Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"Gender specific influence of serotonin on core symptoms and neurodevelopment of autism spectrum disorders: A multicenter study in China.","authors":"Qiu-Hong Mou, Qian Zhang, Li Chen, Ying Dai, Hua Wei, Fei-Yong Jia, Yan Hao, Ling Li, Jie Zhang, Li-Jie Wu, Xiao-Yan Ke, Ming-Ji Yi, Qi Hong, Jin-Jin Chen, Shuan-Feng Fang, Yi-Chao Wang, Qi Wang, Jie Chen, Ting-Yu Li, Ting Yang","doi":"10.1186/s13034-025-00892-7","DOIUrl":"https://doi.org/10.1186/s13034-025-00892-7","url":null,"abstract":"<p><strong>Background: </strong>High serotonin (5-hydroxytryptamine [5-HT]) blood levels are the most reliable and frequently replicated biomarker for autism spectrum disorders (ASDs). However, their differential influence on core ASD symptoms in males and females remains unclear. This study aimed to investigate the changes in 5-HT levels in children with ASD to assess and compare its influence on the core symptoms and neurodevelopment of boys and girls.</p><p><strong>Methods: </strong>Herein, 1,457 ASD children and 1,305 typically developing (TD) controls (age = 2-7 years) were enrolled from 13 cities across China. Social Responsiveness Scale (SRS) and Childhood Autism Rating Scale (CARS) were used to evaluate the ASD symptoms in children, and the revised Children Neuropsychological and Behavior Scale-Revision 2016 (CNBS-R2016) was used to evaluate their neurodevelopment. The 5-HT serum levels were measured by high-performance liquid chromatography-tandem mass spectrometry.</p><p><strong>Results: </strong>In boys with ASD, increased serum 5-HT levels correlated with high scores on SRS and CARS and with communication warning behavior of CNBS-R2016. Conversely, concomitant decline was observed in the scores on the general, language, gross motor, adaptive behavior, and personal-social quotients. Notably, no differences were found in girls with ASD.</p><p><strong>Conclusions: </strong>Children with ASD, especially boys, presented higher serum 5-HT levels compared with TD children. Additionally, increased 5-HT content is considerably positively associated with core ASD symptoms and negatively associated with neurodevelopment in boys with ASD. Overall, this study highlights the gender bias in patients with ASD regarding 5-HT serum levels, underscoring its influence on ASD prevalence in a sex-specific manner.</p><p><strong>Trial registration: </strong>This study has been approved by the Ethics Committee of the Children's Hospital of Chongqing Medical University (approval number: (2018) IRB (STUDY) NO.121). Additionally, this study is registered with the China Clinical Trial Registry (Registration Number: ChiCTR2000031194).</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"35"},"PeriodicalIF":3.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742411","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":"Juvenile sanctions for young adult offenders in the Netherlands: an opportunity for rehabilitation?","authors":"Lise J C Prop, André M van der Laan, Marinus G C J Beerthuizen, Charlotte S Barendregt, Chijs van Nieuwenhuizen","doi":"10.1186/s13034-025-00888-3","DOIUrl":"https://doi.org/10.1186/s13034-025-00888-3","url":null,"abstract":"<p><strong>Background: </strong>To improve rehabilitation and reduce recidivism, adolescent criminal law provides tailor-made sanctioning in which the emphasis is on the offender's development. This results in the possibility that juvenile sanctions, in which education, treatment and rehabilitation are central, can be applied to young adult offenders. It is unknown, however, whether there is a relationship between the developmental focus of adolescent criminal law and the rehabilitation of young adult offenders. Therefore, the aim of this study was to examine whether juvenile sanctions are efficacious in rehabilitating young adult offenders.</p><p><strong>Methods: </strong>A quasi-experimental design was used with judicial observational data. From a total of young adults (n = 671) sentenced with juvenile sanctions and young adults (n = 7.221) sentenced with adult sanctions different subsamples were composed. The subsamples were based on distinct starting conditions: (1) young adults engaged in education or employment, (2) young adults without education, income or on unemployment benefits, (3) young adults living independently, and (4) young adults living with parents or institutionalized. Rehabilitation was operationalized as changes or stability in education/employment status and housing conditions two years after the sanction was imposed. Binary logistic regression analyses were used to assess the associations.</p><p><strong>Results: </strong>Young adults who were engaged in education or employment before their conviction were more likely to maintain this status after a juvenile sanction (OR = 1.43, p < 0.05) than after an adult sanction. Young adults who were not engaged in education or employment had a lower chance (OR = 0.677, p < 0.05) of improving their status after a juvenile sanction than after an adult sanction. No significant differences were found for housing conditions.