Journal of Child and Adolescent Mental Health最新文献

{"title":"Validating the Ask Suicide-Screening Questions in Amharic for Ethiopian paediatric patients.","authors":"Muluwork Denberu, Bogale Worku, Nathan J Lowry, Janna Patterson, Terrell Carter, Jian-Ping He, August Wei, Patrick Ryan, Jeffrey Bridge, Lisa M Horowitz, Yonas Baheretibebs, Kassahun Habtamu","doi":"10.2989/17280583.2026.2653770","DOIUrl":"10.2989/17280583.2026.2653770","url":null,"abstract":"<p><strong>Background: </strong>Healthcare providers in Ethiopia require validated tools to screen paediatric patients for suicide risk in Amharic, the official language of Ethiopia.</p><p><strong>Objective: </strong>This study aimed to examine the psychometric properties of the Ask Suicide-Screening Questions (ASQ) tool in Amharic among Ethiopian paediatric patients.</p><p><strong>Method: </strong>This cross-sectional instrument validation study was conducted from February 2021 to September 2022. Paediatric patients were recruited from the emergency department, outpatient clinics, and medical inpatient units at Tikur Anbessa Specialised Hospital in Addis Ababa, Ethiopia. Paediatric patients (aged 10 to 18 years, inclusive) were enrolled. Participants completed the Amharic language version of the ASQ, the index test. A brief suicide safety assessment administered by a clinician served as the reference standard for validation.</p><p><strong>Results: </strong>A total of 159 paediatric patients were enrolled; 42 youth (26%) screened positive on the ASQ, and 10 (6%) were deemed \"at risk\" for suicide by a clinician. Compared to the reference standard, the ASQ had a sensitivity of 1.000 (95% confidence interval [CI]: 1.000 to 1.000), specificity of 0.785 (95% CI: 0.719 to 0.851), and area under the curve value of 0.890 (95% CI: 0.860 to 0.926). While most youth (<i>n</i> = 117; 74%) felt comfortable being screened for suicide risk, only 52.2% (<i>n</i> = 83) thought medical providers should ask youth about suicide.</p><p><strong>Conclusions: </strong>The Amharic version of the ASQ demonstrated strong psychometric properties and appears to be a valid suicide risk screening tool in the sample population. Future research should explore the feasibility and acceptability of screening Ethiopian paediatric patients for suicide risk.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"272-283"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between sexual violence, risky sexual behaviours, and suicide attempts in a large sample of sexual minority youth.","authors":"Anna C Gilbert, Benjamin H Barnette, Grace J Friedman, Keyne C Law","doi":"10.2989/17280583.2026.2649942","DOIUrl":"10.2989/17280583.2026.2649942","url":null,"abstract":"<p><strong>Background: </strong>Sexual minority youth (SMY) experience disproportionately high rates of suicide. Previous research has identified a relationship between sexual violence and suicidal behaviours within this population. While emerging evidence suggests a possible association between sexual violence and risky sexual behaviours (RSB), the impact of RSB on suicide among SMY remains unclear.</p><p><strong>Objective: </strong>The current study examined the relationship between sexual violence, RSB, and suicide attempts among SMY using data from the national Youth Risk Behavior Survey (YRBS).</p><p><strong>Methods: </strong>High school students (<i>n</i> = 456; grades 9 to 12) in the United States of America who identified as gay, lesbian, or bisexual answered questions about past-year sexual assault, engagement in RSB, and past-year suicide attempts.</p><p><strong>Results: </strong>Hierarchical binomial logistic regression analyses indicated that past-year sexual assault was significantly associated with past-year suicide attempts, such that SMY who experienced sexual violence in the past year were at a greater risk of making a suicide attempt within this same period. Bisexual youth were also at a higher risk of recent suicidal behaviour relative to their gay and lesbian peers. However, RSB variables were not significantly associated with suicide attempts within the model.</p><p><strong>Conclusion: </strong>Findings underscore the critical association between sexual violence and suicide risk among SMY. Implications for future research and targeted, inclusive prevention efforts are discussed.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"339-355"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developmental trajectory of suicidal ideation among Chinese junior high school students: Influencing roles of external and internal factors.","authors":"Yutong Hu, Shu Da, Yuanyuan An, Lu Ao, Mengyao Yang","doi":"10.2989/17280583.2025.2546808","DOIUrl":"10.2989/17280583.2025.2546808","url":null,"abstract":"<p><p><i>Background:</i> Mental health problems of adolescents have escalated significantly in recent years, categorising this population as a high-risk group for suicide.<i>Objective:</i> This study aims to investigate the developmental trajectories of suicidal ideation among junior high school students in mainland China, as well as its influencing factors.<i>Methods:</i> Longitudinal data were collected in three-waves, with three-month intervals in Zhenjiang City. A valid sample of 129 students completed questionnaires on suicidal ideation, life events, perceived stress, psychological flexibility, and demographic information.<i>Results:</i> Unconditional latent growth models revealed a significant increasing trend in suicidal ideation, characterised by an initial gradual increase and an accelerated rise afterwards. Conditional latent growth models indicated that both life events and perceived stress elevated the level of suicidal ideation, whereas psychological flexibility did not.