Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"Early language skills and later internalizing and externalizing behaviours: associations through core and pragmatic language.","authors":"Anna-Elisabeth Baumann, Lorraine D Reggin, Karolina Wieczorek, Suzanne Tough, Susan A Graham","doi":"10.1186/s13034-026-01113-5","DOIUrl":"10.1186/s13034-026-01113-5","url":null,"abstract":"<p><strong>Background: </strong>Language skills have been associated with both internalizing (anxiety, depression, somatization) and externalizing (conduct problems, hyperactivity, aggression) behaviours. Studies investigating these links have primarily focused on core language skills, such as expressive and receptive language, with less attention to pragmatic language, the social use of language in everyday interactions. The present study examined associations between early expressive vocabulary and later internalizing and externalizing symptoms through both core and pragmatic language skills.</p><p><strong>Methods: </strong>Using data from a large, prospective Canadian cohort study, structural equation models tested longitudinal associations between expressive vocabulary skills at age 2, core and pragmatic language at age 5, and internalizing and externalizing symptoms at age 8.</p><p><strong>Results: </strong>Results indicated significant indirect associations between early expressive vocabulary and later internalizing and externalizing symptoms through both core and pragmatic language.</p><p><strong>Conclusions: </strong>These findings highlight the importance of considering the role of both core and pragmatic language skills when examining associations with later behavioural symptoms.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239028","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 effects of the pandemic burden on early developmental outcomes in preterm children aged 0-3 years: a cross-sectional study.","authors":"Miriam Cherkaoui, Volker Mall, Marcus Krüger, Verena Kraus","doi":"10.1186/s13034-026-01112-6","DOIUrl":"10.1186/s13034-026-01112-6","url":null,"abstract":"<p><strong>Background: </strong>The psychosocial stress experienced by families with young children during the pandemic raised concerns about developmental risks, particularly for preterm infants, who are highly sensitive to environmental influences. This study examined the association between parent-reported pandemic burden and cognitive, language and motor development of preterm children.</p><p><strong>Methods: </strong>Between 2022 and 2023, a total of 69 children (median corrected age: 21.59 months) were assessed, 62.3% of whom were born prematurely. A subset of these preterm children (n = 31), restricted to improve age alignment, was compared to a pre-pandemic cohort (n = 40; median age: 22.2 months). Development was measured using the Bayley Scales of Infant and Toddler Development (Second and Third Edition). The pandemic burden was quantified using the Corona-Index, which was based on a standardised parental questionnaire. Multiple linear regressions were conducted with the Corona-Index as the main predictor and sex, gestational age, socioeconomic status and parental stress as moderators. Group differences were analysed using Mann-Whitney-U-Tests.</p><p><strong>Results: </strong>Cognitive and motor scores did not differ significantly between cohorts, whereas language scores were significantly lower in the pandemic group (p = 0.001). The overall regression models for cognitive and language development did not reach statistical significance, and their sub-analyses should be interpreted with caution. Within the pandemic cohort, a significant interaction between the Corona-Index and sex was found for motor development (p = 0.022). Exploratory interaction effects suggested possible sex-related differences.</p><p><strong>Conclusion: </strong>Overall, preterm children assessed during the pandemic showed differences in language scores compared to the pre-pandemic control group, which may theoretically be linked to altered social environments. However, instrument-related variability and residual clinical confounding cannot be excluded. Exploratory analyses highlighted the importance of examining sex-specific patterns in the context of environmental disruptions.