Kassandra Hon, Mark E Boyes, Kirsty Hird, Penelope Hasking
{"title":"Non-Suicidal Self-Injury and Outcome Expectancies: The Roles of Self-Efficacy, Cognitive Reappraisal, and Expressive Suppression.","authors":"Kassandra Hon, Mark E Boyes, Kirsty Hird, Penelope Hasking","doi":"10.1080/13811118.2025.2567931","DOIUrl":"https://doi.org/10.1080/13811118.2025.2567931","url":null,"abstract":"<p><strong>Objective: </strong>According to the Cognitive Emotional Model of Non-Suicidal Self-Injury (NSSI), this behavior is governed by a complex interplay of NSSI-related cognitions (i.e., a person's expected outcomes of self-injury and self-efficacy to resist NSSI) and emotion-regulatory strategies (i.e., cognitive reappraisal and expressive suppression). To empirically test this proposition, the current study examined the moderating roles of self-efficacy to resist NSSI, cognitive reappraisal, and expressive suppression in the relationships between outcome expectancies and NSSI frequency among university students.</p><p><strong>Method: </strong>559 university students (<i>M</i> = 20.7 years, 74.2% female, 40.3% with a NSSI history) completed an online self-report questionnaire.</p><p><strong>Results: </strong>Self-efficacy to resist NSSI was a strong protective factor by diminishing the strength of the associations between expectations of affect regulation, communication, and negative self-beliefs and NSSI frequency. The relationships between outcome expectancies and self-efficacy to resist NSSI in predicting self-injury were further contingent on a person's use of expressive suppression. Specifically, a tendency to use expressive suppression strengthened the risk associated with the relationship between affect-regulatory expectancies and self-efficacy to resist NSSI, <i>b</i> = 1.05 [.64, 1.46], <i>t</i> = 5.04, <i>p</i> < .001, and attenuated the protection conferred by the relationship between negative self-beliefs expectancies and self-efficacy, <i>b</i> = -.17 [-.34, -.00], <i>t</i> = -2.02, <i>p</i> = .04.</p><p><strong>Conclusions: </strong>In collectively examining the cognitive-emotional correlates of NSSI, the current findings empirically support the Cognitive-Emotional Model of NSSI and highlight the potential utility of targeting outcome expectancies and self-efficacy to resist NSSI in prevention and intervention initiatives.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and Associations of Suicidal Thoughts and Suicide Attempts by Sexual Orientation Among Students in Lithuania.","authors":"Jokūbas Gužas, Paulius Skruibis","doi":"10.1080/13811118.2025.2565500","DOIUrl":"https://doi.org/10.1080/13811118.2025.2565500","url":null,"abstract":"<p><strong>Objective: </strong>Research indicates that non-heterosexual students face a higher risk of suicidal thoughts and attempts compared to heterosexual peers. However, differences in suicidal behavior between sexual orientation groups among students in Lithuania remain underexplored.</p><p><strong>Method: </strong>Data were collected via an online survey of students from 17 higher education institutions in Lithuania. Participants answered sociodemographic questions, reported suicidal thoughts and attempts at various time periods, and completed the PHQ-4. Prevalence was calculated for the full sample and sexual orientation groups. Logistic regression examined associations between suicidal behavior and sexual orientation, controlling for confounding variables.</p><p><strong>Results: </strong>The full sample included 2,012 participants (ages 18-29, <i>M</i> = 21.62, <i>SD</i> = 2.35), of whom 13.5% identified as bisexual and 4.4% as lesbian/gay. Suicidal thoughts were reported by 40.7%-63.6% of heterosexual, 53.4%-76.1% of lesbian/gay students, and 66.5%-89.7% of bisexual students. Suicide attempts were reported by 1.0%-15.0% of heterosexual, 2.3%-20.5% of lesbian/gay, and 4.1%-25.8% of bisexual students. Lesbian/gay students had higher odds of suicidal behavior compared to heterosexual students (AOR = 1.710, 95% CI [1.017, 2.875]), while bisexuals exhibited even higher odds (AOR 1.710-4.197, 95% CI [1.242, 6.047]). Bisexuals also showed higher odds compared to lesbian/gay students (AOR 2.529-2.626, 95% CI [1.307, 4.895]).</p><p><strong>Conclusions: </strong>A higher proportion of non-heterosexual students in Lithuania report suicidal thoughts and attempts compared to heterosexual counterparts. The findings further underscore a relationship between sexual orientation and suicidal behavior, with bisexual students exhibiting the highest vulnerability.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simon M Li, Veronika Kobrinsky, Kiyan Irani, Aayushi Sangani, Qimin Liu