<i>Conclusions:</i> These findings have significant implications for the development of targeted prevention and intervention strategies for adolescent at risk of suicide, highlighting the need for early identification. Life events and perceived stress are key risk factors to consider. The findings also emphasise the importance of promoting psychological flexibility as a potential protective factor in reducing suicidal ideation.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"308-324"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Closing the measurement gap for adolescent mental health: Validating the SDQ in Nigeria.","authors":"Laura Katus, Bukola Deborah Olalekan, Adebunmi Oyebisi Oyekola","doi":"10.2989/17280583.2025.2580473","DOIUrl":"10.2989/17280583.2025.2580473","url":null,"abstract":"<p><p><i>Background:</i> Adolescence is a critical period for the development of mental health disorders, making early identification during this time essential for enabling targeted interventions and preventing long-term adverse consequences. Globally, one in seven adolescents experiences poor mental health, including depression and anxiety, yet many countries, especially in sub-Saharan Africa, face a scarcity of mental healthcare provisions.<i>Method:</i> To aid early identification and intervention of adolescent mental health problems, this study assessed the psychometric properties of the Strengths and Difficulties Questionnaire (SDQ) in a representative sample of <i>n</i> = 2 178 <i>(n</i> = 1 366 female, aged 10-19 years, mean age = 14.758 years, SD = 1.902 years) in Nigeria. Further, we specifically examined the measure's factor structure and measurement invariance across demographic groups of sex, age, parental education, and parental marital status.<i>Results:</i> Our results demonstrated that the original five-factor model of the SDQ did not fit well for the Nigerian sample, consistent with previous studies in sub-Saharan Africa. A three-factor model previously proposed for Nigeria similarly did not achieve good model fit, necessitating further psychometric probing. We propose a modified five-factor model (releasing three items, 'I am restless', 'I get very angry', and 'I am usually on my own'), which showed excellent fit and full scalar measurement invariance across sex and age groups, supporting its utility in diverse demographic groups. Partial scalar invariance across parental marital status indicated that family dynamics may influence responses to certain items.<i>Conclusions:</i> These findings underscore the importance of refining the SDQ for use in sub-Saharan Africa and highlight the need for culturally appropriate tools to address adolescent mental health challenges across diverse settings.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"241-255"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The associations between screen time and mental health in children aged 0-12: A systematic review.","authors":"Renata Maria Silva Santos, Samara de Alcântara Ventura, Maria Eduarda Oliveira de Albuquerque Gonçalves, Yago Jean de Almeida Nogueira, Camila Guimarães Mendes, Débora Marques Miranda, Marco Aurélio Romano-Silva","doi":"10.2989/17280583.2026.2661687","DOIUrl":"10.2989/17280583.2026.2661687","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;: It is advised that children up to two years of age avoid any screen time (i.e., using digital screens), that those between the ages of two and five years should not exceed one hour per day, and that children aged five to 12 years should only have access to two hours of screen time per day. However, in the digital age, parents find it difficult to control the time their children spend on screens.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;: This article aimed to systematically synthesise the evidence on the associations between screen time and mental health outcomes in children aged 0 to 12 years.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;: A systematic literature review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was defined according to the Population, Exposure, Comparator, and Outcomes (PECO) strategy, using the descriptors 'children', 'screen time' and 'mental health' when searching the databases PubMed, Scopus, and PsycINFO. Articles were included if they directly evaluated the associations between screen time and mental health, measured the results using validated instruments, included children aged 0 to 12 years, and were published since 2013. The Newcastle-Ottawa scale was used to check the methodological quality of the studies. The results were described by presenting the characteristics of the studies, the quality assessment, and the associations between screen time and mental health in longitudinal and cross-sectional studies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;: This review assessed the quality of evidence and the frequency with which different mental health problems have been investigated in relation to screen time in children. Fifty-two studies were included, with most addressing attention deficit-hyperactivity disorder (&lt;i&gt;n&lt;/i&gt; = 19), conduct problems (&lt;i&gt;n&lt;/i&gt; = 13), externalising symptoms (&lt;i&gt;n&lt;/i&gt; = 9), depression (&lt;i&gt;n&lt;/i&gt; = 11), and anxiety (&lt;i&gt;n&lt;/i&gt; = 9). Symptoms of attention deficit-hyperactivity disorder, oppositional defiant disorder, mood symptoms, emotional and social difficulties, conduct problems, low self-esteem, and sleep disturbances were positively associated with screen time, presenting evidence considered to be of high quality.