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238961","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":"Grade-specific associations between insomnia and depressive symptoms in adolescents: a cross-lagged panel network analysis.","authors":"Qian Chen, Si-Yang Liu, Shi-Hao Ma, Xiao-Song Shen, Wan-Jun Cheng, Gu-Bing Wang, Zong-Kui Zhou","doi":"10.1186/s13034-026-01106-4","DOIUrl":"10.1186/s13034-026-01106-4","url":null,"abstract":"<p><strong>Background: </strong>Insomnia and depression frequently co-occur during adolescence, posing significant challenges to adolescent mental health. However, the direction of their association remains inconsistent in the literature and may show grade-specific patterns. Grounded in psychopathology network theory and informed by the developmental psychopathology perspective, this study examined symptom-level associations between insomnia and depression to better characterize these association patterns.</p><p><strong>Methods: </strong>This study employed cross-lagged panel network analysis to explore symptom-level interactions between insomnia and depression from Grades 5 to 12, capturing both contemporaneous (within-timepoint) associations and temporal (cross-timepoint) predictive associations. A large cohort of 175,950 adolescents (M_Age = 14.35, SD = 2.14; 52.72% female) completed the Insomnia Severity Index (ISI) and Patient Health Questionnaire-9 (PHQ-9) at two time points.</p><p><strong>Results: </strong>The findings showed both relatively stable and grade-specific patterns of association between insomnia and depression. In the contemporaneous networks, Motor descriptively showed the highest strength centrality in most grades, although the symptom with the highest centrality differed in some grades. In the temporal networks, descriptive centrality results indicated that Sad Mood had the highest out-expected influence in most grades, except for Anhedonia in Grade 6 and 8 and Suicide in Grade 12; Daily Function descriptively had the highest in-expected influence in most grades, except for Fatigue in Grade 10 and 11.</p><p><strong>Conclusion: </strong>These findings highlight several symptoms in the insomnia-depression network, with some variation across grades. By moving beyond total-score approaches, this symptom-level perspective provides exploratory insights that may shed light on inconsistencies in prior findings regarding the directionality of the insomnia-depression association and offer a more nuanced understanding of insomnia-depression relationships during adolescence.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239013","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":"Healthcare utilization and costs of early childhood mental health problems: a longitudinal analysis using multi-rater assessments and Swedish national registers.","authors":"Ingyin Moe, Natalie Durbeej, Claire de Oliveira, Filipa Sampaio","doi":"10.1186/s13034-026-01110-8","DOIUrl":"10.1186/s13034-026-01110-8","url":null,"abstract":"<p><strong>Background: </strong>Mental health problems in preschool children are rising in Sweden, yet their economic impact on the health sector remains poorly quantified. This study estimated the incremental healthcare utilization and costs associated with early mental health problems to inform resource allocation and early intervention.</p><p><strong>Methods: </strong>We analyzed an exact matched sample of 1206 drawn from a cohort of 6957 children aged 3-5 from Uppsala Region, Sweden. Early mental health problems were identified using the Strengths and Difficulties Questionnaire reported by mothers, fathers and teachers. Data were linked to national registers to estimate cumulative healthcare utilization and costs over four years from a health sector perspective. Hurdle models, generalized linear models, and two-part models compared utilization and costs between children with and without early symptoms. Sub-group analyses by sex, symptoms, and raters were performed.</p><p><strong>Results: </strong>Children with early mental health problems consumed three additional units of medication with an incremental cost of US$ 299, one additional specialized outpatient visit with an incremental cost of US$ 622, and five additional primary care visits with an incremental cost of US$ 376 compared to their healthy peers. Healthcare utilization and costs were higher for boys with externalizing and internalizing symptoms. Findings were consistent across all rater groups.</p><p><strong>Conclusions: </strong>Early childhood mental health problems represent a substantial economic impact to the healthcare sector. The findings suggest that early identification and intervention in the preschool years may offer significant opportunities for cost-offsetting and improved long-term system efficiency.