Assessment of suicidal risk factors in young depressed persons with non-suicidal self-injury based on an artificial intelligence

Abstract Introduction The role of non-suicidal self-injury (NSSI) in the suicide process of people with major depressive disorder(MDD) remains controversial. Therefore, the purpose of this study was to investigate the role NSSI plays in suicide risk in people with MDD. Methods A questionnaire survey...

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Main Authors: Xuanyan Zhu, Yun Chen, Zhongyi Jiang, Ran Bi, Qiaoyang Zhang, Yanli Chen, Yupeng Jiang, Yin Cao, Guanzhong Dong
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Psychology
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Online Access:https://doi.org/10.1186/s40359-025-03065-5
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author Xuanyan Zhu
Yun Chen
Zhongyi Jiang
Ran Bi
Qiaoyang Zhang
Yanli Chen
Yupeng Jiang
Yin Cao
Guanzhong Dong
author_facet Xuanyan Zhu
Yun Chen
Zhongyi Jiang
Ran Bi
Qiaoyang Zhang
Yanli Chen
Yupeng Jiang
Yin Cao
Guanzhong Dong
author_sort Xuanyan Zhu
collection DOAJ
description Abstract Introduction The role of non-suicidal self-injury (NSSI) in the suicide process of people with major depressive disorder(MDD) remains controversial. Therefore, the purpose of this study was to investigate the role NSSI plays in suicide risk in people with MDD. Methods A questionnaire survey was compiled using the Hamilton Depression Scale-24, the Baker Suicide Risk Scale, and the Deliberate self-harm Scale. The correlation between NSSI, depression, and suicide risk was analyzed using the gradient-lifting regression model. Results A total of 179 people with MDD aged 15–24 years were included in this study. NSSI had the highest incidence among high school students(63.3%), regardless of sex. Furthermore, the incidence of NSSI was high among patients with depression with a history of smoking(p < 0.0002) and drinking(p < 0.001). NSSI partially mediated the risk of suicide in people with depression. Conclusion The findings demonstrate a significant association between NSSI and elevated suicide risk scores in individuals with MDD, with NSSI acting as a partial mediator in this relationship.
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publishDate 2025-07-01
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spelling doaj-art-20bb8a84bfc34ddf9d8bc3fe1a7759aa2025-08-20T04:02:44ZengBMCBMC Psychology2050-72832025-07-0113111110.1186/s40359-025-03065-5Assessment of suicidal risk factors in young depressed persons with non-suicidal self-injury based on an artificial intelligenceXuanyan Zhu0Yun Chen1Zhongyi Jiang2Ran Bi3Qiaoyang Zhang4Yanli Chen5Yupeng Jiang6Yin Cao7Guanzhong Dong8Department of Psychology, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical UniversityDepartment of Psychology, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical UniversitySchool of Computer and Artificial Intelligence, Changzhou UniversityDepartment of Psychology, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical UniversityDepartment of Psychology, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical UniversityChangzhou Medical Center, Nanjing Medical UniversityThe Second Clinical Medical College, Xuzhou Medical University.Department of Psychology, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical UniversityDepartment of Psychology, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical UniversityAbstract Introduction The role of non-suicidal self-injury (NSSI) in the suicide process of people with major depressive disorder(MDD) remains controversial. Therefore, the purpose of this study was to investigate the role NSSI plays in suicide risk in people with MDD. Methods A questionnaire survey was compiled using the Hamilton Depression Scale-24, the Baker Suicide Risk Scale, and the Deliberate self-harm Scale. The correlation between NSSI, depression, and suicide risk was analyzed using the gradient-lifting regression model. Results A total of 179 people with MDD aged 15–24 years were included in this study. NSSI had the highest incidence among high school students(63.3%), regardless of sex. Furthermore, the incidence of NSSI was high among patients with depression with a history of smoking(p < 0.0002) and drinking(p < 0.001). NSSI partially mediated the risk of suicide in people with depression. Conclusion The findings demonstrate a significant association between NSSI and elevated suicide risk scores in individuals with MDD, with NSSI acting as a partial mediator in this relationship.https://doi.org/10.1186/s40359-025-03065-5Major depressive disorderNSSISuicide riskMediating factorsMachine learning
spellingShingle Xuanyan Zhu
Yun Chen
Zhongyi Jiang
Ran Bi
Qiaoyang Zhang
Yanli Chen
Yupeng Jiang
Yin Cao
Guanzhong Dong
Assessment of suicidal risk factors in young depressed persons with non-suicidal self-injury based on an artificial intelligence
BMC Psychology
Major depressive disorder
NSSI
Suicide risk
Mediating factors
Machine learning
title Assessment of suicidal risk factors in young depressed persons with non-suicidal self-injury based on an artificial intelligence
title_full Assessment of suicidal risk factors in young depressed persons with non-suicidal self-injury based on an artificial intelligence
title_fullStr Assessment of suicidal risk factors in young depressed persons with non-suicidal self-injury based on an artificial intelligence
title_full_unstemmed Assessment of suicidal risk factors in young depressed persons with non-suicidal self-injury based on an artificial intelligence
title_short Assessment of suicidal risk factors in young depressed persons with non-suicidal self-injury based on an artificial intelligence
title_sort assessment of suicidal risk factors in young depressed persons with non suicidal self injury based on an artificial intelligence
topic Major depressive disorder
NSSI
Suicide risk
Mediating factors
Machine learning
url https://doi.org/10.1186/s40359-025-03065-5
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