation between children's self-injurious behaviour and students' self-rated emotional symptoms (r = 0.238, p < 0.001) and parents' rated emotional symptoms (r = 0.119, p < 0.001). Negative attentional bias and mood symptoms play a chain-mediated role in the relationship between Verbosity and NSSI. Limitations: All survey methods were self-reported and recall bias may have affected the responses. Causality cannot be inferred in a cross-sectional study. Conclusion: Verbosity was found to indirectly influence NSSI behaviour through children's negative attentional bias and emotional symptoms.

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Section: Discussionsupporting

confidence: 56%

Associations between parenting styles and non-suicidal self-injury in children aged 10-12: the mediating role of negative attentional biases and emotional symptoms

Dai,

Yan,

et al. 2023

Preprint

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“…First, we used a convenient sampling method, and data collection was only conducted at one site. This limitation may explain why the prevalence of PSH (i.e., physical NSSI) in this study is lower than 21.2%, an average prevalence of NSSI in Chinese college students summarized in a recent review paper 32 . However, this review paper also showed a large variance in NSSI prevalence across different studies, ranging from 0.4% to 42.5%.…”

Section: Discussionmentioning

confidence: 55%

Can digital self‐harm relate to suicidal thoughts and behaviors beyond physical self‐harm?

Wang,

Wei,

Jia

et al. 2024

Acta Psychiatr Scand

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BackgroundDigital self‐harm (DiSH) is a recently identified self‐harm distinct from physical self‐harm (PSH, also known as non‐suicidal self‐injury, NSSI). Although prior research has shown that DiSH was associated with suicidal thoughts and behaviors (STBs), it was still unclear whether DiSH has a unique association with STBs after controlling for PSH.MethodA cross‐sectional survey was conducted on Chinese college students. The lifetime prevalence of DiSH and PSH, the functions of DiSH, recent suicide experiences (including suicide ideation, plans, and attempts), anxiety and depression were examined. A total of 5281 participants were analyzed.ResultsA total of 10.83% of participants had ever engaged in DiSH, and 1.59% of participants reported histories of both DiSH and PSH. Among participants with a history of PSH, 30.11% engaged in DiSH. Engagement in DiSH was significantly associated with suicide ideation (SI), suicide plans (SPs), and suicide attempts (SAs). More importantly, participants who engaged in both DiSH and PSH showed higher odds of SI and SPs compared to those who had only engaged in PSH. Regarding the functions of DiSH, using DiSH for self‐punishment was associated with SI and SPs, and using DiSH for sensation seeking was associated with SPs and SAs. Similar results were found for the association between DiSH and anxiety and depression.ConclusionsOur findings suggest that DiSH has a unique association with the risks of STBs beyond PSH. Early identification and intervention for DiSH are crucial, even for individuals who already engage in PSH.

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“…In our research, we carefully selected 21 variables collected during the first follow-up period of the CPCD Survey. This selection was strategically guided by the existing literature ( 4 , 8 – 10 , 15 , 38 ), and the aim of our study was to explore causal relationships with non-suicidal self-injury (NSSI). We focus on various sociodemographic, behavioral, and psychological factors that have been previously associated with NSSI behaviors.…”

Section: Methodsmentioning

confidence: 99%

“…Adolescence is the peak risk period for NSSI ( 2 ), with about 23% of adolescents, 13.4% of young adults, and 5.5% of adults being affected ( 3 ). Alarmingly, up to 24.7% of Chinese adolescents report experiencing NSSI ( 4 ), which necessitates further attention ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

“…The risk factors for non-suicidal self-injury in children and adolescents are diverse and multifaceted. While much emphasis has been placed on the psychological, family, and school levels—including psychological disorders and symptoms, adverse family experiences, and victimization ( 4 , 15 , 16 )—the underlying mechanisms driving NSSI behaviors are complex. Many studies to date have been constrained by methodological limitations, failing to grasp the problem from a comprehensive and systematic viewpoint.…”

Section: Introductionmentioning

confidence: 99%

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Factors and pathways of non-suicidal self-injury in children: insights from computational causal analysis

Guo,

Wang,

et al. 2024

Front. Public Health

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BackgroundNon-suicidal self-injury (NSSI) has become a significant public health issue, especially prevalent among adolescents. The complexity and multifactorial nature of NSSI necessitate a comprehensive understanding of its underlying causal factors. This research leverages the causal discovery methodology to explore these causal associations in children.MethodsAn observational dataset was scrutinized using the causal discovery method, particularly employing the constraint-based approach. By integrating machine learning and causal inference techniques, the study aimed to determine direct causal relationships associated with NSSI. The robustness of the causal relationships was evaluated using three methods to construct and validate it: the PC (Peter and Clark) method, Fast Causal Inference (FCI) method, and the GAE (Graphical Autoencoder) method.ResultsAnalysis identified nine nodes with direct causal relationships to NSSI, including life satisfaction, depression, family dysfunction, sugary beverage consumption, PYD (positive youth development), internet addiction, COVID-19 related PTSD, academic anxiety, and sleep duration. Four principal causal pathways were identified, highlighting the roles of lockdown-induced lifestyle changes, screen time, positive adolescent development, and family dynamics in influencing NSSI risk.ConclusionsAn in-depth analysis of the factors leading to Non-Suicidal Self-Injury (NSSI), highlighting the intricate connections among individual, family, and pandemic-related influences. The results, derived from computational causal analysis, underscore the critical need for targeted interventions that tackle these diverse causative factors.

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Non-suicidal self-injury in Chinese population: a scoping review of prevalence, method, risk factors and preventive interventions

Cited by 16 publications

References 73 publications

Associations between parenting styles and non-suicidal self-injury in children aged 10-12: the mediating role of negative attentional biases and emotional symptoms

Associations between parenting styles and non-suicidal self-injury in children aged 10-12: the mediating role of negative attentional biases and emotional symptoms

Can digital self‐harm relate to suicidal thoughts and behaviors beyond physical self‐harm?

Factors and pathways of non-suicidal self-injury in children: insights from computational causal analysis

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