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239016","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":"Sensory processing profiles and their association with tic severity in children with tic disorders: a cross-sectional study.","authors":"Yajun Tang, Duan Lin, Yanting Lu, Jiqiang Xie, Qinyu Li, Xiumei Liu","doi":"10.1186/s13034-026-01105-5","DOIUrl":"10.1186/s13034-026-01105-5","url":null,"abstract":"<p><strong>Background: </strong>Sensory symptoms have been increasingly recognized as core characteristics of tic disorders (TD). This study aimed to systematically investigate the core features of sensory processing abnormalities in Chinese children with tic disorders, analyze their association with tic severity, and explore potential subtypes based on sensory profiles.</p><p><strong>Methods: </strong>This cross-sectional study recruited 151 children diagnosed with TD (encompassing Tourette syndrome, chronic motor tic disorders, and provisional tic disorders) along with 100 age-matched healthy controls (HC). Sensory processing characteristics were assessed using the Short Sensory Profile, and tic severity was evaluated with the Yale Global Tic Severity Scale. Principal component analysis (PCA) and latent profile analysis (LPA) were employed to explore sensory subtypes. Correlation analyses and regression models were used to examine sensory-symptom relationships.</p><p><strong>Results: </strong>Children with TD showed significantly lower total SSP scores than HCs (P < 0.001), with deficits primarily in \"under-responsive/sensation seeking\", \"auditory filtering\" and \"low energy/weakness\". PCA extracted two core dimensions: \"sensory dysfunction\" and \"sensory hypersensitivity\". A significant positive graded relationship was found between the degree of sensory abnormality and tic severity (P for trend = 0.025). The \"under-responsive/ sensation seeking\" dimension was an independent predictor of tic severity (β = -0.164, P = 0.044). LPA identified two subtypes: a \"relatively typical sensory processing\" subtype (88.7%) and a \"sensory over-responsivity\" subtype (11.3%). However, no significant difference in tic severity was found between these subtypes.</p><p><strong>Conclusions: </strong>Sensory processing abnormalities, particularly generalized sensory modulation dysfunction, are prevalent across TD subtypes and are closely associated with tic severity. Sensory under-responsivity represents a core risk dimension, while the unique \"sensory over-responsivity\" subtype may be relatively independent of tic severity. This study provides important evidence for sensory-based subtyping of TD and for developing individualized interventions targeting sensory symptoms.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148194727","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":"Social environmental risk factors for persistent self-harm in early-to-middle adolescence: data from the Tokyo Teen Cohort study.","authors":"Riki Tanaka, Atsushi Nishida, Daiki Nagaoka, Rin Minami, Akito Uno, Yutaka Sawai, Ayako Okuma, Satoshi Yamaguchi, Mitsuhiro Miyashita, Syudo Yamasaki, Shuntaro Ando, Kiyoto Kasai","doi":"10.1186/s13034-026-01109-1","DOIUrl":"10.1186/s13034-026-01109-1","url":null,"abstract":"<p><strong>Background: </strong>While most adolescent self-harm (SH) is transient, a substantial minority of adolescents repeat and continue it, requiring intensive care. Although social environmental factors play an important role in adolescent psychological development, little is known about their role in the persistence of SH. Moreover, few studies have focused specifically on early adolescence, when SH often begins, hospital presentations after SH increase sharply, and many preventive programs typically commence. We aimed to identify social environmental risk factors at age 12 that predict the persistence of SH through ages 14 and 16 in a population-based cohort.</p><p><strong>Methods: </strong>We used data from the Tokyo Teen Cohort study (N = 1501). The experience of SH was self-reported at three timepoints (12, 14 and 16 years of age), and categorized as none, transient (one timepoint), or persistent (≥ 2 timepoints). Potential risk factors were assessed at age 12, including family related factors, school and peer related factors, sociodemographic and developmental characteristics, and psychopathological experiences. Multivariable and multinomial logistic regression analyses were conducted to examine the associations of potential risk factors with transient and persistent SH.</p><p><strong>Results: </strong>Of the 1501 participants 195 (13.0%) experienced transient SH and 53 (3.5%) experienced persistent SH. In fully adjusted models, maternal depressive/anxious symptoms and female sex predicted persistent SH (maternal depressive/anxious symptoms: OR 1.47, 95% CI 1.13-1.92, female: OR 4.74, 95% CI 2.18-10.29), whereas companionship with mother predicted lower likelihood (OR 0.50, 95% CI 0.28-0.89). Depressive symptoms and psychotic experiences (PEs) predicted both transient (depressive symptoms: OR 1.77, 95% CI 1.50-2.10, PEs: OR 1.57, 95% CI 1.36-1.82) and persistent SH (depressive symptoms: OR 2.03, 95% CI 1.55-2.66, PEs: OR 1.89, 95% CI 1.48-2.41).