Evidence map›Paper›PMID 41366473›Full record

ArticleChild and adolescent psychiatry and mental health2025

Recurrent non-suicidal self-injury in depressed youth with mixed features: a 6-month prospective cohort study.

Kunrong Lin, Yuhang He, Xue Zeng, Jie Zhang, Yufen Ou, Hongbo He

Abstract read
In one paragraph

Article in Child and adolescent psychiatry and mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Kunrong LinThe Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.
Yuhang HeThe Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.
Xue ZengThe Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.
Jie ZhangThe Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.
Yufen OuThe Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.
Hongbo HeGuangdong Mental Health CenterGuangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510030, China. hongbo_he@gzhmu.edu.cn.

Funding

Guangzhou Key Laboratory of Psychosomatic Medicine No. SL2023A03J00421Guangzhou Science and Technology Bureau City-University Union Funding 2023A03J0844,2023A03J0434,2023A03J0845
6 · The paper itself

Abstract

objectiveThis study aimed to examine whether mixed features during a current major depressive episode (MDE) are associated with increased risk of non-suicidal self-injury (NSSI) among adolescents and young adults, focusing on both first-onset and recurrent NSSI during a 6-month follow-up period.

methodA total of 713 individuals aged 13-25 years with current MDE were recruited, including 233 with mixed features. NSSI was assessed at baseline and at 1-, 3-, and 6-month follow-ups. Multiple imputation was used to handle missing data (n = 626). Kaplan-Meier and Nelson-Aalen estimators were applied to visualize time-to-event and cumulative risk curves. Cox regression assessed first-onset NSSI, and Andersen-Gill models estimated the risk of repeated events. Rubin's rules were used to pool estimates across imputed datasets. Sensitivity analyses were performed using complete-case data after multiple imputation, while subgroup analyses were conducted using stratified models.

resultsParticipants with mixed features were more likely to be female and to report a shorter illness duration and aggression history. Mixed features were associated with earlier NSSI onset (p = .010) and higher cumulative risk (p < .001). Although no significant association was found with first-onset NSSI, mixed features significantly predicted recurrent NSSI in both imputed (HR = 1.35, p = .045) and complete-case models (HR = 1.58, p < .001). The effect was stronger among first-episode cases and those with illness duration < 6 months.

conclusionMixed features in adolescent and young adult MDE may serve as a predictor of recurrent NSSI. Early identification and tailored monitoring strategies are warranted to reduce self-injury risk.

Indexed as

Adolescents and young adultsMajor depressive episode (MDE)Mixed featuresNon-suicidal self-injury (NSSI)Recurrent self-injury

Identifiers

PMID41366473
PMCPMC12801809

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.