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Suicidal Ideation and Influencing Factors in Adolescents With Non-Suicidal Self-Injury
Yi Huang1, Dan Luo1, Yang Zhou2,3
1Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan, China.
Background:
Adolescents who engage in non-suicidal self-injury (NSSI) are at heightened risk for suicidal ideation. Nevertheless, there is a scarcity of population-level evidence in China to guide school-based health initiatives. This study aimed to explore the prevalence and correlates of suicidal ideation among adolescents with NSSI in central China.
Methods:
A multicenter study in central China assessed 3730 adolescents with NSSI using standardized measures of depression, anxiety, family functioning, and suicidal ideation. Multiple linear regression identified associated factors (p < 0.05).
Results:
A total of 74.05% reported suicidal ideation in the past year, and 68.2% were at elevated suicide risk. Higher suicidal ideation was associated with female sex, only-child status, higher parental education, greater depressive/anxiety symptoms, and poorer family functioning.
Implications For School Health Policy, Practice, And Equity:
Findings emphasize the need for school-based mental health screening, early intervention, and family-school collaboration, alongside equitable policies to ensure psychosocial support across diverse socioeconomic and regional contexts.
Conclusions:
Suicidal ideation is highly prevalent among adolescents with NSSI and is closely linked to emotional distress and family functioning, highlighting the importance of school-centered prevention strategies.
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