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Limitations: &lt;/strong&gt;: Although this review concluded that screen time significantly affects children's mental health, some limitations should be noted. The lack of longitudinal data made it difficult to establish a clear causal relationship in most studies, and screen time measures may have introduced a potentia memory bias, as well as relying on parental recall.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;: Screen time warrants careful consideration in relation to children's mental health. Promoting off-screen activities may be crucial to reducing the risk of unfavourable mental health outcomes associated with exposure to the digital environment. Future research should focus on longitudinal studi","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"201-231"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum.","authors":"","doi":"10.2989/17280583.2026.2697625","DOIUrl":"https://doi.org/10.2989/17280583.2026.2697625","url":null,"abstract":"<p><p>Corrigendum to \"Risk and protective factors of suicide ideation and attempts among justice-involved black girls: A latent profile analysis\"Liu, L. (2025). Risk and protective factors of suicide ideation and attempts among justice-involved black girls: A latent profile analysis. <i>Journal of Child & Adolescent Mental Health, 36</i>(2), 355-371. https://doi.org/10.2989/17280583.2025.2477125The first paragraph under the \"Data\" heading (pg. 357) contained a typing error. Instead of indicating that \"Fifteen (0.95%) of the 1 575 black girls had missing values on the questions regarding school satisfaction and relationships with teachers in the assessment data\", the sentence should read \"Eleven (0.70%) of the 1 575 black girls had missing values on the questions regarding school satisfaction and relationships with teachers in the assessment data.\"</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":"37 2","pages":"371"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compassion-Focused Therapy for non-suicidal self-injury, shame, and self-criticism in adolescent girls: A pilot study.","authors":"Maryam Gholizadeh, Parisa Pourmohammad","doi":"10.2989/17280583.2026.2629368","DOIUrl":"10.2989/17280583.2026.2629368","url":null,"abstract":"<p><p><i>Background:</i> Non-suicidal self-injury (NSSI) is common among adolescents and is often associated with suicidal behaviour. NSSI generally functions as a dysfunctional emotion regulation strategy maintained by shame and self-criticism. Compassion-Focused Therapy (CFT) aims to modify these processes through developing self-compassion.<i>Objective:</i> This pilot study evaluated the feasibility and preliminary effectiveness of CFT in reducing NSSI behaviours, shame, and self-criticism in adolescent girls engaging in NSSI.<i>Methods:</i> In this pilot quasi-experimental study, 30 self-harming adolescent girls (mean = 16.76 years; SD = 1.38 years; range = 16 to 19 years) from Tabriz, Iran (2024), were recruited via convenience sampling and randomly allocated to an experimental group (<i>n</i> = 15) receiving eight weekly 70-minute CFT sessions based on Gilbert's protocol, or a no-intervention control group (<i>n</i> = 15). The State Shame and Guilt Scale-shame subscale, the Levels of Self-Criticism Scale-internalised subscale, and the Deliberate Self-Harm Inventory were administered at pre-test and one-week post-intervention. Data were analysed using MANCOVA and follow-up univariate ANCOVAs (controlling for baseline scores) with Bonferroni correction.<i>Results:</i> Compared to the control group, the CFT group showed significant and large reductions at post-test in NSSI severity (adjusted mean diff: -3.20, <i>F</i>(1,27) = 76.75, <i>p</i> < 0.001, <i>η</i>² = 0.74), shame (adjusted mean diff: -3.59, <i>F</i>(1,27) = 35.50, <i>p</i> < 0.001, <i>η</i>² = 0.57), and self-criticism (adjusted mean diff:-16.53, <i>F</i>(1,27) = 215.59, <i>p</i> < 0.001, <i>η</i>² = 0.89). The control group showed no significant changes.<i>Conclusion:</i>This study provides preliminary evidence supporting the feasibility and potential effectiveness of CFT in concurrently reducing NSSI behaviours, shame, and self-criticism among adolescent girls. Findings support CFT's potential as a targeted intervention addressing core mechanisms underlying NSSI in this vulnerable population, warranting further investigation with larger samples and longer follow-ups.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"325-338"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burden of suicidal attempts and its associated factors in adolescents: A community-based mixed method study in a rural part of Eastern Nepal.","authors":"Srijana Bhattarai, Shital Bhandary","doi":"10.2989/17280583.2025.2547896","DOIUrl":"10.2989/17280583.2025.2547896","url":null,"abstract":"<p><p><i>Background:</i> Mental disorders contribute to 13% of the global burden of disease among adolescents aged 10 to 19 years. Adolescent suicide is often unreported due to the stigma attached to mental health issues and the unavailability of reporting mechanisms, particularly in developing countries. The current study aimed to determine the suicidality burden and associated factors in adolescents in a rural part of Eastern Nepal through a mixed methods approach.