Nonsuicidal self-injury as the gateway and consequence of suicidal ideation among adolescents: a cross-lagged regression analysis

Zhansheng Xu; Zhansheng Xu; Zhansheng Xu; Nianqin Li; Nianqin Li; Nianqin Li; Yaxin Kong; Yaxin Kong; Yaxin Kong; Lin Lin; Lin Lin; Lin Lin; Yu Liu; Yu Liu; Huan Zhang; Huan Zhang; Huan Zhang; Yunfeng He; Song Zhao; Song Zhao

doi:10.3389/fpsyt.2024.1434191

Frontiers in Psychiatry (Aug 2024)

Nonsuicidal self-injury as the gateway and consequence of suicidal ideation among adolescents: a cross-lagged regression analysis

Zhansheng Xu,
Zhansheng Xu,
Zhansheng Xu,
Nianqin Li,
Nianqin Li,
Nianqin Li,
Yaxin Kong,
Yaxin Kong,
Yaxin Kong,
Lin Lin,
Lin Lin,
Lin Lin,
Yu Liu,
Yu Liu,
Huan Zhang,
Huan Zhang,
Huan Zhang,
Yunfeng He,
Song Zhao,
Song Zhao

Affiliations

Zhansheng Xu: Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
Zhansheng Xu: Faculty of Psychology, Tianjin Normal University, Tianjin, China
Zhansheng Xu: Center of Collaborative Innovation for Assessment and Promotion of Mental Health, Tianjin, China
Nianqin Li: Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
Nianqin Li: Faculty of Psychology, Tianjin Normal University, Tianjin, China
Nianqin Li: Center of Collaborative Innovation for Assessment and Promotion of Mental Health, Tianjin, China
Yaxin Kong: Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
Yaxin Kong: Faculty of Psychology, Tianjin Normal University, Tianjin, China
Yaxin Kong: Center of Collaborative Innovation for Assessment and Promotion of Mental Health, Tianjin, China
Lin Lin: Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
Lin Lin: Faculty of Psychology, Tianjin Normal University, Tianjin, China
Lin Lin: Center of Collaborative Innovation for Assessment and Promotion of Mental Health, Tianjin, China
Yu Liu: Intelligent Laboratory of Child and Adolescent Mental Health and Crisis Intervention of Zhejiang Province, Zhejiang Normal University, Jinhua, Zhejiang, China
Yu Liu: Department of Psychology, Zhejiang Normal University, Jinhua, Zhejiang, China
Huan Zhang: Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
Huan Zhang: Faculty of Psychology, Tianjin Normal University, Tianjin, China
Huan Zhang: Center of Collaborative Innovation for Assessment and Promotion of Mental Health, Tianjin, China
Yunfeng He: Liaoning Key Laboratory of Psychological Testing and Behavior Analysis, Liaoning University, Shenyang, China
Song Zhao: Liaoning Key Laboratory of Psychological Testing and Behavior Analysis, Liaoning University, Shenyang, China
Song Zhao: Liao Ning University Judicial Authentication Center, Liaoning University, Shenyang, China

DOI: https://doi.org/10.3389/fpsyt.2024.1434191
Journal volume & issue: Vol. 15

Abstract

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BackgroundThere is a consensus that both nonsuicidal self-injury (NSSI) and suicidal ideation as risk factors for suicidal behavior have a strong connection. However, a lack of longitudinal information has limited the clarification of the concrete relationship between them.AimsThis study aimed to examine the specific mechanism between NSSI and suicidal ideation over time, during adolescence.MethodA longitudinal study was conducted with 193 Chinese adolescents. NSSI and suicidal ideations were examined over the course of a 1year followed-up, and three waves of data were collected.ResultsThe NSSI at time T1 significantly positively predicted suicidal ideation at time T2; Suicidal ideation at time T2 also significantly positively predicted NSSI at time T3.LimitationsGiven that the small number of participants with suicidal ideation and NSSI, the findings of the study should be interpreted with caution and a lager sample is needed in the future.ConclusionIt was suggested that NSSI may occur before suicidal ideation, which in turn would strengthen NSSI, so interventions should be carried out from two aspects (behaviors and thoughts) to improve adolescents’ mental health.

Published in Frontiers in Psychiatry

ISSN: 1664-0640 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system: Psychiatry
Website: https://www.frontiersin.org/journals/psychiatry

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