{"title":"Neural Correlates Involved in Behavioral Metrics of Emotion Regulation and Suicidal Thoughts and Behaviors.","authors":"Simon M Li, Veronika Kobrinsky, Kiyan Irani, Aayushi Sangani, Qimin Liu","doi":"10.1080/13811118.2025.2560362","DOIUrl":"https://doi.org/10.1080/13811118.2025.2560362","url":null,"abstract":"<p><p>Given the well-documented association between emotion regulation (ER) deficits and suicidal thoughts and behaviors (STBs), and the limited understanding of their neural mechanisms, we reviewed studies across five databases that included validated ER tasks and neuroimaging techniques such as functional magnetic resonance imaging and electroencephalography. This systematic review synthesizes evidence from 11 neuroimaging studies to explore the neural correlates of ER deficits in individuals with STBs. Findings revealed that individuals with STBs exhibit heightened activation in the dorsolateral and ventrolateral prefrontal cortex during ER tasks, alongside increased amygdala reactivity to negative stimuli (e.g., sad facial expressions), in implicit ER paradigms. Heterogeneity in prefrontal cortex activation suggests that task- and population-specific neural signatures may influence these patterns. Our review also identifies methodological limitations in the current literature, including a reliance on cross-sectional designs and small sample sizes, which limit generalizability. These limitations highlight the need for longitudinal and multi-modal studies to better understand the dynamic neural patterns associated with ER and STBs. By elucidating the neural underpinnings of ER deficits in STBs, these findings may enable earlier identification of at-risk individuals and the development of personalized, targeted interventions (e.g., transcranial magnetic stimulation).</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-21"},"PeriodicalIF":2.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vithor Rosa Franco, Makilim Nunes Baptista, Giovana Aparecida Leopoldino
{"title":"Predicting Suicide Using Natural Language Processing of Autobiographical Memory.","authors":"Vithor Rosa Franco, Makilim Nunes Baptista, Giovana Aparecida Leopoldino","doi":"10.1080/13811118.2025.2552951","DOIUrl":"https://doi.org/10.1080/13811118.2025.2552951","url":null,"abstract":"<p><p>Autobiographical memory, a critical cognitive process for recalling personal events, is closely linked to mental health. Depressive disorders are characterized by overgeneralized and negative memory patterns, which impair future-oriented thinking and exacerbate hopelessness. Current evaluations of autobiographical memory are subjective and limited by human bias. In this study, we applied Natural Language Processing using Large Language Models (LLMs) to analyze autobiographical memory narratives, uncovering that their valence can predict depression, suicidal ideation, and prior suicide attempts. Furthermore, valence correlated with core components of the Three-Step Theory of suicide, such as hopelessness and lack of connectedness. By integrating advanced computational techniques, our approach demonstrated high predictive accuracy and offers a scalable, objective method for assessing suicide risk. These findings highlight the potential of LLM-based analysis in enhancing psychological assessment and informing interventions, paving the way for innovative clinical applications in mental health care.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marianne Webb, Natasha Anderson, Alison Calear, Magenta Simmons, Sarah Bendall, Jo Robinson
