Factors Associated With Non-suicidal Self-Injury in Chinese Adolescents: A Meta-Analysis

• Type of Material: Article
• Authors: Yang-yang Fan, Shanghai Jiao Tong University; Jing Liu, Capital Medical University; Yan-yan Zeng, Shenzhen Kangning Hospital; Rachel Conrad, Harvard Medical School; Yilang Tang, Emory University
• Language: English
• Date: 2021-11-30
• Publisher: FRONTIERS MEDIA SA
• Publication Version: Final Published Version
• Copyright Statement: © 2021 Fan, Liu, Zeng, Conrad and Tang.
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.3389/fpsyt.2021.747031
• Title of Journal or Parent Work: FRONTIERS IN PSYCHIATRY
• Volume: 12
• Start Page: 747031
• End Page: 747031
• Grant/Funding Information: This study was funded by Capital clinical characteristic application research and achievement promotion: clinical study of transdiagnostic group cognitive behavioral therapy for emotional disorders (Grant Number: Z161100000516066) and Beijing Municipal Administration of Hospitals Clinical medicine Development of special funding (Grant Number: ZYLX201815).
• Keywords: QUALITY; China; Science & Technology; non-suicidal self-injury; meta-analysis; adolescents; HARM; Life Sciences & Biomedicine; PREVALENCE; CHILDHOOD; RISK-FACTORS; TRAUMA; associated factors; CHILDREN; PARENTS; NATURAL EXPERIMENT; Psychiatry; SUICIDAL-BEHAVIOR
• Research Categories: Psychology, Clinical; Sociology, Public and Social Welfare; Health Sciences, Public Health

Abstract

Non-suicidal self-injury (NSSI) in adolescents is an increasing public health problem in China. We conducted a meta-analysis of studies on NSSI in Chinese adolescents (between 10 and 19 years) to examine factors associated with NSSI. Twenty-five papers including 30 separate studies with 186,447 participants were included for analysis. The results from a random-effects model showed a weak, but significant overall prediction of NSSI (OR = 1.734). There were significant associations between the following seven factors and NSSI (ranking by the effect sizes, in descending order): adverse life events (OR = 2.284), negative coping style (OR = 2.040), problematic internet use (OR = 2.023), sleep disturbance (OR = 1.734), traumatic experiences (OR = 1.728), problematic parent-child relationship (OR = 1.585), mental health problems (OR = 1.578). Additionally, NSSI sample type moderated these effects. These findings highlight factors significantly associated with NSSI in Chinese adolescents. Parent-child relationship and mental health of the only children and left-behind children in China deserve more attention. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42019123508.