Association analysis of suicide risk assessed with Mini International Neuropsychiatric Interviews’ Suicidality Module in adolescents with non suicidal self injury disorder

ObjectiveMany adolescents with non suicidal self injury disorder have suicidal ideation. However, the specific characteristics of adolescents with NSSI-D that contribute to high suicide risk remain unclear. This study observes the association between depressive and anxiety symptoms and suicide risk...

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Main Authors: Shuo Geng, Wen Zhang, Xiang Gao, Lele Qu, Xueping Zheng, Jian Sun, Mingdong Xu, Hua Lin, Xueyu Jia, Xu Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1546039/full
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author Shuo Geng
Shuo Geng
Wen Zhang
Xiang Gao
Lele Qu
Xueping Zheng
Jian Sun
Mingdong Xu
Hua Lin
Xueyu Jia
Xu Zhang
author_facet Shuo Geng
Shuo Geng
Wen Zhang
Xiang Gao
Lele Qu
Xueping Zheng
Jian Sun
Mingdong Xu
Hua Lin
Xueyu Jia
Xu Zhang
author_sort Shuo Geng
collection DOAJ
description ObjectiveMany adolescents with non suicidal self injury disorder have suicidal ideation. However, the specific characteristics of adolescents with NSSI-D that contribute to high suicide risk remain unclear. This study observes the association between depressive and anxiety symptoms and suicide risk among adolescents with non suicidal self injury disorder, and explores the mechanism underlying the high risk of suicide in this population.MethodAdolescents with non suicidal self injury disorder and their parents from a psychiatric outpatient clinic were selected to conduct paper questionnaires to measure their sociodemographic conditions. The Mini International Neuropsychiatric Interviews’ Suicidality Module(MINISM) was used to assess suicide risk of participants. The Self-Rating Depression Scale(SDS), Self-Rating Anxiety Scale(SAS), and Piers-Harris Children’s Self-Concept Scale(PHCSS) were used to measure depressive and anxiety symptoms, and self-concept of adolescents with non suicidal self injury disorder. According to the high suicide risk cutoff value of MINISM, the sample was divided into high suicide risk group and non-high suicide risk group. We performed descriptive and correlation statistical and network analysis to study the types of depressive and anxiety symptoms associated with suicide risk and the mechanism underlying suicide risk among non suicidal self injury disorder adolescents.ResultsA total of 112 non suicidal self injury disorder adolescent participants were included in this study. Severe depressive symptoms(OR=8.205, 95%CI=3.454-19.490) and severe anxiety symptoms(OR=3.926, 95%CI=1.613-9.554) are associated with a high risk of suicide. The father’s college/university education(p<0.01) is associated with severe anxiety symptoms, and low self-concept(p<0.01) is associated with severe depressive symptoms. Network analysis suggests the centrality of anxiety symptoms and father’s education level.ConclusionThe results of statistical analysis suggest that severe depressive symptoms are related to the high risk of suicide (based on MINISM) in adolescents with NSSI-D statistical significantly, and anxiety symptoms and low self-concept are associated with depressive symptoms in NSSI-D adolescents. Interventions targeting anxiety symptoms in adolescents with NSSI-D may help reduce their suicide risk.