</p><p><strong>Conclusions: </strong>By focusing on maintaining existing engagement in education and employment, juvenile sanctions align with the developmental needs of young adults and promote stability in their transition to mature societal roles. This study highlights the importance of reinforcing existing prosocial bonds and providing adequate support for those needing to establish new prosocial bonds.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"33"},"PeriodicalIF":3.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Network analysis of loneliness, mental, and physical health in Czech adolescents.","authors":"Zdenek Meier, Jakub Helvich, Jana Furstova, Lukas Novak, Dana Purova, Radka Zidkova, Peter Tavel","doi":"10.1186/s13034-025-00884-7","DOIUrl":"https://doi.org/10.1186/s13034-025-00884-7","url":null,"abstract":"<p><strong>Background: </strong>The increasing urgency to address rising loneliness among adolescents has become a critical issue, underscoring the need for further studies on its association with mental and physical health. The objective was to examine the changes in loneliness and its relation to mental and physical health issues in three adolescent age groups.</p><p><strong>Methods: </strong>A total sample of 14,588 Czech pupils (50.7% boys, mean age 13.6 ± 1.7 years) in grades 5, 7 and 9 was used from a representative dataset of the Health Behaviour in School-aged Children (HBSC) study. The network analysis based on undirected graphical models was used as an exploratory technique to assess and test the structure of the data.</p><p><strong>Results: </strong>The association between loneliness and health decreased with age. There was a significant positive association between loneliness, feeling low, and irritability. No significant direct association between loneliness and physical health complaints was found.</p><p><strong>Conclusion: </strong>Further studies, preferably of longitudinal character, are needed to confirm the changes in associations between loneliness and mental and physical health outcomes.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"34"},"PeriodicalIF":3.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of school bullying on the mental health of boarding secondary school students: the mediating roles of school belongingness and resilience.","authors":"Xiaoyang Liu, Ling Zhang, Yijin Wu, You Xin, Ye Wang, Xiaoyou Su","doi":"10.1186/s13034-025-00887-4","DOIUrl":"10.1186/s13034-025-00887-4","url":null,"abstract":"<p><strong>Background: </strong>School bullying has become a significant educational and public health issue worldwide. Boarding secondary school students, who live within the school environment and away from familial support, are particularly vulnerable. This study aims to address this gap by examining the impact of school bullying on the mental health of boarding secondary school students and exploring the mediating roles of school belongingness and psychological resilience.</p><p><strong>Methods: </strong>A stratified random cluster sampling method was used to survey students from 4 boarding secondary schools in Hebei Province, China. A total of 1,560 valid responses were obtained from 1,700 questionnaires distributed. Participants provided self-reported data based on the structured questionnaire. Descriptive statistics summarized the data, and Chi-square tests, t-tests, and ANOVA were used to examine demographic differences. Pearson correlation analysis assessed relationships among bullying, mental health, school belongingness, and resilience. Path analysis was performed to test the hypothesized mediation model with 5000 bootstrap sampling. All statistical analyses were conducted using SPSS 26.0 and Amos 28.0.</p><p><strong>Results: </strong>Abnormal mental health status was reported by 33.8% of students, with 23.3% exhibiting mild abnormalities, 8.7% moderate abnormalities, 1.3% severe abnormalities, and 0.1% exhibiting very severe abnormalities. Verbal bullying, physical bullying, and social bullying were reported by 26.9%, 10.1%, and 15.4% of students, respectively, with higher prevalence among males (P < 0.05). Students who experienced bullying showed significantly higher rates of mental health problems (P < 0.001). Mediation analysis indicated that school belongingness [β = 0.017 (0.014-0.020)] and psychological resilience [β = 0.002 (0.001-0.003)] partially mediated the effect of bullying on mental health, accounting for 35.7% and 3.2% of the total effect, respectively.</p><p><strong>Conclusion: </strong>This study reveals the significant impact of school bullying on mental health among boarding secondary school students in Hebei Province, China. The findings underscore the critical roles of school belongingness and psychological resilience as mediators in the relationship between bullying and mental health outcomes. The study highlights the need for comprehensive intervention strategies that promote a positive school climate, strengthen student-teacher relationships and enhance peer support systems to foster a strong sense of school belongingness and resilience, ultimately improving overall student well-being.