</p><p><strong>Conclusions: </strong>Maternal depressive/anxious symptoms were the risk factor of persistent SH and companionship with mother was protective against persistence even after adjustment for other factors. Care for maternal depressive/anxious symptoms and support for mother-child relationships would be required to prevent the persistence of SH, in addition to the care for children's depressive symptoms and PEs.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13573429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148194451","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 framework for Global Child and Adolescent Mental Health (GC-CAMH) Curriculum: why the world cannot wait.","authors":"Ramya Mohan, Ayesha Mian, Flávio Dias Silva, David Cawthorpe, Zheala Qayyum","doi":"10.1186/s13034-026-01038-z","DOIUrl":"10.1186/s13034-026-01038-z","url":null,"abstract":"","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"20 1","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13242105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148194515","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":"Sleep problems and emotional and behavioral problems among adolescents: examining independent types, cumulative scores, and latent patterns.","authors":"Chunyu Li, Lei Yue, Xinhong Zhu, Xiaolian Gao, Lin Li, Qingdong Zeng, Fen Yang, Guiyuan Qiao, Qingrong Fu","doi":"10.1186/s13034-026-01104-6","DOIUrl":"10.1186/s13034-026-01104-6","url":null,"abstract":"<p><strong>Background: </strong>Despite the established association between sleep problems and emotional and behavioral problems in adolescents, there is limited evidence on the relationships of independent, cumulative, and distinct patterns of sleep problems with emotional and behavioral problems.</p><p><strong>Methods: </strong>Cross-sectional data were collected from middle school students in Daye City, Hubei Province, China, with 1,381 participants included. Emotional and behavioral problems and sleep problems were assessed using the Strengths and Difficulties Questionnaire and Pittsburgh Sleep Quality Index, respectively. Latent class analysis was used to identify the latent patterns of sleep problems, and linear regression analyses were used to explore the associations between sleep problems (including independent types and cumulative scores) and emotional and behavioral problems. The Bolck-Croon-Hagenaars method was applied to compare emotional and behavioral problems across distinct sleep problem patterns. Additionally, relative importance analysis was conducted to estimate the relative contribution of each sleep problem to the variance in emotional and behavioral problems.</p><p><strong>Results: </strong>Prolonged sleep latency, short sleep duration, inefficient sleep, sleep disturbances, use of sleep medications, and daytime dysfunction were independently correlated with higher levels of emotional and behavioral problems, except for poor subjective sleep quality. Among these sleep problems, daytime dysfunction contributed the most to the variance in emotional (23.5%) and behavioral problems (30.4%). Additionally, the more sleep problems adolescents experienced, the more severe their emotional and behavioral problems were. Three distinct patterns of sleep problems were identified: \"global sleep dysfunction\", \"disturbed and non-restorative sleep\", and \"mild sleep problems\". Adolescents with the \"global sleep dysfunction\" pattern exhibited the most severe emotional and behavioral problems, whereas those with the \"mild sleep problems\" pattern exhibited the least severe.</p><p><strong>Conclusions: </strong>The findings highlight the need to consider the types, numbers, and patterns of sleep problems when developing tailored interventions to alleviate emotional and behavioral problems in adolescents.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148239","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":"Emotion regulation skills training for adolescents and parents in a clinical setting: a randomised controlled trial.","authors":"Kristina Holmqvist Larsson, Fredrik Falkenström, Gerhard Andersson, Helene Stern, Linnéa Bolmgren, Therese Engström, Viktoria Källström, Mikaela Nilsson, Emma Pettersson, Floor Seesing, Trine Öhman, Kalle Österman, Maria Zetterqvist","doi":"10.1186/s13034-026-01098-1","DOIUrl":"10.1186/s13034-026-01098-1","url":null,"abstract":"<p><strong>Background: </strong>Emotion dysregulation is a transdiagnostic construct associated with psychiatric symptomatology. Improving strategies to regulate emotions is an important focus in several psychological treatments. In the current study we investigated the effects of a brief seven-session emotion regulation skills training group for adolescents and parents in a randomised controlled trial in a naturalistic setting.