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spelling doaj-art-82d0e64db63a4b7db83bb49c6ebab31e2025-02-10T06:48:56ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.15460391546039Association analysis of suicide risk assessed with Mini International Neuropsychiatric Interviews’ Suicidality Module in adolescents with non suicidal self injury disorderShuo Geng0Shuo Geng1Wen Zhang2Xiang Gao3Lele Qu4Xueping Zheng5Jian Sun6Mingdong Xu7Hua Lin8Xueyu Jia9Xu Zhang10Qingdao Medical College, Qingdao University, Qingdao, Shandong, ChinaDepartment of Psychiatry, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaSchool of Foreign Language Education, Qingdao University, Qingdao, Shandong, ChinaDepartment of Allergy, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaArt College, Qingdao University of Science and Technology, Qingdao, Shandong, ChinaThe Geriatric Department, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaSchool of Stomatology of Qingdao University, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaDepartment of Psychiatry, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaDepartment of Clinical Nutrition, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, Shandong, ChinaDepartment of Psychiatry, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaDepartment of Psychiatry, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaObjectiveMany adolescents with non suicidal self injury disorder have suicidal ideation. However, the specific characteristics of adolescents with NSSI-D that contribute to high suicide risk remain unclear. This study observes the association between depressive and anxiety symptoms and suicide risk among adolescents with non suicidal self injury disorder, and explores the mechanism underlying the high risk of suicide in this population.MethodAdolescents with non suicidal self injury disorder and their parents from a psychiatric outpatient clinic were selected to conduct paper questionnaires to measure their sociodemographic conditions. The Mini International Neuropsychiatric Interviews’ Suicidality Module(MINISM) was used to assess suicide risk of participants. The Self-Rating Depression Scale(SDS), Self-Rating Anxiety Scale(SAS), and Piers-Harris Children’s Self-Concept Scale(PHCSS) were used to measure depressive and anxiety symptoms, and self-concept of adolescents with non suicidal self injury disorder. According to the high suicide risk cutoff value of MINISM, the sample was divided into high suicide risk group and non-high suicide risk group. We performed descriptive and correlation statistical and network analysis to study the types of depressive and anxiety symptoms associated with suicide risk and the mechanism underlying suicide risk among non suicidal self injury disorder adolescents.ResultsA total of 112 non suicidal self injury disorder adolescent participants were included in this study. Severe depressive symptoms(OR=8.205, 95%CI=3.454-19.490) and severe anxiety symptoms(OR=3.926, 95%CI=1.613-9.554) are associated with a high risk of suicide. The father’s college/university education(p<0.01) is associated with severe anxiety symptoms, and low self-concept(p<0.01) is associated with severe depressive symptoms. Network analysis suggests the centrality of anxiety symptoms and father’s education level.ConclusionThe results of statistical analysis suggest that severe depressive symptoms are related to the high risk of suicide (based on MINISM) in adolescents with NSSI-D statistical significantly, and anxiety symptoms and low self-concept are associated with depressive symptoms in NSSI-D adolescents. Interventions targeting anxiety symptoms in adolescents with NSSI-D may help reduce their suicide risk.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1546039/fullnon suicidal self injury disordersuicide riskdepressionanxietynetwork analysisadolescent
spellingShingle Shuo Geng
Shuo Geng
Wen Zhang
Xiang Gao
Lele Qu
Xueping Zheng
Jian Sun
Mingdong Xu
Hua Lin
Xueyu Jia
Xu Zhang
Association analysis of suicide risk assessed with Mini International Neuropsychiatric Interviews’ Suicidality Module in adolescents with non suicidal self injury disorder
Frontiers in Psychiatry
non suicidal self injury disorder
suicide risk
depression
anxiety
network analysis
adolescent
title Association analysis of suicide risk assessed with Mini International Neuropsychiatric Interviews’ Suicidality Module in adolescents with non suicidal self injury disorder
title_full Association analysis of suicide risk assessed with Mini International Neuropsychiatric Interviews’ Suicidality Module in adolescents with non suicidal self injury disorder
title_fullStr Association analysis of suicide risk assessed with Mini International Neuropsychiatric Interviews’ Suicidality Module in adolescents with non suicidal self injury disorder
title_full_unstemmed Association analysis of suicide risk assessed with Mini International Neuropsychiatric Interviews’ Suicidality Module in adolescents with non suicidal self injury disorder
title_short Association analysis of suicide risk assessed with Mini International Neuropsychiatric Interviews’ Suicidality Module in adolescents with non suicidal self injury disorder
title_sort association analysis of suicide risk assessed with mini international neuropsychiatric interviews suicidality module in adolescents with non suicidal self injury disorder
topic non suicidal self injury disorder
suicide risk
depression
anxiety
network analysis
adolescent
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1546039/full
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