{"title":"Exploring the Lived Experience of Young People with a Family Member Who Has Attempted Suicide.","authors":"Marianne Webb, Natasha Anderson, Alison Calear, Magenta Simmons, Sarah Bendall, Jo Robinson","doi":"10.1080/13811118.2025.2554229","DOIUrl":"10.1080/13811118.2025.2554229","url":null,"abstract":"<p><strong>Objective: </strong>Families are amongst those most impacted by a suicide attempt. Young people exposed to the suicide attempt of a family member experience high levels of distress and are at risk of suicide themselves. Yet, there is a lack of knowledge about their lived experience and needs. Thus, this study aimed to explore the lived experience of young people with a family member who has attempted suicide.</p><p><strong>Method: </strong>In this phenomenological qualitative study, nine semi-structured interviews were conducted via video software. Participants were aged between 17 to 30 years (mean: 23, SD: 5.05). Family members had a range of relationships to the young person; four were brothers, two were mothers, two were fathers, and one was a cousin. An Interpretative Phenomenological Analysis was conducted on transcribed interviews.</p><p><strong>Results: </strong>Four themes were generated from the analysis: 1. Fundamentally rocked; 2. I'm responsible, it's up to me; 3. Moving both toward and away from help (for me); and 4. Families coming together.</p><p><strong>Conclusion: </strong>Young people experience significant immediate and ongoing burden and distress, including feelings of guilt and hypervigilance, after the suicide attempt of a family member. They wanted to discuss and connect with their family about the traumatic event, however most parents were unwilling or unable to do so, even though these discussions can be transformational. Targeted support and co-designed interventions, including resources, peer support and family-focused clinical support, are needed.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katerina Kavalidou, Gemma Cox, Anita Munnelly, Stephen Platt
{"title":"Is Mental Health Multimorbidity Associated with Contact with Healthcare Services Before Suicide? Retrospective Analysis of Irish Coronial Data, 2015-2020.","authors":"Katerina Kavalidou, Gemma Cox, Anita Munnelly, Stephen Platt","doi":"10.1080/13811118.2025.2552948","DOIUrl":"https://doi.org/10.1080/13811118.2025.2552948","url":null,"abstract":"<p><strong>Objective: </strong>Healthcare services are potential interventions points before suicide. The aim of the current study was to explore whether mental health (MH) multimorbidity is associated with contact with healthcare services before suicide.</p><p><strong>Methods: </strong>A retrospective study was conducted using data from the Irish Probable Suicide Deaths Study (IPSDS), over the period 2015-2020. MH conditions were recorded on the basis of collateral information, including medical diagnosis or/and undiagnosed. The IPSDS cohort (<i>n</i> = 3625), comprising deaths given a coronial verdict of suicide and deaths on the balance of probabilities, was allocated to three mutually exclusive health groups: (a) no MH conditions, (b) one MH condition only, (c) two or more MH conditions (\"MH multimorbidity\"). Descriptive statistics (<i>p</i> ≤ 0.05) and binary logistic regression analyses with odds ratios (OR) and 95% CIs (<i>p</i> ≤ 0.01) are presented.</p><p><strong>Results: </strong>One fifth (20%) of the IPSDS cohort had MH multimorbidity, which was more prevalent among those aged 35-44 years. The unadjusted logistic regression analysis indicated that those with multimorbidity were significantly more likely to have contacted health services before suicide, compared to those with no MH conditions. This finding was substantially unchanged following adjustment for sex, age, and labor market position (OR = 12.170, 95% CI 9.595-15.437, <i>p</i> < .001) and in a sensitivity analysis restricted to a subset of deaths given a coronial verdict of suicide (OR = 12.728, 95% CI 9.635-16.814).</p><p><strong>Conclusions: </strong>Our findings suggest that those who experience MH multimorbidity and are in contact with health services should be targeted with tailor-made suicide prevention interventions.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elke Humer, Afsaneh Gächter, Christoph Pieh, Marina Zeldovich, Viktoria Neubauer