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"32"},"PeriodicalIF":3.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online search and activities of parents of children with ADHD: a qualitative study.","authors":"Marie Bringer, Sylvain Bodard, Ana Moscoso, Anne Revah-Levy, Diane Purper-Ouakil, Eric Acquaviva, Richard Delorme, Benjamin Landman, Jordan Sibeoni","doi":"10.1186/s13034-025-00886-5","DOIUrl":"10.1186/s13034-025-00886-5","url":null,"abstract":"<p><strong>Background: </strong>Parents' perceptions of their child's mental health play a crucial role in their decision to seek mental health services. Additionally, mental health literacy, which includes knowledge about mental health disorders, is essential for identifying, managing, and preventing mental health problems. Online health information searches are a vital resource for parents of children with attention deficit hyperactivity disorder (ADHD)- one of the most common neurodevelopmental disorders- as they provide emotional support and information on risk factors, treatments, and prognosis. However, while online resources are widely used, little is known about how parents navigate, interpret, and integrate this information into their care decisions. This study explored parents' lived experiences of seeking ADHD-related information online, examining how these searches shape their perceptions, decision-making, and interactions with healthcare professionals.</p><p><strong>Method: </strong>This qualitative study followed the Inductive Process to analyze the Structure of lived Experience (IPSE) approach. Twenty parents of children with ADHD were recruited using a purposive sampling strategy, and data were collected through semi-structured interviews until saturation was reached. Data analysis was conducted using a descriptive and structuring procedure to identify key experiential themes.</p><p><strong>Results: </strong>Data analysis produced three central experiential axes: [1] Internet and the care pathway; [2] Internet knowledge and its supporting role; and [3] Internet and discordant discourse on ADHD between health professionals. Most parents reported using social networks as a crucial source of support, guidance, and mutual aid. Specifically, online parent groups helped them navigate obstacles in the care pathway, manage conflicting perspectives on ADHD, and alleviate feelings of guilt.</p><p><strong>Conclusion: </strong>Healthcare professionals and stakeholders should consider the impact of web-based resources on parental decision-making and work towards improving the accessibility and reliability of online health information.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"31"},"PeriodicalIF":3.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent-adolescent communication quality does not moderate the association of emotional burden and somatic complaints in adolescents: a cross-sectional structural equation model.","authors":"Holger Zapf","doi":"10.1186/s13034-025-00882-9","DOIUrl":"10.1186/s13034-025-00882-9","url":null,"abstract":"<p><p>An explanation for somatic complaints in adolescence assumes that they have the function to express emotional burden if the communication of feelings in important relationships does not work sufficiently. Therefore, it can be hypothesized that in adolescents, lower quality of emotional communication with a parent goes along with a higher impact of emotional burden on somatic complaints. The aim of this study was to examine whether emotional communication quality between adolescents and parents moderates the association of emotional burden and somatic complaints. Based on data from a cross-sectional population sample (N = 1061), structural equation modeling (SEM) was used to test the hypothesis. In addition to the general model, models for boys and girls were compared. Emotional communication quality does not moderate the association of emotional burden and somatic complaints in the general model or in the gender-based models. However, communication quality is a significant predictor of somatic complaints for boys. Limitations are the cross-sectional nature of the data, the possible sampling bias due to the use of an online access panel, and the inclusion of one parent per adolescent. This study highlights that emotional communication quality is a predictor for somatic complaints in adolescent boys and should be addressed in therapy.Trial registration ClinicalTrials.gov: NCT05332236.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"28"},"PeriodicalIF":3.