<i>Methods:</i> A community-based mixed methods cross-sectional study was conducted from October to November 2020 among 443 adolescents (aged 13 to 19 years, mean = 15.93 years, SD = 1.79 years). Frequencies and percentages were computed to assess suicidality burden, while bivariate and multivariate logistic regressions were performed to identify the factors associated with suicidality. Braun and Clarke's thematic analysis was used to explore qualitative factors associated with adolescent suicidality.<i>Results:</i> The quantitative findings revealed that the prevalence of suicidal attempts over the past year was 12.42 % among adolescents. The multivariate analysis revealed a significant relationship between suicidal attempts and depressive symptoms (AOR, 8.84, <i>p</i> = 0.001). Parental support was a protective factor against suicidal attempts (AOR, 0.08, <i>p</i> = 0.012). Qualitative findings indicated that loneliness, substance misuse, a lack of support system from family, and friends influenced adolescents' suicidality.<i>Conclusions:</i> The study provided evidence that Nepalese adolescents in rural Eastern areas are at a high risk of suicidality, likely due to limited access to mental health services and support systems. Addressing this issue requires systemic changes to expand mental health resources in rural Nepal, where such services remain significantly less available than in urban areas.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"292-307"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"I don't want to miss a thing: Psychometric properties of the FoMO Scale and its mental health correlates in Indian Adolescents.","authors":"Nisha Phakey, Karishma Godara, Krishan Kumar Pandey, Ashutosh Kumar","doi":"10.2989/17280583.2026.2636281","DOIUrl":"10.2989/17280583.2026.2636281","url":null,"abstract":"<p><p>Fear of Missing Out (FoMO) is a widespread apprehension that arises when people believe that others are engaging in enjoyable activities without their presence. The FoMO scale has been widely used, but confirmatory factor analysis is needed to validate its structure.</p><p><p>This study aims to analyse the psychometric properties of the FoMO scale among Indian adolescents and explore its mental health correlates.</p><p><p>The sample consisted of 708 adolescents aged 13 to 19 years. Both Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were conducted to evaluate the factor structure of the FoMO scale. Additionally, the study assessed psychological correlates using the Depression, Anxiety, and Stress scale and the Satisfaction with Life Scale.</p><p><p>EFA revealed three factors: societal connectivity, social discomfort, and self-perception. CFA confirmed this structure with acceptable goodness-of-fit indices. The scale showed good reliability and validity. Although the correlations with psychological variables were not statistically significant, they do contribute to the contextual understanding of the broader psychological landscape of FoMO.</p><p><p>The study confirms the three-factor model of the FoMO scale among Indian adolescents, emphasising cultural differences in the experience and measurement approaches towards FoMO. This research reiterates the need for culturally sensitive adaptations of psychometric tools and provides preliminary insights into the psychological correlates of FoMO. Further, there is a need for interventions that address the social-emotional dimensions of digital engagement among youth.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"232-240"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-suicidal self-injury among youth: An examination of psychosocial factors.","authors":"Dylan Barker, R Andrew Yockey, Rachel A Hoopsick","doi":"10.2989/17280583.2026.2659833","DOIUrl":"10.2989/17280583.2026.2659833","url":null,"abstract":"<p><strong>Background: </strong>Non-suicidal self-injury (NSSI), the intentional and direct harm to one's own body without suicidal intent, has emerged as a significant public health concern among adolescents. Despite its high prevalence and strong association with mental health disorders, demographic and psychosocial predictors remain underexplored, particularly in diverse populations in the United States of America.</p><p><strong>Methods: </strong>The investigators analysed cross-sectional data from the 2020 Parents' Resource Institute for Drug Education (PRIDE) survey, encompassing 35 695 adolescents aged 12 to 17 years from 133 schools in the greater Cincinnati, Ohio area. Multivariate logistic regression models were employed to examine associations between past-30-day NSSI and mental health factors (depression, anxiety), psychosocial stressors (bullying, stress), and demographic variables (age, sex, race/ethnicity).</p><p><strong>Results: </strong>Approximately 6.2% of youth reported past-month NSSI. Female adolescents (aOR: 1.45), Hispanic (aOR: 1.37) and multi-racial youth (aOR: 1.30) were at elevated risk for NSSI. Younger adolescents (12 to 13 years) had higher odds of NSSI compared to older peers. Depression (aOR: 14.2), anxiety (aOR: 1.99), bullying (aOR: 3.93), and stress (aOR: 1.70) were all significantly associated with increased NSSI risk.</p><p><strong>Conclusions: </strong>In this study, NSSI affected over 1 in 20 adolescents and was strongly linked to mental health distress and social adversity. Our findings highlight the need for early, targeted, and culturally sensitive interventions that address both individual psychological vulnerability and broader psychosocial stressors in youth populations.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"284-291"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}