{"title":"Suicidality Among Austrian Farmers: Prevalence, Risk Factors, and Disparities Compared to the General Population.","authors":"Elke Humer, Afsaneh Gächter, Christoph Pieh, Marina Zeldovich, Viktoria Neubauer","doi":"10.1080/13811118.2025.2552954","DOIUrl":"https://doi.org/10.1080/13811118.2025.2552954","url":null,"abstract":"<p><strong>Objective: </strong>Suicide is a significant global public health issue, with occupations like farming-marked by financial instability and isolation-facing elevated risks. Despite international evidence, suicidality among Austrian farmers remains unstudied. This study compared suicidal ideation between Austrian farmers (n = 2,006) and the general population (n = 2,007), while identifying sociodemographic, occupational, and behavioral risk factors of suicidality in farmers.</p><p><strong>Method: </strong>Data were collected via online surveys (October 2024-February 2025), utilizing the PHQ-9 for suicidal ideation and the Suicide Behaviors Questionnaire-Revised (SBQ-R) for suicidality and analyzed with Chi-square tests and logistic regression models adjusted for age and gender disparities.</p><p><strong>Results: </strong>Farmers reported significantly higher suicidal ideation (19.7%) than the general population (14.3%; χ<sup>2</sup> = 20.62, <i>p</i> < .001), with 1.4 times greater age- and gender- adjusted odds (95% CI:1.17-1.64). Key risk factors for suicidality in farmers included financial distress (very poor vs. very good: aOR = 2.64, <i>p</i> = .008), high agricultural workload (aOR = 1.01/hour, <i>p</i> = .03), and residing in Eastern Austria vs. Western Austria (aOR = 1.76, <i>p</i> = .003). Protective factors included physical activity outside work (aOR = 0.65, <i>p</i> = .005) and living in a relationship (aOR = 0.61, <i>p</i> = .024).</p><p><strong>Conclusions: </strong>This study highlights increased suicidal ideation among farmers compared to the general population. Financial instability, high workload, regional differences, physical activity, as well relationships seem influential. Community-based interventions promoting social support and physical activity may mitigate risks, highlighting the interplay of economic and psychosocial factors in farmer suicidality.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-20"},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pubertal Timing and Suicidal Ideation and Attempts: Sex Differences in the Links Through Bullying and Victimization and Internalizing Problems.","authors":"Hao Zheng, Yao Zheng","doi":"10.1080/13811118.2025.2552460","DOIUrl":"https://doi.org/10.1080/13811118.2025.2552460","url":null,"abstract":"<p><strong>Objective: </strong>Suicide is the second leading cause of death for adolescents globally. Offset (both early and late) pubertal timing exposes adolescents to additional biological and psychosocial challenges, rendering them at heightened risk for psychopathology. Few studies have examined the relations between pubertal timing and suicidal ideation and attempts, as well as associated underlying mechanisms.</p><p><strong>Method: </strong>Participants were 29,099 Chinese adolescents (<i>M</i><sub>age</sub> = 12.8, 47.9% female) in a large-scale epidemiology survey. Multi-group structural equation modeling was conducted to examine the associations between pubertal timing and suicidal ideation and attempts, the indirect effects through bullying and victimization and internalizing problems, and sex differences in these links.</p><p><strong>Results: </strong>Early-maturing adolescents were at elevated risk for experiencing suicidal ideation and attempts. These effects were partly mediated through bullying and victimization experiences and internalizing symptoms. Early-maturing male adolescents were more likely to engage in bullying and experience victimization, whereas female adolescents were particularly vulnerable to internalizing problems and suicidal ideation and attempts following victimization experiences. Late-maturing conferred risk for suicidal attempts among female adolescents.</p><p><strong>Conclusions: </strong>The findings highlight the potent role of offset pubertal timing in adolescent suicidal ideation and attempts, as well as sex differences in associated risk processes. The results also emphasize the importance of focusing on both mental health and social contextual changes elicited by offset pubertal timing among adolescents as intervention targets.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marianne Webb, Bridget Kenny, Alex Dalton, Magenta Simmons, Sarah Bendall, Jo Robinson