</p><p><strong>Methods: </strong>This non-blinded, randomised study recruited participants from two child and adolescent psychiatric outpatient clinics during Mars 2019 to January 2023. A total of 118 adolescents, 14 to 17 years old, were assessed and randomised to either a seven-session emotion regulation skills training group or to a control group. The intervention was transdiagnostic and open to all patients with few exclusion criteria. Both groups received treatment as usual consisting of multidisciplinary child and adolescent psychiatric care. Self-reported emotion dysregulation measured with the Difficulties in Emotion Regulation Scale was compared between the two arms after the intervention. Secondary outcomes were alexithymia, emotional awareness, symptoms of depression and anxiety and quality of life.</p><p><strong>Results: </strong>Of 58 adolescents randomised to emotion regulation skills training group, 48 started the intervention and 36 completed it and were included in the final analysis. In the control group, 41 participants of the 60 randomised remained in the final analysis. Of the primary outcome measure Difficulties in Emotion Regulation Scale, only one subscale, Lack of Emotional Clarity, significantly decreased for the emotion regulation skills training group compared to the control group. There were no significant differences in overall emotion dysregulation. Significant reductions of Alexithymia, measured by Toronto Alexithymia Scale, were found in the intervention group compared to the control group. No other significant differences were found between groups in secondary outcomes. Exploratory within-group analyses pointed to a reduction in overall emotion dysregulation, indicating a further effect at three months post-intervention.</p><p><strong>Conclusions: </strong>The brief group-based emotion regulation skills training for adolescents and parents in child and adolescent psychiatric outpatient clinics, delivered adjunctive to treatment as usual, appears to improve certain aspects of emotion regulation, specifically emotional clarity and alexithymia. While it did not show effects on psychiatric symptoms or quality of life, explorative analyses indicate that it may reduce overall emotion dysregulation over time. Trial registration NCT03900533.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13270657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148052942","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":"Differential roles of peer bullying and childhood maltreatment in suicidal ideation and attempts among Chinese adolescents.","authors":"Zixuan Xu, Wenhua An, Jie Hu, Ziyan Yin, Chenxi Zhang, Lengyi Zhang, Yuqin Dai, Yanmei Zhang, Yizhen Yu","doi":"10.1186/s13034-026-01093-6","DOIUrl":"10.1186/s13034-026-01093-6","url":null,"abstract":"<p><strong>Background: </strong>The progression from suicidal ideation to attempt is a multi-stage process, yet it is unknown how different victimization contexts contribute uniquely to each stage. We compared the associations of school-based peer bullying and family-based childhood maltreatment with suicidal ideation, suicide planning, and suicide attempts in adolescents to identify the primary intervention target for halting suicidality at each step.</p><p><strong>Methods: </strong>A multicenter, school-based survey of 18,910 Chinese students aged 12-22 years was conducted. Participants were categorized into four groups: none, peer bullying only, childhood maltreatment only, and both. Logistic regression and population attributable fraction analyses were applied.</p><p><strong>Results: </strong>Overall, 10.9% reported peer bullying only, 18.7% maltreatment only, and 8.9% both. Peer bullying showed a stronger association with suicidal ideation than maltreatment (OR 1.35; 95% CI:1.14-1.60), particularly among females < 15 years (OR 1.68; 95% CI:1.21-2.32). Childhood maltreatment had a stronger link to suicide attempts (OR 1.34; 95% CI: 1.06-1.70) and a higher PAF (13% vs. 2% for peer bullying). Among ideators, maltreatment increased progression to attempts (OR 1.70, 95% CI: 1.32-2.19). Notably, co-exposure sharply raised the risk of suicide attempts (PAF: 25%).</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13480185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148052786","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}