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A feasibility study of a preventative, transdiagnostic intervention for mental health problems in adolescence: building resilience through socioemotional training (ReSET).","authors":"Alex Lloyd, Roslyn Law, Nick Midgley, Tom Wu, Laura Lucas, Erin Atkinson, Nikolaus Steinbeis, Peter Martin, René Veenstra, Jaime Smith, Lili Ly, Geoffrey Bird, Jennifer Murphy, David Plans, Marcus Munafò, Ian Penton-Voak, Jessica Deighton, Kathleen Richards, Mya Richards, Pasco Fearon, Essi Viding","doi":"10.1186/s13034-025-00870-z","DOIUrl":"10.1186/s13034-025-00870-z","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is a developmental period during which an estimated 75% of mental health problems emerge (Solmi et al. in Mol Psychiat 27:281-295, 2022). This paper reports a feasibility study of a novel indicated, preventative, transdiagnostic, school-based intervention: Building Resilience Through Socioemotional Training (ReSET). The intervention addresses two domains thought to be causally related to mental health problems during adolescence: social relationships and emotion processing. Social relationships were targeted using principles from interpersonal psychotherapy, while emotion processing was targeted using cognitive-emotional training focused on three areas of emotion processing: Emotion perception, emotion regulation and interoception. The aims of this feasibility study were to (i) assess the acceptability of integrating group-based psychotherapy with individual cognitive-emotional training, (ii) evaluate the feasibility of our recruitment measures, and (iii) assess the feasibility of delivering our research measures.</p><p><strong>Methods: </strong>The feasibility study involved 41 adolescents, aged 12-14, who were randomly assigned to receive the ReSET intervention or their school's usual mental health and wellbeing provision.</p><p><strong>Results: </strong>Qualitative data from intervention participants suggested the programme was experienced as a cohesive intervention, with participants able to draw on a combination of skills. Further, the cognitive-training tasks were received positively (with the exception of the interoception training task). The recruitment and research measures were successfully delivered in the school-based setting, with 97.5% retention of participants from baseline to post-intervention assessment. Qualitative data was overwhelmingly positive regarding the benefits to participants who had completed the intervention. Moreover, there was only limited data missingness.</p><p><strong>Conclusions: </strong>We conclude that a trial of the ReSET intervention in a school setting is feasible. We discuss the implications of the feasibility study with regard to optimising school-based interventions and adaptations made in preparation for a full-scale randomised controlled trial, now underway.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"29"},"PeriodicalIF":3.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental pain and lifetime suicide attempts in early adolescence: a preliminary study.","authors":"Jon García-Ormaza, Jeffrey V Tabares, Ennio Ammendola, Alexander Muela","doi":"10.1186/s13034-025-00883-8","DOIUrl":"10.1186/s13034-025-00883-8","url":null,"abstract":"<p><p>The primary aim of the present study was to examine the association of four complementary measures-suicidal cognitions, entrapment, mental pain, and depression-with past suicide attempts in early adolescence. The sample consisted of 657 adolescents aged 12-15 years (M = 12.68, SD = ± 0.82; 49.16% female, 49.47% male and 1.22% non-binary), all enrolled in the first stage of secondary education (ISCED 2, first year) in schools in Spain. The study employed a three-phase analytical approach: (1) ROC/AUC analysis to evaluate the performance of each measure, (2) logistic regression models to assess their association with past suicide attempts, and (3) validating the first-phase classification results by accounting for the possibility of response imbalances on each of four measures. The results showed that high intensity of mental pain most strongly associated with past suicide attempts, exhibiting the highest sensitivity and reliability across models. Suicidal cognitions and entrapment also showed utility in assessing suicide risk, although their impact was less pronounced than mental pain. Depressive symptomatology showed limited utility distinguishing adolescents with a history of suicide attempts. These findings underscore the importance of incorporating mental pain and related constructs in community-based strategies for suicide prevention with early adolescence-aged children. By combining these factors, practitioners can gain a more comprehensive understanding of risk, facilitating early identification and intervention in adolescents at risk for suicide.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"30"},"PeriodicalIF":3.