{"title":"The Experiences of Young People With Lived or Living Experience of Suicide of Being Involved as Collaborators or Participants in Suicide Research.","authors":"Marianne Webb, Bridget Kenny, Alex Dalton, Magenta Simmons, Sarah Bendall, Jo Robinson","doi":"10.1080/13811118.2025.2552465","DOIUrl":"https://doi.org/10.1080/13811118.2025.2552465","url":null,"abstract":"<p><strong>Objective: </strong>Conducting youth suicide research comes with inherent challenges related to topic and age sensitivities. Despite this, there is a paucity of knowledge about how young people experience their research involvement. This study aimed to explore the experiences of young people with lived or living experience of suicide of being involved as collaborators or participants in suicide research.</p><p><strong>Method: </strong>In this qualitative study, 13 semi-structured interviews were conducted via video software between August 11 and November 19, 2021. Participants included those aged 18-29 years, who had lived or living experiences of suicide, had been involved in suicide research, and were living in United Kingdom, Australia, and Canada. Eight participants had previously been involved in co-production and five as participants. Interviews were transcribed verbatim, and reflexive thematic analysis was used to generate themes.</p><p><strong>Results: </strong>Three themes were generated: (1) Young people want-but don't always receive-support that is individualized, multi-faceted and actionable; (2) The relationship with the researcher drives the experience; and (3) Using traumatic experiences to create positive and meaningful change.</p><p><strong>Conclusion: </strong>For young people with lived and living experience of suicide to be safely and effectively involved in suicide research, individual support that is nuanced, dynamic, and tailored is required, regardless of the type of research involvement.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
On Lon Wong, Huiting Fang, Jie Zhong, Qian Wang, Xiuming Zhang
{"title":"The Serial Mediating Role of Shame-Proneness and Depressive Symptoms on the Relationship Between Perceived Family Invalidation and Non-Suicidal Self-Injury Among Adolescents.","authors":"On Lon Wong, Huiting Fang, Jie Zhong, Qian Wang, Xiuming Zhang","doi":"10.1080/13811118.2025.2552455","DOIUrl":"https://doi.org/10.1080/13811118.2025.2552455","url":null,"abstract":"<p><p>Non-suicidal self-injury (NSSI) is a significant global public health concern among adolescents. Prior research has confirmed the importance of perceived family invalidation in contributing to NSSI engagement. However, the mechanism underlying this association remains unclear. The current study hypothesized that perceived family invalidation would be associated with NSSI through a serial mediation pathway via shame-proneness and depressive symptoms. A sample of 3,875 Chinese adolescents from 12 to 18 years old (<i>M<sub>age</sub></i> = 14.43, <i>SD</i> = 1.38, 50.8% females) completed self-report questionnaires with outcome variables of perceived family invalidation, shame-proneness, depressive symptoms, and NSSI. Results showed that the prevalence of lifetime NSSI was 13.6%. Perceived family invalidation, shame-proneness, and depressive symptoms were all positively correlated with NSSI. The mean scores of all variables in the NSSI group were significantly higher than the non-NSSI group. The association between perceived family invalidation and NSSI was not directly mediated by shame-proneness. Still, it was mediated by depressive symptoms, while this link was also serially mediated by shame-proneness and depressive symptoms. Findings demonstrate a potential psychopathological mechanism underlying the pathway from perceived family invalidation to NSSI through shame-proneness and depressive symptoms. Furthermore, it provides empirical evidence for future specific intervention and prevention directions for mental health services providers working with adolescents of elevated perceived family invalidation as well as shame-proneness to reduce the risk of NSSI.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}