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impaired sleep quality mediates the relationship between internet gaming disorder and conduct problems among adolescents: a three-wave longitudinal study.","authors":"Pu Peng, Jieyin Jin, Zhangming Chen, Silan Ren, Ying He, Jinguang Li, Aijun Liao, Linlin Zhao, Xu Shao, Shanshan Chen, Ruini He, Yudiao Liang, Youguo Tan, Xiaogang Chen, Jinsong Tang, Yanhui Liao","doi":"10.1186/s13034-025-00889-2","DOIUrl":"10.1186/s13034-025-00889-2","url":null,"abstract":"<p><strong>Background: </strong>Research increasingly demonstrates a positive association between Internet Gaming Disorder (IGD) and conduct problems among adolescents. However, longitudinal data are limited, and the mediating mechanisms remain unclear. This study aimed to examine the predictive effect of IGD on conduct problems and explore the mediating role of impaired sleep quality.</p><p><strong>Method: </strong>A cohort of 20,137 Chinese seventh- and tenth-grade students was recruited and assessed at three time points: November 2020 (T1), 2021 (T2), and 2022 (T3). IGD, conduct problems, and impaired sleep quality were measured using the Internet Gaming Disorder Scale Short Form, the Strengths and Difficulties Questionnaire, and the Pittsburgh Sleep Quality Index, respectively. Mediation analyses were conducted to evaluate the direct and indirect effect of IGD on conduct problems, with subgroup analyses based on sex and developmental stage.</p><p><strong>Results: </strong>IGD was found to be an independent risk factor for conduct problems both cross-sectionally and longitudinally. Impaired sleep quality partially mediated the relationship between IGD and conduct problems, accounting for approximately 17.3% of the total effect. Subgroup analyses revealed that the mediation effect of impaired sleep quality was more pronounced in early adolescents and varied by sex, with a stronger total and direct effect in boys.</p><p><strong>Conclusions: </strong>These findings highlight the need for comprehensive interventions targeting both IGD and impaired sleep quality, tailored to specific sexes and developmental stages, to effectively reduce conduct problems.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"26"},"PeriodicalIF":3.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and correlates of nonsuicidal self-injury among youths in Singapore: findings from the National Youth Mental Health Study.","authors":"Sherilyn Chang, Janhavi Ajit Vaingankar, Bernard Tan, Yeow Wee Brian Tan, Ellaisha Samari, S Archana, Yi Chian Chua, Yi Ping Lee, Charmaine Tang, Swapna Verma, Mythily Subramaniam","doi":"10.1186/s13034-025-00885-6","DOIUrl":"10.1186/s13034-025-00885-6","url":null,"abstract":"<p><strong>Background: </strong>Nonsuicidal self-injury (NSSI) is a common phenomenon; a recent meta-analysis of studies conducted among non-clinical adolescents reported a global lifetime prevalence rate of 22.0%. NSSI results in significant impairment and is associated with negative outcomes later in young adulthood. There is, however, a dearth of research on the occurrence of NSSI in Singapore's youth population. Past studies examining NSSI behaviours among youths in Singapore were conducted using clinical samples, which tend to report a higher prevalence compared to community samples. The present study aims to establish the prevalence of NSSI and examine its associated sociodemographic and psychosocial correlates in the general youth population.</p><p><strong>Methods: </strong>This study included 2600 youths aged 15-35 years who participated in the National Youth Mental Health Study, a nationwide cross-sectional survey of the mental health status of youths in Singapore. The Deliberate Self-Harm Inventory and Depression Anxiety Stress Scales Short Form were used to assess NSSI behaviours and mental health symptoms. Data on coping strategies, perceived social support and resilience were also collected.</p><p><strong>Results: </strong>The lifetime prevalence of NSSI among youths in Singapore was 25.0%, and the 12-month prevalence was found to be 6.8%. The median age of onset for lifetime NSSI was 14 years. Significantly higher odds of lifetime NSSI were observed among youths aged 15-29 years, females, and youths with lower educational attainment. Youths with severe and extremely severe symptoms of depression and anxiety and those with greater use of avoidance coping strategy were associated with higher odds of lifetime NSSI. Higher resilience scores were associated with lower odds of lifetime NSSI.</p><p><strong>Conclusion: </strong>1 in 4 youths in Singapore had engaged in self-injurious behaviour at least once in their lifetime. Screening and early intervention programs could be targeted at the more vulnerable youth groups such as those in early- and mid- adolescence. Potential areas for future research and interventions could include resilience building and educating youths on adaptive coping strategies. The limitations of the cross-sectional study design and the use of self-reported data should be considered when interpreting the study findings.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"27"},"PeriodicalIF":3.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}